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30 Cards in this Set
- Front
- Back
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4 Basic Principles of Osteopathic Medicine
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Principle 1: The body (human being) is a unit.
Principle 2: Structure & function are reciprocally related Principle 3: Self-regulatory mechanisms Principle 4: Inherent capacity to defend and repair itself |
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Goals of OMM
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-Restore correct anatomical/functional relationships (correct somatic dysfunction)
-Restore normal vascular supply (arterial) -Improve venous/lymphatic drainage (reduce stagnation, congestion) -Improve neurological function (reduce entrapments/balance ANS) -Remove viscersomatic or somatovisceral facilitated reflexes and other impedances to homeostasis -Reduce/Eliminate pain -Stimulate the immune system -Use appropriate adjunctive therapies -Prevent recurrences -Restore bioenergetic balance |
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Tx affecting cranial parasympathetic outflow
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-OA or AA manipulation*
-Occipital condylar decompression -Cranial Manipulation |
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Tx affecting pelvic splanchnics
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-Sacral/SI manipulation*
-Ventral abdominal techniques (visceral) -Ischiorectal fossa techniques |
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T1-T5
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Heart
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T8-T10
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Adrenals
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T11-L1
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Kidneys
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C2, C4/5, C6/7
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superior, middle, & inferior chain ganglia, respectively
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Cardiac sympathetic fibers originating on the right primarily innervate
Hypersympathetic activity of these fibers predisposes to |
Right heart and SA node
supraventricular tachyarrhythmias |
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Cardiac sympathetic fibers originating on the left primarily innervate _
Hypersympathetic activity of these fibers predisposes to _ |
Left heart and AV node
malignant ventricular arrhythmias |
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In general, hypersympathetic activity results in
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-Increased myocardial oxygen demand
-Increased heart rate -Increased contractility -Increased cardiac irritability -Coronary artery vasospasm |
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The right vagus nerve primarily innervates
Hyperactivity results in _ |
SA node
Sinus bradyarrhythmias |
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The left vagus nerve primarily innervates
Hyperactivity results in _ |
AV node
AV block |
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In general, increased vagal tone results in:
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Slowing of the sinus nodal rate
Predisposition to SA nodal and AV block |
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A statistically significant correlation has been demonstrated between hypertension and _ somatic dysfunction
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C6T2T6
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Hypersympathetics increase or reduce lymphatic flow
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Reduce
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Impaired lymphatic flow results in
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-Increased central venous pressure
-Increased tissue congestion |
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Three major components of lymphatic system
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capillaries, collecting vessels, lymph nodes
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main avenue for lymph flow. Begins with Cysterna Chyli @
approx. level of L2. Three major components are Right and Left lumbars and intestinal trunks. |
Thoracic duct
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The Thoracic duct has three parts:
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abdominal,thoracic and cervical
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• Areas devoid of lymphatics:
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Brain, Spinal Cord, Bone Marrow
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Major lymphoid organs:
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Tonsils,Adenoids, Spleen and Thymus
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Largest lymphoid organ
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Spleen
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short vessel, passes down on scalenus anterior muscle
and enters juncture of right internal jugular and right subclavian vein. |
Right lymphatic duct
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Thoracic inlet clinically consists _
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T1-T4, Ribs 1&2, Manubrium
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Thoracic inlet anatomically consists
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T1, 1st rib, superior aspect of manubrium
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Functions of lymphatic system
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Maintaining fluid balance Maintaining fluid balance in the body
• Purification and cleansing of tissues • Defense • Nutrition |
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major stimulator of the lymphatic pump
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Respiration
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Goals of lymphatic treatment
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Increased resorption of fluids
• Increased circulation and respiration • Mobilize fluids • Treat sympathetic imbalance |
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main extrinsic pump for the lymphatic system.
Redome diaphragm, treat posterior attachments L1,L2,L3. Phrenic nerve C3,C4,C5 |
Thoracoabdominal diaphragm
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