LECOM-SH OPP 1002: SPRING 2023,
EXAM 2 100% ACCURATE
LECTURE 7: Pediatrics!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! - ANSWER
Who wrote about using his techniques on sick children? - ANSWEROur boi:
A.T. Still
Who said "as the Twig is bent so is the tree inclined"? - ANSWERthis quote will get you
through all of med school!!!
btw, William Sutherland said this
Who was Beryl Arbuckle? What did she do? - ANSWERStudent of Dr. Sutherland
She started a clinic for children w/ cerebral palsy & published newborn cranial research
1948
Who was Rachel Wood? What phrase did she coin? - ANSWERStudent of Dr.
Sutherland too
"Cranial Rhythmic impulse - CRI"
Who said, "Osteopathic promise to children"? - ANSWERViola Frymann
Who said, "an osteopathic approach to children"? (i don't get this one..... but know it ¯\
_(ツ)_/¯ ) - ANSWERJane Carreiro
What is the developmental changes of the spine in newborns? - ANSWERC-shaped
(Kyphosis)
What is the developmental changes of the spine in infants? - ANSWERFormation of a
cervical lordosis as infant begins to lift and hold head
What is the developmental changes of the spine in older infants/children? -
ANSWERLumbar lordosis as upright weight bearing is assumed
What is Wolff's law? - ANSWERnormal optimal growth requires normal mechanical
expressed intermittently
Know the milestones..... There are a lot, and it's a massive table.
Should be on slide 16 of this lecture. But that may change depending on what school
you go to or what year you are - ANSWERThe milestones noted are at 2 wks, 2m, 4m,
6m, 9m, 12m, 15m, 18m, 2 yrs, 3yrs, 4yrs, & 5 yrs
Do fryette's laws apply to newborns/infants? - ANSWERNOOOOPPEEE
, Make sure to go over the most important thing in DO med school:
CHAPMAN POINTS!!!!! -
ANSWERhttps://myosesh.com/wp-content/uploads/2020/04/Chapmans-reflex.jpg
What are your A,B,Cs for where to start? - ANSWERA->Autonomics
- parasympathetics and Sympathetic
B-> Biomechanics
- localized somatic dysfunction
C-> Circulation
- Thoracic inlet, Diaphragms, extremities, head & neck
List of Contraindications - ANSWER•Unknown diagnosis
•Pathology requiring medical evaluation and management (exs: craniosynostosis;
Hirschprung disease) - can use OMT to help support the body, but not sole treatment
•Lymphatics: Cancer
•Enlarged or friable organs - avoid direct techniques
•Enlarged lymph nodes
•Splenic pump/Thoracic HVLA: Splenomegaly (i.e.. Mono, Leukemia, Splenic
sequestration/Sickle cell,
•Active IBD - abdominal manipulation (can do chapman's points)
•Asthma, CF, newborns, infants, children - thoracic pump with patient activating force -
may increase air trapping
•Fracture; dislocation
•Joint laxity, instability, vulnerability
•Examples: Down Syndrome - OA joint, Ehler's Danlos, DHD - hips - can still use OMT,
but choose appropriate techniques
•Intracranial hemorrhage
•Hydrocephalus
•Seizure disorder
•No consent for treatment
•Uncooperative patient
•Others as previously learned and case by case basis
When is the best time to treat an infant? - ANSWERWithin the first 6 hours of age
Understand the difference between infant skull and adult skull - ANSWER• First breath
should expand the sutures
• First suckle will drive the motion of the sphenoid via the pterygoid plates
• Cranial bone most likely to be affected is the occipital bone - due to compression
• Occipital bone is in four parts at birth
• Osteopathic pediatrician has a window of opportunity to affect a change
What is Plagiocephaly? - ANSWERflat head syndrome (1 side of skull flattened)
What some Colic treatment protocols? - ANSWER• Address vagal nerve function-
release OA
EXAM 2 100% ACCURATE
LECTURE 7: Pediatrics!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! - ANSWER
Who wrote about using his techniques on sick children? - ANSWEROur boi:
A.T. Still
Who said "as the Twig is bent so is the tree inclined"? - ANSWERthis quote will get you
through all of med school!!!
btw, William Sutherland said this
Who was Beryl Arbuckle? What did she do? - ANSWERStudent of Dr. Sutherland
She started a clinic for children w/ cerebral palsy & published newborn cranial research
1948
Who was Rachel Wood? What phrase did she coin? - ANSWERStudent of Dr.
Sutherland too
"Cranial Rhythmic impulse - CRI"
Who said, "Osteopathic promise to children"? - ANSWERViola Frymann
Who said, "an osteopathic approach to children"? (i don't get this one..... but know it ¯\
_(ツ)_/¯ ) - ANSWERJane Carreiro
What is the developmental changes of the spine in newborns? - ANSWERC-shaped
(Kyphosis)
What is the developmental changes of the spine in infants? - ANSWERFormation of a
cervical lordosis as infant begins to lift and hold head
What is the developmental changes of the spine in older infants/children? -
ANSWERLumbar lordosis as upright weight bearing is assumed
What is Wolff's law? - ANSWERnormal optimal growth requires normal mechanical
expressed intermittently
Know the milestones..... There are a lot, and it's a massive table.
Should be on slide 16 of this lecture. But that may change depending on what school
you go to or what year you are - ANSWERThe milestones noted are at 2 wks, 2m, 4m,
6m, 9m, 12m, 15m, 18m, 2 yrs, 3yrs, 4yrs, & 5 yrs
Do fryette's laws apply to newborns/infants? - ANSWERNOOOOPPEEE
, Make sure to go over the most important thing in DO med school:
CHAPMAN POINTS!!!!! -
ANSWERhttps://myosesh.com/wp-content/uploads/2020/04/Chapmans-reflex.jpg
What are your A,B,Cs for where to start? - ANSWERA->Autonomics
- parasympathetics and Sympathetic
B-> Biomechanics
- localized somatic dysfunction
C-> Circulation
- Thoracic inlet, Diaphragms, extremities, head & neck
List of Contraindications - ANSWER•Unknown diagnosis
•Pathology requiring medical evaluation and management (exs: craniosynostosis;
Hirschprung disease) - can use OMT to help support the body, but not sole treatment
•Lymphatics: Cancer
•Enlarged or friable organs - avoid direct techniques
•Enlarged lymph nodes
•Splenic pump/Thoracic HVLA: Splenomegaly (i.e.. Mono, Leukemia, Splenic
sequestration/Sickle cell,
•Active IBD - abdominal manipulation (can do chapman's points)
•Asthma, CF, newborns, infants, children - thoracic pump with patient activating force -
may increase air trapping
•Fracture; dislocation
•Joint laxity, instability, vulnerability
•Examples: Down Syndrome - OA joint, Ehler's Danlos, DHD - hips - can still use OMT,
but choose appropriate techniques
•Intracranial hemorrhage
•Hydrocephalus
•Seizure disorder
•No consent for treatment
•Uncooperative patient
•Others as previously learned and case by case basis
When is the best time to treat an infant? - ANSWERWithin the first 6 hours of age
Understand the difference between infant skull and adult skull - ANSWER• First breath
should expand the sutures
• First suckle will drive the motion of the sphenoid via the pterygoid plates
• Cranial bone most likely to be affected is the occipital bone - due to compression
• Occipital bone is in four parts at birth
• Osteopathic pediatrician has a window of opportunity to affect a change
What is Plagiocephaly? - ANSWERflat head syndrome (1 side of skull flattened)
What some Colic treatment protocols? - ANSWER• Address vagal nerve function-
release OA
