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178 Cards in this Set
- Front
- Back
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CPT code for one or two body regions?
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98925
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CPT code for three to four body regions?
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98926
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CPT code for five to six body regions?
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98927
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CPT code for seven to eight body regions?
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98928
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CPT code for nine to ten body regions?
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93929
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ICD 9 code for head region?
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739
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ICD 9 code for cervical region?
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739.1
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ICD 9 code for thoracic region?
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739.2
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ICD 9 code for lumbar region?
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739.3
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ICD 9 code for sacral region?
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739.4
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ICD 9 code for pelvic region?
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739.5
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ICD 9 code for lower extremities?
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739.6
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ICD 9 code for upper extremities?
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739.7
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ICD 9 code for rib cage?
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739.8
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ICD 9 code for abdomen and other?
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739.9
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Anterior bronchiole Chapman's point?
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2nd intercostal space
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Upper lung Chapman's point?
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3rd intercostal space
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Lower lung Chapman's point (anterior)?
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4th intercostal space
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Inferior wall MI; expect somatic dysfunction at which levels?
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T3-T5 left and C2
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Anterior wall MI; expect somatic dysfunction at which levels?
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T2-T3 left
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If there is atrial involvement during an MI expect somatic dysfunction at which levels?
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T4-T6
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Ventricular involvement during an MI would present with somatic dysfunction at which levels?
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C8 - T3
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Which lumbar counterstrain point is located on the medial side of the ASIS?
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AL1
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Which lumbar counterstrain point is located on the medial side of the AIIS?
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AL2
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Which lumbar counterstrain point is located on the lateral side of the AIIS?
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AL3
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Which lumbar counterstrain point is located on the inferior side of the AIIS?
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AL4
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Which lumbar counterstrain point is located inferior to the pubic tubercle?
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AL 5
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Which lumbar counterstrain point is located 2 cm below the PSIS on the ilium?
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Lower L5 pole
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Treatment for AL1 counterstrain point?
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Stand on same side of tender point and STRT
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Treatment for AL2 counterstrain point?
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Stand on opposite side of tender point and SARA
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Treatment for AL3 counterstrain point?
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Stand on same side of tender point and SART
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Treatment for AL 4 counterstrain point?
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Stand on same side of tender point and SART
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Treatment for AL 5 counterstrain point?
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Stand on same side of tender point and SART
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Treatment for PL 1-5 counterstrain points on the spinous process?
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Stand on any side and extend
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Treatment for PL 1-5 counterstrain points on the transverse process?
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Stand opposite tender point and extend and Adduct
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Treatment for lower L5 pole counterstrain point?
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flex, Adduct, and internally rotate
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Arms receive their sympathetic innervation from which levels?
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T2-T8
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Legs receive their sympathetic innervation from which levels?
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T11-L2
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Atrial pain refers to what dermatomes?
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T4-T6
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Trigger point that serves an initiating role in supraventricular tachycardia?
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Right pec major in the 5th intercostal space
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What parts of the heart do right sided autonomic fibers innervate?
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Right heart and SA node
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Left sided sympathetics innervate what part of the heart?
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Left heart and AV node
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Hypertonia of right sided sympathetics lead to what heart condition?
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Supraventricular tachycardia
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Hypertonia of left sided sympathetics lead to what?
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Ectopic foci and v-fib
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Left vagus innervates which part of the heart?
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AV node
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Hyperactivity of the left vagus nerve leads to which heart complication?
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AV blocks
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Asthma reflex?
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T2 left
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Increased sympathetic tone has what affects on the lungs?
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Increase bronchiole dilation, increase thickness of secretions, increase vasoconstriction of lung tissue, increase in goblet cells
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A significant number of patients with hypertension may have somatic dysfunction at what levels? (HYPTN REFLEX?)
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C6 T2 T6
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GI reflex?
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C2 left T3 right T5 left T7 right
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Ranson's Criteria @ 48 Hours?
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C. HOBBS calcium <8.0mg/DL Hematocrit decreases > 10% Oxygen (PO2) < 60, BUN increases > 5, Base deficit > 4 Sequesteration of fluids >6
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Ranson's Criteria @ admission?
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Glucose > 200; Age > 55; LDH > 350; AST > 250; WBC > 16,000 GA LAW
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Pancreatic anterior Chapman's point?
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7th right intercostal space
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Pancreatic posterior Chapman's point?
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Between transverse processes of T7-8 on the right
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Pancreas reflex?
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T7 right
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Gallbladder reflex?
