Heent 1 Omm

Front 1

An unsymmetrical and twisted condition of the head, resulting from irregular closure of the cranial sutures

Back 1

Plagiocephaly

Front 2

CN that Passes through the Stylomastoid foramen (temporal bone)

Back 2

CNVII, CN VIII

Front 3

Parasympathetics to Lacrimal Gland, Nasopharynx

Back 3

CN VII

Front 4

Venous Drainage 85% from head into ____

Back 4

internal jugular

Front 5

HEENT lymphatics Drains into the ____ , pass through the ____

Back 5

deep cervical nodes, thoracic inlet

Front 6

CN supplies the upper lid, scalp, forehead, eyeball, ethmoid sinus, lacrimal glands, conjunctiva.

Back 6

CN V

Front 7

CN that goes through superior orbital fissure

Back 7

Ophthalmic branch- V 1

Front 8

CN involved in temporal dysfunction and sphenoid

Back 8

Ophthalmic branch- V 1

Front 9

CN via foramen rotundum (sphenoid)- inferior fissure

Back 9

Maxillary branch- V 2

Front 10

CN through through pterygopalatine fossa

Back 10

Maxillary branch- V 2

Front 11

CN for dura, max. sinus, max. teeth, nasal septum, lower lid, nose, upper lip.

Back 11

Maxillary branch- V 2

Front 12

CN through foreman ovale in sphenoid

Back 12

Mandibular-V 3

Front 13

CN involved in Skin,motor to mastication

Back 13

Mandibular-V 3

Front 14

CN that Exits via stylomastoid foramen of temporal

Back 14

CN VII

Front 15

CN for motor to facial expression

Back 15

CN VII

Front 16

CN for sensory to anterior 2/3 of tongue

Back 16

CN VII

Front 17

CN involved secretory to submandibular, sublingual and lacrimals.

Back 17

CN VII

Front 18

CN over Sphenoid, occiput, temporals, cervical fascia

Back 18

CN VII

Front 19

CN involved in Bell’s palsy

Back 19

CN VII

Front 20

Nerve that travel with facial nerve

Back 20

CN VIII (PNS)

Front 21

CN synapse in the sphenopalatine ganglion

Back 21

CN VIII (PNS)

Front 22

which CN fibers to lacrimal and nasopharyngeal mucosa

Back 22

CN VIII (PNS)

Front 23

Which CN involved in hyperactivity- tearing; profuse, thin mucosal secretions

Back 23

CN VIII (PNS)

Front 24

sympathetics to HEENT

Back 24

T1-T4

Front 25

Where do sympathetics synapse in HEENT

Back 25

synapse in upper thoracic or cervical sympathetic ganglion (at C2, C6, C7), follows arteries

Front 26

In HEENT, visceral afferents follow the same pathway as the ___

Back 26

sympathetics

Front 27

Facilitation in the thoracics causes ___

Back 27

parasinal tissue changes

Front 28

Which ANS causes Photophobia, tinnitus

Back 28

Sympathetics

Front 29

Which ANS causes thick, sticky secretions?

Back 29

Sympathetics

Front 30

Which ANS causes dryness of mucosa?

Back 30

sympathetics decreases secretions

Front 31

Which ANS causes Dilatation of the pupil?

Back 31

Sympathetics

Front 32

Which ANS causes increased intraoccular pressures?

Back 32

Sympathetics

Front 33

CN __, __, __ vulnerable to dural strain as they pass under petrosphenoidal ligament, which is formed by the ____

Back 33

III, IV, VI. tentorum cerebelli

Front 34

Which CN involved in Symptoms: blurred vision, diplopia, mild nystagmus, amblyopia, eye fatigue, headache

Back 34

Cranial Nerve Entrapment. CN III, IV, VI

Front 35

Goal in treating Thoracic Inlet :Release Sibson’s fascia

Back 35

Improves lymphatic drainage

Front 36

Goal in treating Thoracic Inlet: 1st Rib

Back 36

Stellate ganglion

Front 37

Goal in treating Thoracics and Ribs: Upper Thoracics

Back 37

Facilitated segments

Front 38

Goal in treating Thoracics and Ribs: Rib raising

Back 38

Normalize sympathetic ganglia

Front 39

Goal in treating Thoracics and Ribs: Rib dysfunction

Back 39

Improve respiration, and enhance drainage

Front 40

Goal in treating Diaphragm & Lumbar: Release diaphragm

Back 40

Enhance respirations

Front 41

Goal in treating Diaphragm & Lumbar: Upper lumbars

Back 41

Release diaphragm (L1 and L2)

Front 42

What is the general treatment plan for Anterior & Posterior soft tissues of the cervical area

Back 42

Effleurage

Front 43

What is the general treatment plan for OA/AA – (Occipitocervical Junction)

Back 43

Parasympathetic

Front 44

What is the general treatment plan for Chapman’s Points

Back 44

Normalize sympathetic flow

Front 45

rhinitis, sneezing, nasal congestion, pharyngitis, sinus congestion, low grade fever

Back 45

Viral symptoms for URI common cold

Front 46

What is the goal in treating URI common cold

Back 46

stimulate immune system, decongest lymphatics, normalize autonomics

Front 47

Visceral afferents from respiratory tract facilitate ____

Back 47

upper thoracics-sympathetics

Front 48

Unilateral facial paralysis of sudden onset
Unilateral LMN disorder of CNVII

Back 48

Bell’s Palsy

Front 49

HEENT Problems Treatable with OMT Head

Back 49

Headaches/facial pain
Head trauma/traumatic brain injury
Entrapment neuropathies of cranial nerves
TMJ dysfunction

