A 47-year-old female presents to the clinic with neck pain. She states the pain has been ongoing for almost a year. She has tried over-the-counter medications which only provided mild relief. She has also tried massage therapy which she says relieved her pain, however it returned soon after. Osteopathic structural examination of the cervical spine reveals that C4 is restricted in translation to the left. The restriction seems to improve upon flexion of the neck. Which of the following is the most likely diagnosis given the physical exam findings?

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May 29, 2023 No Comments

A 41-year-old female presents to clinic with complaints of neck pain ongoing for a few months. She states the pain has come on gradually and is now getting in the way of her daily activities. She denies any radiation of the pain and rates it a 5/10. Vitals are within normal limits. Osteopathic structural examination reveals that her C1 vertebrae has more motion when translating to the right. The motion seems to become more symmetric when the cervical spine is extended. Which of the following nerves is associated with the location of the patient’s somatic dysfunction?

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May 29, 2023 No Comments

A 41-year-old female presents to clinic with complaints of neck pain ongoing for a few months. She states the pain has come on gradually and is now getting in the way of her daily activities. She denies any radiation of the pain and rates it a 5/10. Vitals are within normal limits. Osteopathic structural examination reveals that her C1 vertebrae has more motion when translating to the right. Given the physical exam findings, which of the following best describes the OA joint?

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May 29, 2023 No Comments

A 44-year-old female presents to clinic with complaints of neck pain that has been ongoing for a couple months. She says that she has started a new job and spends most of her day seated behind a desk. She has tried over the counter medications without relief. Vitals are within normal limits. Osteopathic structural examination reveals that her C1 vertebrae is restricted in translation to the left. The restriction seems to improve with extension. Given the physical exam findings, which of the following best describes the position of C2 in relation to the OA joint?

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May 29, 2023 No Comments

A 44-year-old female presents to clinic with complaints of neck pain that has been ongoing for a couple months. She says that she has started a new job and spends most of her day seated behind a desk. She has tried over the counter medications without relief. Vitals are within normal limits. Osteopathic structural examination reveals that her C1 vertebrae is restricted in translation to the left. The restriction seems to improve with extension. Given the physical exam findings, which of the following is the most likely diagnosis?

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May 29, 2023 No Comments

A 38-year-old male presents to the Emergency Department with complaints of sharp abdominal pain. He says the began last night near his belly button but has since migrated to the right lower quadrant of his abdomen. Physical exam is significant for extreme tenderness to palpation of the right lower quadrant along with guarding. Which of the following viscerosomatic changes seen on osteopathic structural examination would be most consistent with the patient’s presentation?

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May 29, 2023 No Comments

A 53-year-old male presents to the Emergency Department with complaints of severe right-sided flank pain and nausea. He says the pain began the night before and has gotten progressively worse and is currently rated a 9/10. Vitals signs are significant for tachycardia. Physical examination is positive for costovertebral tenderness on the right. CT scan of the abdomen reveals large calculus within the right renal pelvis. Which of the following viscerosomatic changes on osteopathic structural examination would be most consistent with the patient’s diagnosis?

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May 29, 2023 No Comments

A 24-year-old female presents to clinic with 2 weeks of pelvic pain and clear vaginal discharge. She states that she recently began having unprotected sexual intercourse with a new partner. Pelvic exam reveals cervical motion tenderness along with clear vaginal discharge. STD testing returns with results positive for Chlamydia. Which of the following diagnoses on osteopathic structural examination would be most consistent with the patient’s presentation?

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May 29, 2023 No Comments

A 72-year-old female with history of dementia presents to the Emergency Department from nursing home due to fever and altered mental status. The patient is alert but not oriented to person, place, nor time. Vital signs reveal a fever of 101.9 degrees Fahrenheit. Physical examination is generally unremarkable. Urinalysis reveals numerous white blood cells and is positive for nitrites and leukocyte esterase. CT scan reveals abscess formation of the right kidney, and the patient is started on broad spectrum antibiotics. Which of the following segments on osteopathic structural examination most correlate with the patient’s diagnosis?

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May 29, 2023 No Comments

A 61-year-old male presents to the Emergency Department with complaints of abdominal pain and constipation that have been present for several days. He denies any bloody bowel movements, melena, nor blood on wiping. Vital signs exhibit a low-grade fever of 100.5 degrees Fahrenheit. Physical exam reveals tenderness to palpation of the left lower quadrant without blood on digital rectal exam. Imaging studies obtained demonstrate colonic wall thickening along with numerous diverticula. Which of the following segments on osteopathic structural examination most correlate with the patient’s presentation?

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May 29, 2023 No Comments