A 50-year-old male presents to clinic with complaints of sudden fever and cough with blood-tinged sputum. He has a history of hypertension and a long history of tobacco use. He is tachycardic and febrile with a temperature of 100.9°F. Physical examination reveals decreased breath sounds and crackles. Xray shows focal consolidation in the right lower lobe and the patient is started on antibiotics. If osteopathic manipulation were to be used, at what vertebral segments should treatment be focused towards?

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May 29, 2023 No Comments

A 22-year-old male presents to clinic with complaints of worsening asthma. He has a long history of asthma and has now begun to use his rescue inhaler more frequently. He also states that he wakes up at night due to his asthma. Physical examination reveals mild wheezes bilaterally. In addition to starting the patient on a low-dose inhaled glucocorticoid, osteopathic manipulative treatments are initiated. Which of the follow diagnoses are most consistent with the patient’s presentation?

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May 29, 2023 No Comments

A 54-year-old male presents to clinic with complaints of palpitations. He says the palpitations started off as intermittent but has now become more constant. He also endorses occasional dizziness when he is working in the yard. The patient has a history of hypertension as well as coronary artery disease. Physical examination reveals an irregularly irregular rhythm. EKG performed in the office reveals absence of P-waves. Osteopathic structural examination would likely reveal which of the following diagnoses?

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May 29, 2023 No Comments

A 62-year-old male presents to clinic with complaints of bilateral lower extremity swelling. He says the swelling has been ongoing for 2 weeks. The patient has a history of congestive heart failure and is on furosemide at home. Further questioning reveals that the patient has not been complaint with taking his medications. Physical examination reveals an S3 heart sound along with 2+ bilateral pitting edema. The patient is educated on the importance of taking his medications and agrees to be more complaint. Which of the following findings on osteopathic structural examination would be most consistent with the patient’s presentation?

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May 29, 2023 No Comments

A 62-year-old male presents to clinic with complaints of bilateral lower extremity swelling. He says the swelling has been ongoing for 2 weeks. The patient has a history of congestive heart failure and is on furosemide at home. Further questioning reveals that the patient has not been complaint with taking his medications. Physical examination reveals an S3 heart sound along with 2+ bilateral pitting edema. The patient is educated on the importance of taking his medications and agrees to be more complaint. Which of the following findings on osteopathic structural examination would be most consistent with the patient’s presentation?

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May 29, 2023 No Comments

A 28-year-old male presents to the Emergency Department with complaints of chest pain. He says the pain started about an hour ago while he was hanging out with his friends at a party. The patient appears agitated and diaphoretic. Vitals are significant for tachycardia and hypertension. Physical examination reveals dilated pupils. Urine drug screen returns positive for cocaine. Given the patient’s complaint, osteopathic structural examination would likely reveal viscerosomatic changes at what levels?

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May 29, 2023 No Comments

A 72-year-old male presents to the Emergency Department with complaints of acute chest pains that started 45 minutes ago. He says the pain feels like a tightness in his chest and radiates to his left upper extremity. The patient has a history of coronary artery disease and says he took nitroglycerin which did not relieve the pain. EKG shows ST segment elevations in leads II, III, and AVF. Cardiology is consulted and the patient is rushed to the cath lab. If osteopathic structural examination were performed on this patient, which of the following diagnoses would be most consistent with his presentation?

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May 29, 2023 No Comments

A 64-year-old female presents with the complaints of abdominal pain associated with nausea and vomiting for the last few hours. She also has eye pain and blurry vision. Her symptoms started while watching a movie at the theater. On physical exam, she has a right eye that is non-reactive to light and an abdomen tender to palpation. Osteopathic structural exam is significant for TART changes from T1-T4. What is the most likely diagnosis?

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May 29, 2023 No Comments

A 33-year-old female presents to clinic with complaints of unintentional weight loss of 15 pounds in the last month. Upon review of systems, she endorses fatigue as well as diarrhea that she states has been ongoing for a couple weeks. The patient is generally healthy without any past medical nor surgical history. She states she has made no changes to her diet and denies any recent travel. Vitals are significant for tachycardia and hypertension with blood pressure equal to 134/87. Physical examination reveals facial flushing, an enlarged thyroid gland, and bilateral lower extremity edema. Lab findings reveal decreased TSH and elevated T4 levels. Osteopathic structural examination would most likely reveal viscerosomatic changes at what levels?

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May 29, 2023 No Comments

A 2-year-old toddler presents to clinic with his parents. The patient’s mother complains that the child has excessive salivation and occasionally drools due to his increased saliva. The toddler was born at full-term without complication and is otherwise healthy. Ear, nose, and throat exam reveals excessive salivary pooling in the mouth. Osteopathic structural examination would most likely reveal TART changes at what levels given this patient’s presentation?

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May 29, 2023 No Comments