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T5 right
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Descending Colon reflex?
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L2 - L3 left
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Small intestine reflex?
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T8-T10 bilaterally
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Asthma Triad?
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Dyspnea, cough, and wheezing
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Stomach Chapman's point?
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5th intercostal space on left
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Liver Chapman's point (anterior)?
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5th intercostal space on right
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Prostate Chapman's point?
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Posterior IT band
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Where are the fibromyalgia tender points?
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Occiput, lower cervical, trapezius, supraspinatus, second rib, later epicondyle, gluteal, greater trochanter, knee
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Sympathetic innervation for the esophagus?
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T2 - T8
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Greater splanchnics synapse @ what ganglion?
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Celiac
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Lesser Splanchnics Synapse at what ganglion?
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Superior mesenteric
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Least splanchnics synapse at what ganglion?
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Inferior mesenteric
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Blood work on a patient with fibromyalgia may show low levels of what neurotransmitter?
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serotonin
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What type of axons are carried in the splanchnic nerves?
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preganglionic sympathetic
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Esophageal reflex?
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T3 right
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Stomach Reflex?
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T5 - T 8 left
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Duodenum Reflex?
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T7-T8 right
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Anterior Gallbladder Chapman's point?
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6th intercostal space on the right
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Appropriate action for a young male that comes in with recurrent urinary tract infections?
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an imaging study
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Sympathetic levels for the left colon and rectum?
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T12-L2
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Parasympathetics fore left colon and rectum?
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Pelvic splanchnics (S2-S4)
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Pancreas lies anterior to what muscles?
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Psoas
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Upper esophagus consists of which muscle type?
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striated
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Contraindications for performing a mesenteric lift?
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Abscess, AAA, Acute infection.
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Kidney Anterior Chapman's point?
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One inch lateral, one inch superior to the umbilicus
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Sympathetics to kidneys?
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T10 - T 11
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Superior vagal ganglion sits where?
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Jugular Foramen
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Inferior vagal ganglion sits where?
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Body of C2
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Distal portion of the ureters and the bladder receive parasympathetics from?
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S2-S4
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Sympathetic effects on kidney afferent arterioles?
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vasoconstriction
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Anterior Chapman's point for adrenal glands?
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One inch lateral and two inches superior to umbilicus
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Posterior Chapman's point for adrenal glands?
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intertransverse space on both sides of T11 and T12 midway between spinous processes and transverse processes
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Anterior Chapman's point for bladder?
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umbilical area
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Posterior Chapman's point for bladder?
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intertransverse space between L1-2 and T12-L1
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When treating a unilateral sacral flexion the patient holds his or her breath in _______ while you push _____ on the _______ ?
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Inhalation, anterior, ILA
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When treating a unilateral sacral extension the patient holds his or her breath in _____ while or push _____ and _____ on the ______ ?
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Exhalation, anterior and caudad, superior sulcus
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Sympathetic levels for the bladder and distal ureters?
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T12 - L2
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Meralgia paresthetica results from entrapment of the ______ nerve between the ____ and the _____?
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Lateral femoral cutaneous nerve; between the inguinal ligament and sartorius
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Anterior inguinal tender point is located where?
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On the lateral border of the pubic bone near the attachment of the inguinal ligament
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Tender point for iliolumbar ligament?
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1 inch superior and lateral from the inferior margin of PSIS
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Treatment for stress incontinence includes release of what diaphragm?
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Pelvic diaphragm
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Anterior Chapman's point for urethra?
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Located in the myofascial tissue along the superior margin of the pubis ramus about 2 cm lateral to the symphysis
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Sympathetics to gonads? Travels in which nerves? Axons synapse where?
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T10-T11; lesser splanchnic nerves; synapse in superior mesenteric ganglion
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Bile Duct reflex?
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T6 right
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Anterior Chapman's point for the gallbladder?
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6th intercostal space on the right
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If a person has an inversion sprain of the ankle, which position is the fibular head most likely to favor?
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Posterior fibular head
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If a person has a posterior fibular head; their ankle is likely to favor?
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Plantar flexion, inversion, and supination
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Dorsal wrist counterstrain points are treated in which position?
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extension of the wrist
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Ventral wrist counterstrain points are treated in which position?
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flexion of the wrist
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Which counterstrain tender points are treated with by flexing or extending the carpometacarpal joint and applying traction?
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interossei tender points
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Treatment for radial head/lateral epicondyle tender points?
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Hold elbow in full extension, supinate and abduct arm. Hold for 90s
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Treatment for coronoid counterstrain tender points?
