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17 Cards in this Set
- Front
- Back
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What 5 main things do osteopaths have the power to manipulate?
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1. mechanical drainage of sinuses and eustachian tube
2. lymphatics of head and neck 3. autonomics 4. muscle tension and myofascial strain 5. common pathological cranial lesions |
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What is the -25 modifier?
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this code modifier allows to charge for a procedure on top of an office visit for separate service on the same day. cash for your OMM services, right there.
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What PE finding has become mainstream to ENT symptoms of the flu as a result of the 1919 flu epidemic, even among MDs?
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ant/post cervical lymphadenopathy
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What significant innervation structures are related to pterygoid fossa decongestion and the ear/eustachian tube?
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CN 7 provides parasympathetic innervation and the sphenopalantine ganglion
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What is the purpose of a hyoid myofascial release?
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releasing ventral myofascial constriction, we can improve lymphatics from the head/neck
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What are the most common organisms of sinusitis?
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Strep. pneumoniae, H. influenzae, M. catarrhalis
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What's the difference between acute and chronic sinusitis?
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up to 3 weeks is acute
3-8 weeks is chronic ENT consultation and CT scan if chronic to check for anatomical blockages |
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What is recurrent sinusitis?
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3 or more episodes of acute sinusitis per year
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How is sinusitis treated osteopathically?
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myofascial release of neck, asses CRI and cranial restriction, release thoracic outlet, lymphatic pump
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What provides the sympathetic innervation of the head?
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T1 - T4
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What are the steps in treating a sinus headache?
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suboccipital release
frontal sinus effleurage maxillary sinus release & effleurage maxillary lift |
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How is otitis media defined?
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inflammation of the middle ear
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Why do children have more problems with otitis media and ear infections when compared to adults?
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the horizontal orientation of the eustachian tube is such in children that gravity doesn't drain fluid as efficient as in adults
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What is the traditional medical treatment for otitis media?
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up to week 6: observe or oral antibiotics
at 3 mos or if hearing loss: tympanostomy at 4-6 mos: place tubes |
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What is the goal of OMT for otitis media?
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normalize cervical muscle tone
increase lymphatic flow |
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What two OMT procedures are indicated for otitis media?
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Galbraith's procedure
Auricular drainage |
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Why is antibiotic treatment not always effective for otitis media?
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the problem is not the infection, the antibiotics will kill the bug, but you need to correct the fluid accumulation problem
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