PediatricOMMtechniques-COMLEX-Step1
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PediatricOMMtechniques-COMLEX-Step1

Course Number: MS 1, Fall 2008

College/University: Nova Southeastern...

Word Count: 1326

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describe the skeleton a of a neonate. what happens to Describe the age the Cervical and what spine as the skeletal component baby ages. develops at sitting up, ambulation, long bone growth, and what happens up until 25yrs. what else do you check in the structural obser vation of children? define internal and external rotation of the temporal bone. when doing a structural obser vation and evaluation what is...

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the describe skeleton a of a neonate. what happens to Describe the age the Cervical and what spine as the skeletal component baby ages. develops at sitting up, ambulation, long bone growth, and what happens up until 25yrs. what else do you check in the structural obser vation of children? define internal and external rotation of the temporal bone. when doing a structural obser vation and evaluation what is different compared to adults? name the pediatric stages and the ages that correspond to each. in regard to the birth history, what will put newborns at a higher risk for somatic dysfxn? If the infant has difficulty latching on to the nipple or learning to suck, cries excessively or is inconsolable, ar ches back repeating, throwing head back, and/ or spits up or A child starts sitting up at 8-9months and develops a thoracic kyphosis; child begins to ambulate at 13-60months and develops a lumbar lordosis; long bone with an externally rotated temporal bone the mastoid is posteromedial (less prominent) and internal - the mastoid tip is anterolateral (more prominent) as the child neonates have begins to hold up mostly cartilaginous its own head, the articulations, bones spinal C-curve are at maximal increases flexibility, and there is a minimal C-curve of the spine. check for symmetry or if one fingertip is posteromedial to the other; also check the temporal bone (for internal and external rotation) and check the sacrum for cranial base If they are: somatic dysfunction breech, transverse lie, face presentation; C ephalpelvic disp roportion; firstborn infants, if the labor needed oxytocin, if it was a long or difficult labor, multiple you do ROM regionally whereas in adults you do ROM segmentally. Also, there is no bony mastoid to use as a landmark for the SCM; Neonatal(up to 1month); Infant (1-12months); Child (1-13 yrs); adolescent (13-?) start of puberty to adulthood What can cause if this nerve is impingement of damaged at birth CN IX, X, XI at will will cause the jugular flaccid paralysis foramen and XII of the face, loss at the of the nasolabial hypoglossal fora fold, and an ment? eyelid that may not be able to close. name the restriction of intracranial me mbranous attac hment that may occur during birth. what is the most common site of SD and occurs in 88% of neonates? what happens in a CN VI palsy? name the term that means "flat on one side of the head" and occurs in newborns and describe what it can cause. what allows the head of a neonate to go through the birth canal? how big is the cranium in a newborn and describe its growth in the 1st yr. the head of a child is __% of adult size at 6 yrs. abducens nerve control the lateral rectus muscle of the eye and the patient would not be able to move the eye laterally; may get nystagmus plagiocephaly intracranial me mbranous strains, cranial nerve entrapments, CNS irritation and compression; dif ficulty with suckling (CNXII); excessive vomitting (CNX), colic 90% CNVII (Facial nerve) occiptal condylar compression occiput neonates selfcorrect by sucking and crying corkscrew restri ction- use OMT to reestablish NL cranial mechanics initially the head is 50% of the body surface and it doubles in size during the 1st year of life the cranial bones are mainly cartilage that have small areas of ossification within them. this permits maximal compressibility If the child can breathe without pain, will the tenderness be gone? In a torticollis name acute, describe the chronic and SCM, how is the congenital problems head positioned? that cause torticollis. what kinds of Name the Name other things would you treatment for the treatments for see in a costal costal dysfunction, costal dysfunctions. cage dysfxn and muscle spasm. name some pathologies