Oscar 2

MariaE
Mind Map by MariaE, updated more than 1 year ago
MariaE
Created by MariaE about 6 years ago
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Description

CBL

Resource summary

Oscar 2
  1. General
    1. Shoulder Dystocia
      1. Waiter's tip
        1. C5, C5, C7 nerve dysfunction
        2. Assisted Delivery
          1. Risks
            1. Previous Babies
              1. Prolonged labour
                1. Baby > 4 kg
                2. Common Labour Complications
                  1. Breech
                    1. Feet first
                      1. Flip the baby manually form the outside
                        1. Chiropractor technique
                          1. During labour
                          2. Placenta Previa
                            1. Caesarian
                              1. Can know beforehand
                              2. Nuchal Chord
                                1. Provides nutrients and oxygen
                                  1. If you have large umbilical chord
                                    1. Large baby
                                      1. Could have no effect
                                        1. Common
                                    2. OBPP
                                      1. Stress on Brachial Plexus
                                        1. Physio intervention is good
                                          1. Not much research for conservative
                                            1. Motor training
                                              1. Head position
                                                1. Stimulate Child
                                                2. Head control
                                                  1. Facial position
                                                    1. Active range
                                                      1. Across and against gravity
                                                      2. Passive range
                                                        1. Normal movements for babies
                                                          1. Education of parents
                                                          2. Only to R1
                                                        2. No unilateral bias
                                                          1. Always changing position
                                                            1. Potential splint
                                                              1. Hand
                                                                1. Wrist
                                                              2. Lying awkwardly
                                                                1. Trauma in uterus
                                                                  1. Labour forces
                                                                2. Baby
                                                                  1. No AROM in R arm
                                                                    1. Reduced muscle tone
                                                                      1. Decreased Moro in R arm
                                                                        1. Good grasp
                                                                        2. Movement in fingers
                                                                        3. Biopsychosocial
                                                                          1. Feelings
                                                                            1. Threatened
                                                                              1. Anxiety
                                                                                1. Blame themselves
                                                                                  1. Counselling essential
                                                                                2. Avoid sex
                                                                                  1. Can avoid medical care
                                                                                    1. Post traumatic stress disorder
                                                                                      1. Horror
                                                                                        1. Isolation
                                                                                          1. Post natal depression
                                                                                        2. Sue
                                                                                        3. Pathophysiology of Brachial Plexus Palsy
                                                                                          1. Neuropraxia
                                                                                            1. Myelin sheath
                                                                                              1. Schwann cell regeneration
                                                                                              2. Axonnotemesis
                                                                                                1. Axon and myelin sheath affected
                                                                                                  1. Occurs at axon
                                                                                                    1. Months to years recovery
                                                                                                      1. Regeneration
                                                                                                      2. Can't perform tests
                                                                                                        1. degeneration
                                                                                                          1. Empty tube
                                                                                                            1. Can only regenerate once complete
                                                                                                        2. Neurotmesis
                                                                                                          1. Everything
                                                                                                            1. No regain
                                                                                                              1. Neuron fails to regenerate
                                                                                                        3. Physical Exam
                                                                                                          1. Reflexes
                                                                                                            1. Suck Reflex
                                                                                                              1. For breastfeeding
                                                                                                              2. Rooting reflex
                                                                                                                1. Finger in cheek
                                                                                                                2. Grasp hold
                                                                                                                  1. 3/4 months
                                                                                                                  2. Tonic Neck
                                                                                                                    1. Neck turning reflex
                                                                                                                      1. Turn head
                                                                                                                      2. unsymmetrical refelx response
                                                                                                                        1. Nerve damage
                                                                                                                          1. Cookie tests
                                                                                                                            1. Hydrosis of fingers
                                                                                                                              1. Skin wrinkling
                                                                                                                            2. Moror
                                                                                                                              1. Abduction
                                                                                                                                1. 6 months
                                                                                                                              2. Difficult
                                                                                                                                1. Painful left to last
                                                                                                                                  1. Too young to respond to toys
                                                                                                                                    1. Observation
                                                                                                                                      1. Skin abrasions
                                                                                                                                    2. Milestones
                                                                                                                                      1. 3 months
                                                                                                                                        1. Respond to sound
                                                                                                                                          1. Smiles
                                                                                                                                            1. Head control
                                                                                                                                            2. 6 months
                                                                                                                                              1. Put objects in mouth
                                                                                                                                                1. Roll over
                                                                                                                                                  1. Sit unsupported
                                                                                                                                                  2. 9 months
                                                                                                                                                    1. Crawl
                                                                                                                                                    2. 12 months
                                                                                                                                                      1. Baby can stand and cruise
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