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fully flex elbow, forearm is pronated and abducted gently. Hold for 90s.
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Treatment for olecranon counterstrain tender point?
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elbow is hyper extended and forearm is abducted slightly and supinated
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Location of anterior acromioclavicular tender point?
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anterior surface of distal clavicle
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Location of long head of biceps tender point?
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over the tendon
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Location of short head of biceps tender point?
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inferolateral to the coracoid process
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Location of posterior acromioclavicular tender point?
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behind the lateral end of the clavicle
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Location of supraspinatus tender point?
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in the supraspinatus fossa
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Location of subscapularis tender point?
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on the anterior surface of the scapula in the axilla
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Location of latissimus dorsi tender point?
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deep in the axilla on the medial surface of the humerus
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Treatment for anterior acromioclavicular tender point?
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Patient supine. Arm is adducted across the chest 30 - 50 degrees and slightly internally rotated. Apply traction by pulling on wrist.
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Treatment for long head of biceps tender point?
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Patient supine. Arm is supinated and flexed 90 degrees at elbow and shoulder. Apply downward pressure @ elbow along the humerus.
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Treatment for posterior acromioclavicular counterstrain tender point?
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Patient prone. Adduct arm across back. Apply traction by pulling @ wrist. Hold for 90s.
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Treatment for short head of biceps tender point is the same as what other tender point?
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long head of biceps tender point.
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Treatment for supraspinatus tender point?
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Patient supine. Flex and abducted to 120 degrees. Externally rotate the humerus. Hold for 90s.
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Treatment for subscapularis tender point?
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patient supine. Hold patients arm posteriorly over side of table and toward feet. Internally rotate arm. NO TRACTION! Hold for 90s.
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Treatment for latissimus dorsi tender point?
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Patient supine. Hold patients arm posteriorly over side of table and toward feet. Internally rotate arm. ADD TRACTION. Hold for 90s.
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Posterolateral Trochanteric tender point treatment?
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Patient prone. Extend and abduct hip. External rotation maybe needed. Hold for 90s.
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Lateral trochanteric tender point location?
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5-6 inches below the trochanter on the lateral thigh.
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Lateral trochanteric tender point treatment?
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Patient prone. Leg is abducted flexion may be introduced as needed. Hold for 90s.
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Posteromedial trochanteric tender point location?
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2-3 inches below the trochanter along posterior shaft of femur over the ischial tuberosity
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Posteromedial trochanteric tender point treatment?
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Patient prone. Extend, adduct, and externally rotate thigh. Hold for 90s.
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Treatment for anterior knee tender points?
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Patient supine, roll towel place it below calf of n ear ankle. Hyperextend knee by pressing down on anterior thigh just above patella. Foot is internally rotated as needed.
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Medial and lateral Patellar tender point treatment?
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Patient supine. Push patella laterally for lateral tender point or medially for medial tender point. Hold for 90s.
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ACL tender point location?
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medial or lateral hamstring in upper popliteal area.
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Treatment for anterior cruciate tender points?
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Patient prone. Rolled pillow under thigh. Push down on lower leg just below knee joint with a large amount of force. Hold for 90s
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Treatment for posterior cruciate tender point?
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Patient supine. Rolled pillow under calf just below knee. Press down on dorsum of ankle with a large amount of force. Internally rotate foot as needed.
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Location for posterior cruciate tender point?
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Center of popliteal fossa.
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Location of gastrocnemius tender points?
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lateral and medial attachments of gastrocnemius muscle in lower popliteal fossa.
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Treatment for gastrocnemius tender point?
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Patient prone. Flex knee and the foot is hyper extended over physicians knee by a downward force on posterior ankle. Hold for 90s.
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Medial meniscal tender point location?
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Along medial joint line posterior to medial patella
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Treatment for medial meniscal tender point?
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Patient supine, involved leg off the table. Grasp patients foot and internally rotate lower leg keeping knee flexed about 40 degrees. Slightly adduct knee.
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Medial hamstring tender point location?
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medial hamstring muscle near distal attachment.
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Medial hamstring tender point treatment?
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Patient supine. Knee flexed about 60 degrees. Externally rotate leg with slight adduction.
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Lateral meniscus tender point location?
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along the lateral joint line, posterior to lateral patella
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Lateral meniscus tender point treatment?
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Patient supine with leg off the table. Slightly flex knee. Grasp patients foot and internally rotate it. Lower leg is slightly abducted.
