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