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OPP rhinosinusitius
Chapter 67 Rhinosiunsitus, Beatty, 1/4/13
| Question | Answer |
|---|---|
| Anterior ethmoid, frontal and maxillary sinuses drain into | Ostiomeatal unit under the middle turnbinate |
| Poster ethmoid and sphenoid sinuses drain into | Sphenoethmoid recess |
| Ostiomeatal unit is located ____ to maxillary sinus | Superior |
| Parasympathetic fibers to the nose originate in the | Superior salivary nucleus |
| The action of parasympathetic fibers on the upper respirator mucosa is | To stimulate glandular epithelium with production of mucosa |
| Sypathetic fibers to the nose arise from | T1-T3 and then to the superior cervical ganglion to synapse |
| Sympathetic fibers to the nose act to | Vasoconstrict and increase nasal airway patency via norepinephrine |
| Protective reflexes in the nose are a result of which cranial nerve | V |
| The lymph system in the neck drains into the | Thoracic and right lymph ducts which empty into the internal jugular and subclavian junction |
| Cervical lymph nodes are classified as | Submandibular, submental, paratracheal, superficial cervical, deep cervical |
| All head/neck lymph nodes are intimately associated with | Myofascial structures |
| Acute Rhinosinusitis | Inflammatory process involving the mucus membranes of the paranasal sinuses and nasal cavity lasting no longer than 4 weeks (chronic is more than 12 weeks) |
| When does acute rhinosiunsistis warrant a radiographic workup? | When ophthalmic or neurologic signs are noted |
| Differential diagnosis for acute rhinosinusitis | Trigeminal neuralgia, migraines, dental abscess, and neoplasm |
| Mucociliary clearance depends on | Ciliary beat frequency and viscosity of mucus |
| First line antibiotics for rhinosiunsitis | Amoxicillin or trimethoprime/sulfamethaxazole (bactrim) |
| At risk with facial trauma and focus of biomechanical approach | Sphenopalatine gangion, surrounded by palatine, sphenoid and maxillary bones |
| Respiratory/Circulatory rhinosinusitis OMT focuses on | Removing impediments to venous and lymphatic circulation as well as stimulating flow to decrease swelling and inflammation |
| Locations particularly useful in myofascial release for rhinosinusitis | Traps, SCM, clavicle and first rib |
| In order to improve venous and lymph flow, one should focus OMT treatments on | Ribs, diaphragm and attachments |
| OMT to improve arterial vasomotor sympathetics should focus on | Upper neck and T1-T3 |
| Somatic dysfunction in the upper thoracic or upper cervical can inhibit ___tone | Sympathetic |
| Behavior changes for rhinosinusitis | Smoking cessation, allergen avoidence, adequate hydration, efficient breathing, and stress relief |
| Immediate relief by OMT can help create ____ and decrease _____ | Trust; Stress |
Created by:
mcasto
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