that may cause rib dysfxn? if the newborn has a sphenobasilar s ynchondrosis dy sfunction that affects the brainstem, what may happen? how do you treat an SBS in a newborn? in regard to the costal cage in peds, what 2 ways would they get Somatic Dysfxn? torticollis is a no. pt breathes shortening/contr without pain, the acture of the tenderness SCM; still the head remains will tilt toward and rotate away from the SCM (the irritation of the XI nerve may affect the jugular foramen) inhibition, counter- non-rhythmic br strain (indirect eathing, fractures method), and would be rare muscle energy (flexible, not ossified completely) however the posterior ribs have bony articulations and if fractured think abuse; children 1) trauma; 2) 1)cranial OMT; get apnea and muscle imbalance/ 2)Rib raising bradycardia spasm; 3) helps to calm the pathologies sympathetic NS, improve breathing and move bodily fluids; 3)OA and condylar decom pression; 4) sacral traction (using 2 fingers) acute: trauma (cervical ver. dislocation), lymph node that is irritating the CNXI, or tumor of the SCord); CHRONIC: long standing OA dysfxn with lateral strain Indirect OMT; HVLA (sitting/ supine); relieve diaphragm motion restrictions gallbladder dz will refer pain to where? duodenal inflam mation will refer pain to where? how do you treat a clavicular fracture? how do you get a lumbosacral SD? the affected side an upper of a lumbosacral extremity dysfxn dysfxn will have is most a positive what commonly due to test? how do you what in children? treat it? how do you treat a torticollis? What do you use to get a definitive dx of scoliosis? in scoliosis, the spinal process rotates ___ the concavity and the lumbar convexity goes ____ the short leg side. immobilize for 3-4wks; do Spencer Techni ques; and Counterstrain left shoulder right shoulder trauma (birth= positive standing should dystocia; flexion test on fractured clavicle; affected side; falling - sports) treat with: 1) relax the muscle with counterstrain, soft tissue relaxation, triggerpoint inhibition and ME toward; toward standing postural radiograph fall, hyperextension, overuse with a preexisting problem like a short leg, scoliosis, spond yloysis/spondylo listhesis depends on the origin. indirect, then direct OMT; begin with Counterstrain -> then muscle energy; antiinflammatories and muscle relaxants (24hrs later do OMT) lower extremity pain may be referred pain from what? Describe the 3 in what position Degrees of is the ankle more Ligamentous Injury. stable? what OMT techniques do you use to treat jamming of the fingers or toes? name the test that checks for a dislocated hip in neonates. If the Ortolani Test is positive for hip dislocation, what is the treatment? significant forces on the distal humerous may cause what fracture? if a child has a long bone fracture called a spiral fracture, what is it from and what should you be aware of? what OMT techniques do you use to treat wrist injuries? dorsiflexion place in a Pavlik harness and refer to orthopedic surgeon 1st degree Ligament injury: no tear, good strength, no laxity (mild pain, swelling); 2nd DEGREE: partial tear, decreased strength, mildmoderate laxity; 3rd DEGREE: Ortolani Test GI tract Traction and rotation C/S, MFR, stretching exerci ses, and nocturnal splinting torsion or twist fracture and think of possible abuse elbow fracture supracondylar fr acture - above the elbow Name the what is the most what are the respiratory infec common cause OMT treatments tions that are of pediatric used for diarrhea more common in hospital admission? and constipation? children. There are 3 types of ankle sprains. name them and what ligaments are involved. what is the difference in a sprain and a strain? what are the OMT treatments for ankle sprains? diarrhea: inhibitory pressure on T10sacrum and correct lumbar SD; CONSTIPA TION: Correct OA and AA and do fascial release 1) Otitis media (most commonly caused by strep. pneumo) and is the most common reason for peds visit in pts<5yrsold; 2) Pharygitis (MC: rhinovirus; aden ovirus, Group A correct mortis in sprains are Type I: anterior talus, correct ligamentous inju talofibular ligament ipsilateral fibular ries. strains are (most common); head, Correct T3 muscular injuries Type II: ATFL and Rib 3 and calcaneofibular (compensation); ligaments; Type exercise prescri III: ATFL, ption Calcaneofibular L and Posterior talofibular ligaments asthma

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