Chapman's and VS
Started by gwinnie
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For OMM questions always start with the answers then look at the last line of the actual question before trying to get into that mess. Chatmans are pure memorization. Viscerosomatic's of other stuff is fairly simple: viscerals = organ stuff; somatic = muscle and bone. So if I adjust a bone and it causes nausea then the body just had a somato(bone) visceral (nausea) reflex. Hope that helps.
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My approach to those types of questions:
Chapman's tells you the organ if you have those memorized. There is no variability there (e.g. LF ICS 7 will always be spleen, RT ICS 5 will always be liver.) If they give you these, you should 100% have the organ in question.
Viscerosomatics: These are more vague but it's the same concept. Paraspinal muscle tenderness in T5-T9 you should immediately think forgut, then recall what is contained within the forgut (basically most everything superior to the ligament of Treitz.) After that you go off HPI (no bowel sounds? Constipation/obstruction. Substernal chest pain? GERD. Recently drank 3 5ths & puked blood everywhere? Mallory Weiss/Boerhaave or something. Weight loss? Cancer. No other s/s? Meandering; gtfo.)
Memorize the chapman's, then memorize the foregut/midgut/hindgut nerve roots/ganglia/innervation, then start trying to bring HPI into play. Chapman's & viscerosomatic reflexes are only supposed to tell you the general location of the pathology, not tell you the Dx. Gotta use outside knowledge for that.
Chapman's tells you the organ if you have those memorized. There is no variability there (e.g. LF ICS 7 will always be spleen, RT ICS 5 will always be liver.) If they give you these, you should 100% have the organ in question.
Viscerosomatics: These are more vague but it's the same concept. Paraspinal muscle tenderness in T5-T9 you should immediately think forgut, then recall what is contained within the forgut (basically most everything superior to the ligament of Treitz.) After that you go off HPI (no bowel sounds? Constipation/obstruction. Substernal chest pain? GERD. Recently drank 3 5ths & puked blood everywhere? Mallory Weiss/Boerhaave or something. Weight loss? Cancer. No other s/s? Meandering; gtfo.)
Memorize the chapman's, then memorize the foregut/midgut/hindgut nerve roots/ganglia/innervation, then start trying to bring HPI into play. Chapman's & viscerosomatic reflexes are only supposed to tell you the general location of the pathology, not tell you the Dx. Gotta use outside knowledge for that.
They may not "exist", but are often easy points on tests, the shelf, and COMLEX. This happens in both first-order ("point in left fifth intercostal space corresponds to what?") and second-order ("patient presents with nausea and XYZ symptoms" and has somatic dysfunctions at gallbladder spinal level and gallbladder Chapman's...cross out any answer choice not involving gallbladder) questions.
Same goes for cranial. I doubt many "believe" in it, but you will most definitely get cranial questions both at school and on the COMLEX.
Sadly I only got one or two on mine. I had a lot of OMM, believed I counted 20 - 25 questions in each 2 hour section (including the psuedonuero stuff). I had a ton of vicerosomatics tho, as well as some rib stuff. And I always feel like they ask lower extremities things I have never seen before.
Mine were VS, chapmans, and videos I had no idea what they were doing in besides moaning in fake pain when they touched stuff
just use savarase and combank omm its not worth wasting time on anything else
just use savarase and combank omm its not worth wasting time on anything else
If I wasn't so pressed for time those videos were downright hilarious. Especially the 'oooohhhh' guy.
Don't put quotations around exist and believe lol.
And yes I know they will be on tests, quizzes, and boards. That's why I literally wrote memorize them the day of.
You can miss half the OMM questions on COMLEX and still get well into the 90th percentiles.
It was so bad
Have you watched sketchy path?