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Lateral Hamstring tender point location and treatment?
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Located on lateral hamstring muscle near its attachment near fibular head. Patient supine leg off table. Grab foot and ext. rotate. Flex knee 30 degrees and abduction force applied to leg.
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Location and treatment for calcaneal tender point?
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Distal end of calcaneus on sole of foot. Patient prone. Foot rests on your knee. Plantar flex foot, apply downward pressure against calcaneus.
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Major motion of the occiput?
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flexion/extension
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Newborn cannot suckle properly and has problems swallowing. She is hiccupping, vomiting, and has what looks like torticollis. What somatic dysfunction can cause these symptoms in a newborn?
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Occipital condylar compression
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Posterior C3 tender point treatment?
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Flex & STRAw
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All cervical posterior tender points (except inion & C3) are treated in which position?
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Extend and SARA
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Inion tender point treatment?
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Flex
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Anterior C7 tender point treatment?
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Flex & STRAw
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All anterior cervical tender points except C1 and C7 are treated in which position?
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Flex & SARA
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C1 anterior tender point treatment?
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Rotate Away
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In a C3 RL SL dysfunction, what would you do with the neck to lock out vertebrae below C3 if performing a rotational HVLA correction
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sidebend neck to the left
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In a C3 RL SL dysfunction, where would the MCP joint of your correcting hand be placed if using a rotational HVLA correction?
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Left MCP joint on the posterior aspect of C3
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In a C4 RL SL dysfunction, what would you do with the neck to lock out vertebrae below C4 if performing a sidebending HVLA correction?
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Rotate neck to left
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Treatment for right unilateral sacral extension?
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Place left hypothenar eminence on patient's right sacral sulcus, and push anterior and caudad on superior sulcus. Resist on inhalation.
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Sacral base moves ______ on inhalation
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Posterior
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Treatment for superior pubic shear?
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Patient supine. Extend thigh, abduct leg, ask patient to lift knee toward ceiling.
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For a non-neutral sacral torsion; the proper muscle energy treatment includes flexing the hips to _____ than 90 degrees with knees off table
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less
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Cranial primary respiratory mechanisms occurs around which sacral axis?
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superior transverse axis
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Innominates rotate around which sacral axis?
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inferior transverse axis
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Sacral base moves anterior and posterior around which axis?
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middle transverse axis
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First step in finding piriformis tender point?
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locate PSIS and ipsilateral ILA; determine halfway point
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2nd step in finding piriformis tender point?
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use halfway point from PSIS to ipsilateral ILA: then find halfway point between that point and greater trochanter.
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In a patient with psoas syndrome there is a pelvis shift to the _____ side of the psoas dysfunction
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opposite
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Psoas syndrome pain in the gluteal and posterior thigh region does or does not radiate past the knee?
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usually does NOT radiate past knee.
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During inspiration the posterior part of pump handle ribs move _______
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inferior
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During muscle energy for an inhaled rib, you flex the patient and push ______ on the rib
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inferior
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Rib 1 exhalation dysfunction. Muscle energy Tx uses which muscle(s)?
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anterior and middle scalenes
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Rib 2 exhalation dysfunction. Muscle energy Tx uses which muscle(s)?
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Posterior scalenes
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Rib 3-5 exhalation dysfunction. Muscle energy Tx uses which muscle(s)?
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Pec minor
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Ribs 6-9 exhalation dysfunction. Muscle energy Tx uses which muscle(s)?
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Serratus Anterior
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Ribs 10-11 exhalation dysfunction. Muscle energy Tx uses which muscle(s)?
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Latissimus Dorsi
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Rib 12 exhalation dysfunction. Muscle energy Tx uses which muscle(s)?
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Quadratus Lumborum
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HVLA for first rib. Physician places ____ foot on table while sidebending cervical spine _____ the dysfunctional rib and rotating head ______ dysfunction rib
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contralateral foot on table; sidebend cervical spine towards dysfunctional rib and rotate head away from dysfunctional rib.
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Proper treatment for anterior rib 3 - 6 tender points?
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Physician foot on table opposite side of tender point. Have patient put legs on table.
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Proper treatment for posterior rib 1 tender point?
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Physician foot on table on side of tender point. Sidebend patient's head toward tender point.
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Proper treatment for posterior rib 2-8 tender points?
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Physician foot on table on side of tender point. Sidebend and rotate patient's head away from tender point.
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Lymphatic techniques useful during acute MI?
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Indirect techniques to thoracic inlet. Pectoral traction, redome diaphragm.
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