Front 50

HEENT Problems Treatable with OMT: EYES Visual disturbances

Back 50

Blurred vision
Diplopia
Aid in Rx corrective lenses

Front 51

HEENT Problems Treatable with OMT: EYES Gaze abnormalities

Back 51

Nystagmus
Strabismus, “lazy eye”

Front 52

HEENT Problems Treatable with OMT: EARS

Back 52

Infections
Acute/chronic otitis media
Otitis Media with effusion
Hearing disorders: Esp. conductive hearing loss secondary to Eustachian tube dysfunction)
Tinnitus
Vertigo
Otalgia

Front 53

HEENT Problems Treatable with OMT: Nose

Back 53

Colds/URIs
Sinusitis
Allergies
Post-nasal drip
Anosmia

Front 54

HEENT Problems Treatable with OMT: Throat

Back 54

Pharyngitis
Hoarseness
Swallowing difficulties

Front 55

Goals in Keeping with Osteopathic Principles

Back 55

Restore correct anatomical/functional relationships
Restore normal vascular supply (arterial)
Improve venous/lymphatic drainage (reduce stagnation, congestion)
Improve neurological function (reduce entrapments)
Remove viscerosomatic or somatovisceral facilitated reflexes and other impedances to homeostasis
Eliminate pain
Stimulate the immune system
Use appropriate adjunctive therapies
Prevent recurrences

Front 56

CN for sphenoid dysfunction
Teeth
Often referred pain or headache from sinusitis

Back 56

Mandibular-V 3

Front 57

Sympathetic Responses – Vasoconstriction of Arteries DECREASES

Back 57

Nutrition
Secretion
Lymphatic Drainage
Immune Response

Front 58

Sympathetic Responses – Vasoconstriction of Arteries INCREASES

Back 58

Cellular Dysfunction
Dryness, cracking of mucous membrane
Metabolic toxic debris
Secondary infections

Front 59

Chronic Sympathetic Responses (Irritation) DECREASES

Back 59

Columnar cells
Ciliary activity
Control of pupil
Visual activity

Front 60

Chronic Sympathetic Responses (Irritation) INCREASES

Back 60

Goblet cells
Thick, tenacious secretions
Dilation of eye
Clouding of lens

Front 61

Photophobia
Unsteadiness
Tinnitus
Thickened nasopharyngeal secretions
Hyperesthesia of pharyngeal tissues

Back 61

Common HEENT and other Problems Associated with Increased Sympathetic Activity

Front 62

Anxious raspy cough
Sweating
Fatigue
Palpitations
Tachycardia
Insomnia

Back 62

Common HEENT and other Problems Associated with Increased Sympathetic Activity

Front 63

Increased clear, thin, watery secretions of glands
Pupillary constriction
Improved/increased drainage

Back 63

Increased Parasympathetic Activity

Front 64

Etiology: Irritation of ___ ganglion
Redness, engorgement of mucous membranes
Photophobia
Tearing
Pain behind nose, ear, temple
Neck pain

Back 64

Sphenopalatine Syndrome

Front 65

Specific Treatment Plans: EYE

Back 65

Effleurage
Cranial

Front 66

Specific Treatment Plans: EAR

Back 66

Medial Pterygoid – SD can disrupt motion of ET
Hyoid – SD can disrupt motion of ET
Mandibular & Auricular Drainage
Cranial (balance the temporals)

Front 67

Specific Treatment Plans: NOSE

Back 67

Stimulate the Sphenopalatine Ganglia - Thins secretions
Cranial-Frontal/Ethmoid

Front 68

Specific Treatment Plans: Throat

Back 68

Stimulate the Sphenopalatine Ganglia
Soft tissues / Anterior cervical fascia
Hyoid

Front 69

Which sinus areas are involved in Sinusitis?

Back 69

Frontal sinuses
maxillary sinuses
Ethmoid
sphenoid
inferior chonchae

Front 70

Tx for Sinusitis

Back 70

trigeminal stim
ethmoid articulation
sphenopalatine decongestion
suboccipital area (vagus)
lymphatic drainage
thoracics
thoracic inlet
diaphragm

Front 71

What is the OMT tx to the common cold URI?

Back 71

Improve circulation to head and neck tissues
Improve breathing- muscle relaxation
Drain sinuses
Don’t forget the fascia!

Front 72

Seen in the first 2-3 years of life.
Usually viral, but may be bacterial.
Often due to poor drainage of middle ear secondary to eustachian tube closure.
Child has difficulty in speech development due to “muffled” sounds

Back 72

Recurrent Otitis Media

Front 73

Omt tx for Recurrent Otitis Media

Back 73

Cranial: Check temporals
Pterygopalatine fossa drainage techniques
Mandibular decongestion
Galbreath technique

Front 74

What muscles are used for Elevation (closing mouth)?

Back 74

Temporal
Masseter
medial pterygoid

Front 75

What muscles are used for Depression (opening mouth)?

Back 75

Lateral pterygoid
suprahyoid m
infrahyoid m

Front 76

What muscles are used for Protrusion (protrude chin)?

Back 76

Lateral pterygoid
Masseter
medial pterygoid

Front 77

What muscles are used for Retrusion (retrude chin)?

Back 77

Temporal (posterior oblique and near horizontal fibers)
Masseter

Front 78

What muscles are used for Lateral Movement (grinding and chewing)?

Back 78

Temporal of same side,
pterygoids of opposite side
Masseter