A 15-year-old female presents to clinic with complaints of excessive sneezing which she states began about 2 weeks ago. She has recently started playing outdoor soccer in a recreational league. She also endorses occasional itching of her eyes. She states that every year she has similar symptoms during this time. Physical examination of the ear, nose, and throat are generally unremarkable. The most appropriate initial osteopathic technique to perform to treat this patient would be?

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May 29, 2023 No Comments

A 15-year-old female presents to clinic with complaints of excessive sneezing which she states began about 2 weeks ago. She has recently started playing outdoor soccer in a recreational league. She also endorses occasional itching of her eyes. She states that every year she has similar symptoms during this time. Physical examination of the ear, nose, and throat are generally unremarkable. Which of the following findings would you expect to see on osteopathic structural examination given the patient’s presentation?

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May 29, 2023 No Comments

A 15-year-old male presents with complaints of back pains. The pain has been going on for a few years and is rated a 5/10. It is located midline in the mid thoracic region. He says the pain has been going on since his last growth spurt and is worse at night. He has difficulty standing in an upright position. Physical examination reveals a positive Adam’s bend test. Xray images were obtained, and the Cobb angle is measured to be 62 degrees. What is the next best step management of this patient?

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May 29, 2023 No Comments

A 15-year-old male presents with complaints of back pains. The pain has been going on for a few years and is rated a 5/10. It is located midline in the mid thoracic region. He says the pain has been going on since his last growth spurt and is worse at night. He has difficulty standing in an upright position. Physical examination reveals a positive Adam’s bend test. Xray images were obtained. At what Cobb angle would one expect to see decreased pulmonary function?

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May 29, 2023 No Comments

A 14-year-old male presents with complaints of back pains. The pain has been going on for a few years and is rated a 4/10. It is located midline in the mid thoracic region. He says the pain has been going on since his last growth spurt and the pain is worse at night. He has difficulty standing in an upright position. Physical examination reveals a positive Adam’s bend test. Xray images were obtained, and the Cobb angle is measured to be 48 degrees. Which of the following is the next best step in management of this patient?

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May 29, 2023 No Comments

A 13-year-old male is referred to clinic after a sport’s physical examination completed at his school. He was told that his spine is curved and to follow-up with his primary care provider. The patient is generally healthy and without any past medical nor surgical history. Physical examination reveals a positive Adam’s bend test. Xray images were obtained, and the Cobb angle is measured to be 33 degrees. Which of the following is the next best step in management of this patient?

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May 29, 2023 No Comments

A 15-year-old male is referred to clinic after a sport’s physical examination completed at his school. He was told that his spine is curved and to follow-up with his primary care provider. The patient is generally healthy and without any past medical nor surgical history. Physical examination reveals all lumbar vertebrae to be sidebent left. Furthermore, Adam’s bend test is found to be positive with elevation of the ribs on the right side. Xray images were obtained, and the Cobb angle is measured to determine the degree of the patient’s spinal curvature. Given the physical exam findings, which of the following most accurately describes the patient’s spinal curvature?

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May 29, 2023 No Comments

A 14-year-old male is referred to clinic after a sport’s physical examination completed at his school. He was told that his spine is curved and to follow-up with his primary care provider. The patient is generally healthy and without any past medical nor surgical history. Physical examination reveals a positive Adam’s bend test with elevation of the left ribs. Xray images were obtained, and the Cobb angle is measured to determine the degree of the patient’s spinal curvature. Given the physical exam findings, which of the following most accurately describes the patient’s spinal curvature?

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May 29, 2023 No Comments

A 13-year-old male is referred to clinic after a sport’s physical examination completed at his school. He was told that his spine is curved and to follow-up with his primary care provider. The patient does endorse some mild, mid thoracic back pains. Otherwise, the patient is healthy and without any past medical nor surgical history. Physical examination reveals a positive Adam’s bend test. Xray images were obtained. The Cobb angle is measured by which of the following?

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May 29, 2023 No Comments

A 12-year-old male is referred to clinic after a sport’s physical examination completed at his school. He was told that his back is curved and to follow-up with his primary care provider. The patient does endorse some mild, mid thoracic back pains which he says has been going on for years. Otherwise, the patient is healthy and without any past medical nor surgical history. Which of the following was likely completed at the patient’s school resulting in the referral to clinic?

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May 29, 2023 No Comments