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57 Cards in this Set

  • Front
  • Back
What to use to name a rib dysfunction - single/group
Key rib
The "axial link" to the upper body
clavicle
Ribs join the spine via ______
Hemi-facets
Attached to ribs and sternum, pericardium, pleura, lumbar spine
Diaphragm
"Contiguous with fascia of neck; Attached to the xyphoid, diaphragm, and spine.
"
Pericardium
Sources of chest pain
Heart, lungs, esophagus, stomach and liver
Arterial and venous structures are under _____ control (autonomics)
Sympathetics
"Impaired ______ _____ causes compromise and congestion of the tissues, both of the cardiac and the peripheral tissues.
"
Lymphatic Drainage
Sympathetic innervation of the heart (levels)
T1-6
Parasympathetics of the heart
Vagus
Pain from ventricals refer to these dermatomes
C8-T3
Atrial pain refers to these dermatomes
T4-6
Anterior myocardial Chapman's reflex points
2nd intercostalspace close to sternum
Posterior myocardial Chapman's reflex points
Midway between the spinous process and the tips of the transverse processes in the space between the transverse processes of T2 & T3
Rotatory stimulation of this chapman reflex point may lower blood pressure
Adrenal
Anterior adrenal Chapman reflex points
Lateral Aspect of rectus abdominus at the level of the inferior margin of the costal margin
Posterior adrenal Chapman reflex points
Intertransverse spaces on both sides of T11 and T12 midway between the spinous processes and transverse processes
"Severe Scoliosis with thoracic curve greater than ____ degrees seriously compromises cardiac function
"
60-75
Severe Kyphosis measuring greater than ____ degrees compromises cardiac function
60
Patients with flattening of the thoracic kyphosis or with postural crossovers in the upper thoracics, tend to develop ______ when subjected to stressors
Tachyarrythmias
Which side predominates in heart autonomics
Left side
Fibers from which side innervates the right atria and SA node
Right side
Hypersympathecotonia in the right sided fibers to the atria and SA node predisposes to
Supraventricular tachyarrythmias
Sympathetic fibers from this side innervates the left heart and AV node
Left side
Hypersympathecotonia in the left sided fibers to the left heart and AV node predisposes to
Ectopic foci and ventricular fibrillation
What part of the autonomics opposes the sympathetics of the blood vessels?
Nothing!
Effects of bronchus by increased sympathetics
Increase Bronchodilation
Effects on peripheral vascular resistance by increased sympathetics
Increase resistance
Effects on lymphatic drainage by increased sympathetics
Decrease drainage
Effects on gastrointestinal activity by increased sympathetics
Decrease movement
Vasculature of the arms receive sympathetics from these levels
T2-8
Vasculature of the legs receive sympathetics from these levels
T11-L2
Vagus nerve has fibers from these nerve roots coursing thru them
C1 & C2
Hyperactivity of the right vagus cause sinus _____
bradyarrythmias
Right Vagus innervates the
SA node
Left Vagus innervates the
AV node
Hyperactivity of the left vagus predisposes to
AV block
Irritation of the vagus at this location has the most profound parasympathetic effects on the heart
pulmonary branches of the vagus
Pressure on the carotid body and the globe of the eye will ____ the heart
Slow
Pressure over the occipitomastoid suture will ____ the heart
Slow
Select vessels in these location will dilate with parasympathetic innervation
Submaxillary gland, parotid gland, tongue, blushing areas of the face, penis and clitoris
Effect on bronchus by parasympathetics
Bronchoconstriction
Effect on gastric system by parasympathetics
Increased activity
Lymphatic drainage of the heart and lungs are carried back to the heart primarily by
Right Lymphatic Duct
Right lymphatic duct drain these organs
Heart, lungs, liver, right upper limb, right side of the head and right side of the neck neck
Head and neck lymph drain into this venous location
Right Jugular Trunk
Heart, lungs and liver lymph drain into this venous location
Right Bronchomediastinal Trunk
Right upper limb lymphdrains into this venous location
Right Subclavian triangle
General OMT for acute MI
Soft tissue for at least first 72 hrs post MI
Somatic OMT for acute MI
Treat the right Pectoralis major trigger point
Autonomic OMT for acute MI
C1 & C2, T1-4, paraspinal soft tissue @ T1-L2, dysfunction @ the oscipitomastoid suture
Lymphatic OMT for acute MI
Indirect techniques for thoracic inlet, pectoral traction, indirect ap diaphram redoming
Autonomic OMT for hypertension
T1-L2
Lymphatic OMT for hypertension
Posterior Adrenal chapman reflex points
OMT to patient with post-coronary artery bypass graph should begin within
2-hrs post op
OMT for CHF should only be on
Thoracic spine and ribs only
These 3 organ afferents slow the heart
Occulocardiac reflex, carotid body pressure, laryngeal irritation