First Aid for the COMLEX, Second Edition (First Aid Series)

273 Pages·2009·4.65 MB·English

by  Zachary Nye

FIRST AID FOR
®
THE
COMLEX
An Osteopathic Manipulative Medicine Review
Second Edition
ZACHARY NYE, DO RACHEL LAVEN, DO
Resident Resident
Department of Anesthesiology Department of Obstetrics and Gynecology
Oregon Health and Science University Lutheran General Hospital
Portland, Oregon Park Ridge, Illinois
OMM Fellow OMM Fellow
Class of 2006 Class of 2006
Department of Osteopathic Manipulative Department of Osteopathic Manipulative Medicine
Medicine Chicago College of Osteopathic Medicine
Chicago College of Osteopathic Medicine Downers Grove, Illinois
Downers Grove, Illinois
STOCKTON M. MAYER, DO
JOHN M. LAVELLE, DO
Resident
Resident Department of Internal Medicine
Department of Physical Medicine and University of Illinois Medical Center at Chicago
Rehabilitation Chicago, Illinois
Boston University OMM Fellow
Boston, Massachusetts Class of 2008
OMM Fellow Department of Osteopathic Manipulative Medicine
Class of 2008 Chicago College of Osteopathic Medicine
Department of Osteopathic Manipulative Downers Grove, Illinois
Medicine
Chicago College of Osteopathic Medicine Elise B. Halajian, Editor
Downers Grove, Illinois OMM Fellow
Class of 2009
Midwestern University
Chicago College of Osteopathic Medicine
Downers Grove, Illinois
Stephen M. Huxley, Illustrator
New York / Chicago / San Francisco / Lisbon / London / Madrid / Mexico City
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DEDICATION
To Dawn, Jonathan, Rebecca, Kirsten, Jack, Kathleen, and the rest of our
friends, families, and teachers, without whom this venture would not have
been possible. We also dedicate this book to the past, present, and future
OMM Fellows.
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CONTENTS
Contributors vii
Preface ix
Acknowledgments xi
SECTION I GUIDE TO EFFICIENT EXAMINATION PREPARATION 1
Introduction 3
SECTION II OMT FUNDAMENTALS 11
Somatic Dysfunction 13
Overview of Techniques 23
SECTION III REGIONAL AND SYSTEMS-BASED ASSESSMENT 31
Regional Diagnosis 33
Osteopathic Principles and Considerations of Clinical Medicine: A Systems-Based Approach 109
SECTION IV HISTORICAL HIGHLIGHTS, KEY POINTS, AND 147
MUSCULOSKELETAL TESTS
High-Yield Topics for the COMLEX 149
SECTION V OSTEOPATHIC TREATMENTS AND TECHNIQUES 191
Cranial Treatment 193
Cervical Treatment 199
Thoracic, Rib, and Diaphragm Techniques 205
Lumbar Techniques 213
Sacrum and Pelvis Techniques 223
Extremity Techniques 231
Systemic Techniques 245
Appendix: Abbreviations 253
Index 255
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CONTRIBUTORS
Tamar Gibli Dawn Nye, DO
OMM Fellow Resident
Class of 2009 Department of Anesthesiology
Midwestern University Oregon Health and Science University
Chicago College of Osteopathic Medicine Portland, Oregon
Downers Grove, Illinois Class of 2006
Midwestern University
Melissa Greer Chicago College of Osteopathic Medicine
Downers Grove, Illinois
OMM Fellow
Class of 2010
Terry Pexton, DO
Midwestern University
Chicago College of Osteopathic Medicine Resident
Downers Grove, Illinois Department of Internal Medicine
Scripps Mercy Hospital
Kerri Kulovitz San Diego, California
OMM Fellow
OMM Fellow
Class of 2007
Class of 2010
Midwestern University
Midwestern University
Chicago College of Osteopathic Medicine
Chicago College of Osteopathic Medicine
Downers Grove, Illinois
Downers Grove, Illinois
Melissa A. Novak, DO
Resident
North Memorial Medical Center Family Medicine Program
University of Minnesota
Minneapolis, Minnesota
OMM Fellow
Class of 2007
Midwestern University
Chicago College of Osteopathic Medicine
Downers Grove, Illinois
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PREFACE
First Aid for the COMLEX: An Osteopathic Manipulative Medicine Review is
a high-yield board review text of osteopathic manipulative medicine (OMM)
for the Comprehensive Osteopathic Medical Licensing Examination (COMLEX)
Steps 1, 2, and 3. Osteopathic concepts are taught in various frameworks across
the country at different institutions. Please be assured that the information in
this text was only collected from widely accepted osteopathic literature in order
to include the majority of this information.
The focus of the text is to emphasize the material most commonly encoun-
tered on the COMLEX. That being noted, it must be understood there is no
guarantee that this text covers every single osteopathic manipulative medicine
question presented on the exam. Your feedback is strongly encouraged regard-
ing the content of the review book in addition to how well prepared you felt
for the OMM portion of the examination after using this text. Should you
wish to share this feedback with the authors directly, you may do so by send-
ing an email to: fi[email protected].
First Aid for the COMLEX: An Osteopathic Manipulative Medicine Review
was designed to be used as a review guide for the OMM portion of the
COMLEX. In no way is it meant to be used as an all-inclusive reference source.
Therefore, please note that the authors take no responsibility for consequences
of applications or interpretations of information within this text including, but
not limited to technique descriptions.
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