A 29-year-old female presents to clinic with complaints of blood in her stool. She says that recently she has had abdominal pain which she thought was associated with her menstrual cycle, however she has had two episodes of bloody diarrhea in the last 2 days. Vital signs are within normal limits. Physical examination reveals tenderness to palpation of the left lower quadrant. A referral to gastroenterology is made and further work-up reveals diagnosis of ulcerative colitis. Given this patient’s diagnosis, which of the following vertebral segments would most likely exhibit viscerosomatic changes?

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May 29, 2023 No Comments

A 43-year-old male presents to the Emergency Department with complaints of severe abdominal pain. He describes the pain as sharp that radiates to his back. He also endorses nausea and two episodes of non-bloody emesis. The patient has a long history alcohol abuse, drinking up to 13 alcoholic beverages a day. Laboratory findings show elevation of the patient’s liver transaminases as well as amylase and lipase. Osteopathic structural examination would most likely reveal which of the following diagnoses given this patient’s presentation?

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May 29, 2023 No Comments

A 40-year-old female presents to clinic with complaints of abdominal pain. She states the pain has been ongoing for a couple weeks and that the pain worsens after eating large meals. Vital signs are within normal limits and the patient’s BMI is equal to 42. Physical examination is remarkable for right upper quadrant tenderness to palpation. A right upper quadrant ultrasound is performed in the office and reveals pericholecystic fluid as well as cholelithiasis. Which of the following findings on osteopathic structural examination is most consistent with the patient’s presentation?

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May 29, 2023 No Comments

A 37-year-old female presents to clinic with complaints of epigastric pain that has been going on for about a week. She describes the pain as a burning, gnawing that seems to get worse with food. Further questioning reveals that she recently emigrated from South America with her family. Vitals signs are stable. Physical examination reveals tenderness to palpation of the epigastrium. Further work-up reveals positive IgG serologies to Heliobacter pylori. Which of the following diagnoses are most consistent with the patient’s presentation?

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May 29, 2023 No Comments

A 37-year-old female presents to clinic with complaints of epigastric pain that has been going on for about a week. She describes the pain as a burning, gnawing that seems to get worse with food. Further questioning reveals that she recently emigrated from South America with her family. Vitals signs are stable. Physical examination reveals tenderness to palpation of the epigastrium. Osteopathic structural examination will likely reveal viscerosomatic changes at which of the following vertebral levels?

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May 29, 2023 No Comments

A 49-year-old male presents to clinic with complaints of chest pain. He says the chest pain feels like a burning feeling and usually occurs after meals. He denies any other associated symptoms and denies radiation of his pain to his left arm or jaw. He rates his pain a 3/10. The patient has no past medical history. Further questioning reveals that the patient has tried over-the-counter medication which he states mildly improved his symptoms, although he does not remember the name of the medication. Physical examination reveals an obese male but is otherwise unremarkable. An EKG performed in the office shows normal sinus rhythm. Osteopathic structural examination would likely reveal which of the following diagnoses?

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May 29, 2023 No Comments

A 49-year-old male presents to clinic with complaints of chest pain. He says the chest pain feels like a burning feeling and usually occurs after meals. He denies any other associated symptoms and denies radiation of his pain to his left arm or jaw. He rates his pain a 3/10. The patient has no past medical history. Further questioning reveals that the patient has tried over-the-counter medication which he states mildly improved his symptoms, although he does not remember the name of the medication. Physical examination reveals an obese male but is otherwise unremarkable. An EKG performed in the office shows normal sinus rhythm. Osteopathic structural examination would likely reveal which of the following diagnoses?

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May 29, 2023 No Comments

A 49-year-old male presents to clinic with complaints of chest pain. He says the chest pain feels like a burning feeling and usually occurs after meals. He denies any other associated symptoms and denies radiation of his pain to his left arm or jaw. He rates his pain a 3/10. The patient has no past medical history. Further questioning reveals that the patient has tried over-the-counter medication which he states mildly improved his symptoms, although he does not remember the name of the medication. Physical examination reveals an obese male but is otherwise unremarkable. An EKG performed in the office shows normal sinus rhythm. Osteopathic structural examination and treatment of this patient’s condition should be focused on which of the following vertebral levels?

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May 29, 2023 No Comments

A 56-year-old female presents to clinic for follow-up after recent hospitalization for COPD exacerbation. The patient is currently stable and without acute complaints. She has a 52-pack year smoking history and refuses to be counseled on tobacco cessation. Vital signs are within normal limits. Physical examination reveals a thin female with decreased breath sounds bilaterally and a raspy voice. Osteopathic structural examination would likely reveal which of the following diagnoses?

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May 29, 2023 No Comments

A 48-year-old male presents to clinic with complaints of cough ongoing for a few years. The patient says the cough has been getting progressively worse and is now associated with difficulty in breathing. The patient denies use of tobacco products and illicit substances. Further questioning reveals the patient has been a miner for over 20 years. Physical examination reveals crackles bilaterally. Osteopathic structural examination would likely reveal which of the following diagnoses?

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May 29, 2023 No Comments