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OMM - Cardiovascular and Pulmonary
Year 2
42
Other
Professional
09/04/2011

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Cards

Term
What are the Chapman points for the heart?
Definition
POSTERIOR
The space between the transverse processes of T2 and T3 midway between the spinous process and the tip of the transverse process
ANTERIOR
2nd intercostal space at the Sternal Border
Term
What are the Chapman points for the adrenals?
Definition
POSTERIOR
Intertransverse spaces on both sides of T11 and T12 midway between the spinous processes and transverse processes
ANTERIOR
Lateral Aspect of rectus abdominus at the level of the inferior margin of the costal margin (or one inch lateral and two inches superior to umbilicus)
Term
Scoliosis over ____ degrees and kyphosis over ___ degrees compromises cardiac function
Definition
60-75, 60
Term
Patients with flattening of the thoracic kyphosis or with postural crossovers in the upper thoracics, tend to develop__________ when subjected to other stressors
Definition
tachyarrhythmias
Term
Where is the supraventricular tachyarrhythmia triggerpoint?
Definition
in pec major muscle, near 5th ICS on the right near sternum
Term
Abnormal gait patterns may increase ______ _____ up to 300%
Definition
cardiac work
Term
Right sided autonomic fibers to the heart innervate...
Definition
the right heart and SA node
Term
hypersympathetecotonia in the right sided autonomic fibers to the heart predisposes to...
Definition
supraventricular tachyarrhythmias
Term
Hypersympathetecotonia in the left sided autonomic fibers to the heart predisposes to...
Definition
ectopic foci and ventricular fibrillation
Term
How does increased sympathetic tone affect development of collateral circulation to the heart?
Definition
inhibits it
Term
Sympathetics to the arm come from which spinal segments?
Definition
T2-8
Term
Sympathetics to the leg come from which spinal segments?
Definition
T11-L2
Term
In regard to vagal tone, what is accomplished by correction of high cervical somatic dysfunction?
Definition
transient increase in vagal tone followed by a reduction
Term
Hyperactivity of the right and left vagus nerves predisposed to which types of arrhythmias?
Definition
right - bradyarrhythmias, left - AV blocks
Term
Irritation of which branches of the vagus nerve produce the most profound somatovisceral reflex effect of slowing the heart?
Definition
pulmonary branches
Term
Pressure on the carotid artery or globe of the eye has what effect on the heart?
Definition
slows heart rate by 5-13 bpm
Term
Deep pressure over which suture of the skull will reflexively slow the heart?
Definition
occipitomastoid
Term
What are the select situations in which parasympathetics cause arteriolar vasodilation?
Definition
submaxillary gland, parotid gland, blush region of the face, the tongue, the penis and clitoris
Term
The lymph of the heart drains predominantly to the...
Definition
right lymphatic duct
Term
The diameter of the thoracic duct and other large lymphatic channels is controlled by...
Definition
sympathetics
Term
hypersympathetic activity can ____ lymphatic flow
Definition
reduce
Term
lymphatics from the head and neck drain to the right ____ trunk
Definition
jugular
Term
lymphatics from the heart, lung and liver drain to the right ____ trunk
Definition
bronchomediastinal
Term
lymphatics from the right limb drain to the right ____ trunk
Definition
subclavian
Term
What makes up approx. 80% of the lymphatics draining into the right lymphatic duct?
Definition
right brachiocephalic
Term
Dysfunction may occur when the visceral _____ nerves interconnect with the somatic _______ to produce a local reaction at the musculoskeletal level.
Definition
afferents, efferents
Term
For post-MI patients, the goal is to lower...
Definition
sympathetic tone
Term
For at least the first 72 hrs post-MI, you should use which type of techniques?
Definition
indirect
Term
Autonomic techniques for AMI are directed to what locations?
Definition
OA, C1, C2, T1-T4, R1-R4
Term
What is the avg drop in BP seen after treatment of adrenal chapman points?
Definition
15/8
Term
For hypertension, the OA occipitomastoid technique has an onset time of ___ and the full effect is seen at ____
Definition
30 sec, 30 sec
Term
What is the time to onset and time to full effect for hypertension treatment of ribs/general OMT/biofeedback?
Definition
30 sec to onset, 16 hrs to full effect
Term
What is the time to onset and time to full effect for hypertension treatment of thoracolumbar junction chapman's reflexes?
Definition
2 min, unknown time to full effect
Term
What is the time to onset and time to full effect for hypertension treatment of fascias and CV4?
Definition
10 min, 1-2 days
Term
In CHF, what happens to lymph flow through the thoracic duct?
Definition
increases 3-40 times
Term
Lymphatic pump techniques should not be applied on a pt with CHF until...
Definition
you are certain the pt's cardiovascular system can handle the increased load
Term
A significant correlation has been demonstrated between hypertension and a _________ somatic dysfunction pattern
Definition
C6,T2,T6
Term
facilitation is driven by...
Definition
nociception
Term
During CABG surgery, the rib spreader moves the ribs into an _______ somatic dysfunction diffusely throughout the thorax
Definition
inhalation
Term
during CABG surgery, surgeons tend to spread the ribs more in the _______ sternal region
Definition
lower
Term
With CABG related somatic dysfunction, which parts of the ribs are subjected to the most strain?
Definition
the rib heads, because they are compressed into the vertebral bodies
Term
lymph from pleural sacs and lung tissues drain into the...
Definition
R lymphatic duct
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