A 55-year-old male presents to the urgent care clinic with complaints of right ankle pain. The patient states that he was hiking earlier in the day and “twisted his ankle” as he was coming down an inclined slope. When asked to localize the maximal area of tenderness, he points to the lateral ankle. He is unable to weight bear and edema is present, surrounding the right ankle joint. Which of the following structures of the ankle was most likely injured?

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May 29, 2023 No Comments

A 23-year-old female presents to clinic with complaints of polyarthralgia. The patient states that she has been having pain in her neck, shoulders, back, and pelvis on going for years. She requests a comprehensive osteopathic structural examination. You observe that the patient’s spine and find spinal fascia exhibits findings consistent with the common compensatory pattern. Which of the following sets correctly describes the common compensatory pattern?

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May 29, 2023 No Comments

A 30-year-old female presents to clinic with complaints of neck pain. The patient states that she heard her friend had great relief with HVLA treatments. The patient is currently 20 weeks pregnant and recently suffered acute whiplash in a motor vehicle accident. She has a past medical history including rheumatoid arthritis and was previously treated for breast cancer with bilateral mastectomies. Which of the following conditions in this patient represents an absolute contraindication to HVLA treatment?

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May 29, 2023 No Comments

A 66-year-old female presents to the emergency department with complaints of right flank pain, dysuria, and generalized weakness. An osteopathic structural examination would most reveal a Chapman’s point which is most likely located where?

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May 29, 2023 No Comments

A 55-year-old female presents to clinic with complaints of migraines. She states that she gets a migraine headache about once a week with associated symptoms of nausea, photophobia, and phonophobia. She is currently on topiramate which she states has helped improve her migraines. Vitals are within normal limits. Physical exam without neurologic deficits. Osteopathic structural examination reveals a normal cranial rhythmic impulse. Where is the 5th digit (pinky/little finger) placed on a standard vault hold?

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May 29, 2023 No Comments

A 55-year-old female presents to clinic with complaints of migraines. She states that she gets a migraine headache about once a week with associated symptoms of nausea, photophobia, and phonophobia. She is currently on topiramate which she states has helped improve her migraines. Vitals are within normal limits. Physical exam without neurologic deficits. Osteopathic structural examination reveals a normal cranial rhythmic impulse. Where is the 4th digit (ring finger) placed on a standard vault hold?

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May 29, 2023 No Comments

A 55-year-old female presents to clinic with complaints of migraines. She states that she gets a migraine headache about once a week with associated symptoms of nausea, photophobia, and phonophobia. She is currently on topiramate which she states has helped improve her migraines. Vitals are within normal limits. Physical exam without neurologic deficits. Osteopathic structural examination reveals a normal cranial rhythmic impulse. Where is the thumb (1st finger) placed on a standard vault hold?

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May 29, 2023 No Comments

A 55-year-old female presents to clinic with complaints of migraines. She states that she gets a migraine headache about once a week with associated symptoms of nausea, photophobia, and phonophobia. She is currently on topiramate which she states has helped improve her migraines. Vitals are within normal limits. Physical exam without neurologic deficits. Osteopathic structural examination reveals a normal cranial rhythmic impulse. Where is the 3rd digit (middle finger) placed on a standard vault hold?

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May 29, 2023 No Comments

A 7-day-old female presents to clinic with her mother for a one-week follow-up after birth. The mother reports no issues since birth. The baby was born via spontaneous vaginal delivery without complications. Vitals are within normal limits. Upon observation of the baby’s head, you notice it is oddly shaped. Cranial examination reveals that the base of the sphenoid is rotated to the right while the occiput is rotated to the left. Both the sphenoid and occiput are rotated around parallel vertical axes. Which of the following cranial strain patterns best describes the patient’s presentation?

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May 29, 2023 No Comments

A 64-year-old male presents to clinic with complaints of numbness and tingling in his right hand. The patient states that his symptoms have been ongoing for about 6 months and have been getting progressively worse. He endorses pain at night and states he occasionally wakes up from sleep to shake his hand out which helps relieve the pain. Examination reveals atrophy of the thenar eminence as well as decreased sensation to light touch in his thumb, index, and middle fingers. Which of the following tests would aid in the diagnosis of median neuropathy at the wrist?

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May 29, 2023 No Comments