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23 Cards in this Set

  • Front
  • Back
Pneumonia:

An illness of the lungs and respiratory system in which the alveoli become ... and flooded with ...
inflamed
fluid
Pneumonia (Physiology and associated somatic dysfunction):

Parasympathetics
1) Increased tone = ... of secretions and relative bronchiole ...
2) ... nerve- OA, AA, CR
a) Tenderpoints
b) Tissue texture change over ...
c) Type ... dysfunction
d) Compression of ... sutures
thinning
constriction
Vagus
cervical pillars
2
occipitomastoid
Pneumonia (Physiology and associated somatic dysfunction):

Sympathetics
1) Increased tone= ... secretions (although sometimes thick and sometimes thin) and bronchiole ...
2) ...-...
a) Tenderpoints
b) Tissue texture changes over ...
c) Type 1 or 2
d) Rib heads
thickened
dilation
T2-T7
transverse processes
Pneumonia (Physiology and associated somatic dysfunction):

Motor
-...-... (... nerve to the diaphragm; irritation caused by decreased excursion and overuse)
a) Tenderpoints
b) Tissue texture change over ...
c) Type ... dysfunction

Other
-Cranial dysfunction, Scalene hypertonicity and tenderpoints, Rib dysfunction, Respiratory diaphragm restriction and its attachments
C3-C5
phrenic
cervical pillars
2
Anatomy of the ANS: cardiac

sympathetic
-...-...
-R = ... node
-L = ... node
-sympathetic chain ganglion

Parasympathetic
-midbrain
-... nerve
-R = ... node
L = ... node
T1-T6
SA
AV

vagus
SA
AV
Anatomy of the ANS: Pulmonary

Sympathetics
-...-...
-upper thoracic sympathetic chain ganglion
-...-lateral

Parasympathetic
-midbrain (medulla oblongata)
-... nerve
-...-lateral
T1-T6
ipsi-
vagus
ipsi-
Effects of ANS: cardiac

sympathetic
-...cardias
-vaso...
-... workload

parasympathetic
-...cardias
-limited ...
tachy
constriction
increases
brady
vasodilation
Effects of ANS: Pulmonary

sympathetic
-increased ... cells, ... tenacious mucous, broncho..., vaso...

parasympathetic
-increased ciliated ... cells, clear ... mucous, broncho...
goblet
thick
dilation
constriction

epithelial
thin
constriction
look at slide 15-16
ok
Pneumonia Tx:

No Time
-... and ...

5 minute
-Rib Raising
-Diaphragm doming
-... junction HVLA, ME, MFR, BLT, CS (HM2BC)

As time allows (FPR,HM2BC)
-Rib Dysfunction, C2-C5, scalenes, OA, Head, Chapmans (3,4 medial, left, costal interspace), Pec minor, Thoracics
Thoracic Pump and pedal pump
Thoracolumbar
Rule of threes for thoracic spine:

A. T1-3 Spinous process of segment is ...
B. T4-6 Spinous process of segment is ...
C. T7-9 Spinous process of seg. ...
D. T10 Like "..."
E. T11 Like "..."
F. T12 Like "..."
with its transverse process
half way, to t-process of segment below
is at level with t-process of seg. below
C
B
A
Asthma:

A disorder of the tracheobronchial tree characterized by mild to severe ... to airflow. The clinical hallmark is ..., which may be absent if severe, or ... may be the predominant symptom
obstruction
wheezing
cough
Asthma:

... process secondary to ... and mucous plugging

Hyper... drive, impaired ... drainage

Risk factors/exacerbating factors
-Genetics
-Allergies
-Tobacco abuse
Obstructive
bronchospasm
parasympathetic
lympathatic
Osteopathic Treatment – emphasis on maximizing homeostasis:
-... (normalize sympathetic drive)
-... (normalize parasympathetic drive)
-... (inhaled usually)
-Improve lymphatic flow (... release, lymphatic pumps)
-Address specific somatic dysfunctions (i.e. normalize rib motion, thoracic lesions)
Rib-raising
Suboccipital release
Diaphragmatic release
thoracic outlet
Asthma:

Goal of treatment is to maximize ...

This is accomplished through:
-... of autonomic nervous system tone
-Improvement of ... drainage
-Restoration of normal motion
homeostasis
Normalization
lymphatic
CHF treatment:

No Time
-...

5 minute
-... - MFR
-Diaphragm doming
- Rib Raising

No ... w/ overload and low EF!
Pedal pump
Thoracic inlet Release
pedal pump
...:

Musculoskeletal chest pain along the sternal border or at the costochondral junction. May have inflammatory component.

May be post traumatic, (including poststernotomy), post exertional, post viral and/or the result of somatic dysfunction

Diffuse inflammatory, not localized.

MI’s don’t have ... tenderness
Costochondritis (Tietze Syndrome)

rib
Costochondritis:

Parasympathetic – ...

Sympathetic – ...

Motor –..., ... nerve to the diaphragm; irritation because of decreased excursion and overuse

Other Somatic Dysfunction
-Thoracoabdominal diaphragm dysfunction and anterior and posterior Rib dysfunction
-Sternal and Clavicular dysfunction
-Scalene and sternocleidomastoid hypertonicity and tenderpoints
-Pectoralis major and Minor hypertonicity and tenderpoints
NA
NA
C3-5
phrenic
Costochondritis treatment:

No Time
-Rib - ME, MFR, CS
-Thoracic - ME, MFR, CS

5 minute
-... – MFR, BLT
-Clavicle and Sternum – MFR, CS, BLT
Thoracic inlet Release
Costochondritis treatment:

As Time allows
-Cervical – scalene
-Cervical – Sternocleidomastoid
-UE – pectoralis major, minor and clavicle
-UE – serratus anterior
-Abdomen diaphragm –... technique
-Cervical, thoracic spine and thoracolumbar junction
doming
Standing flexion test:

Potential somatic Dysfunctions associated with this test
1. Ipsilateral Innominate dysfunction (Ipsilateral Pubic dysfunction)
2. Ipsilateral Sacrum (‘carryover’ from seated flexion)
3. Contralateral tight hamstrings (false ...)
4. Ipsilateral tight hamstring (false ...)
+
neg
Unilateral flexion of the sacrum:

right: deep ... sacral sulcus, ... ILA

left: deep ... sacral sulcus, ... ILA
right
inferior and posterior right
left
inferior and posterior left
Unilateral extension of the sacrum:

right: posterior/shallow ... sacral sulcus, ... right ILA

left: posterior/shallow ... sacral sulcus, ... left ILA
right
deep and high
left
deep and high