NTP Brisbane 2019 > FE & LNT > Flashcards

FE & LNT Flashcards

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1
Q

Qualifying Question(s) for Repeated Muscle Challenge (Fatty Acids)

Contraindication

A

Do you have any injuries or recent surgery in these areas?

  • CONTRAINDICATED
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2
Q

Do Chapman Reflex for Stomach/Duodenum

LNT?

A

Go from client’s Right to Left
6th Intercostal
A>P
1 Finger

LNT

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3
Q

Steps in FE Introduction

A
  1. Explain: assess organs
  2. Ask permission to touch
  3. Explain 0-10: TENDERNESS INDEX
  4. Check Anatomical INCH
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4
Q

Define Anatomical Inch

A

Length of CLIENT’s thumb, first joint

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5
Q

Do Oral pH FE (Fatty Acids)

LNT

A
  • Qualifying Questions (2)
    Use pH tape

no LNT

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6
Q

Do Bennett’s Reflexes (Small Intestine - Digestion)

LNT?

A
  • From client Left
    1. Landmark: Navel
    2. Imagine a 2-3” CIRCLE around navel
    3. Divide into 4 QUANDRANTS
    4. First Round: use FLAT of FINGERS in each quadrant
    5. 2nd Round, only if resistance located: palpate A>P

LNT

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7
Q

When LNT for Fatty Acids, always first …

A

Refer to Gallbladder

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8
Q

Do Ileocecal Valve FE (Large Intestine - Digestion)

LNT?

A
  • Move to client’s RIGHT
    1. Landmark: halfway Right ASIS & navel
    2. Palpate A>P using SLIGHT circular (clockwise) motion

LNT

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9
Q

What organ: Chapman’s Reflex 8th, 9th, 10th Ribs

both Right and Left

A

Small Intestine

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10
Q

LNT: Digestion (Gallbladder)

Name products, in order of use

A
  1. Beta-TCP (thins bile)

2. Beta-Plus (normally for those w/o GB)

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11
Q

What organ: Murphy’s Sign

A

Liver/Gallbladder

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12
Q

Do Chapman’s Reflex for Small Intestine (Digestion)

LNT?

A
  • From client Left
    1. Find TIPS of the 8th, 9th, 10th Ribs
    2. Tenderness BETWEEN ribs

LNT

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13
Q

Do Sanchez-Cuenca Test

A
  1. Client seated
  2. Take 60sec pulse
  3. Stand Up
  4. Wait 15-30sec
  5. Take 60sec pulse again
  6. Compare results: > 5 points = positive allergic tension
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14
Q

Name the different (LNT) patterns for Adrenal function (3)

A
  1. Hypo Adrenic
  2. Hyper Adrenic
  3. Switching Adrenal

LNT depends on type

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15
Q

Do Ridler’s Reflex HCl Point (Stomach - Digestion)

LNT?

A 
Go from client's Right to Left
Zyphoid 
Inferior 1" 
Lateral 
1 Finger

No LNT

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16
Q

LNT: Digestion
ALWAYS work N to S
List Order of Organs and
first 3 LNT Products

A
  1. Stomach
  2. Gallbladder
  3. Pancreas
  4. Small Intestine
  5. Ileocecal Valve
  6. Large Intestine/Colon

1st: Water
2nd: Sea Salt
3rd: Livotrit (bitters)

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17
Q

LNT: Digestion (Small Intestines)

Name products, in order of use

A
  1. IPS (duodenum)

2. check workshop guide

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18
Q 
Qualifying Question(s) for Posterium Ilium 
(SUGAR HANDLING)

Contraindication?

A
  • Short Leg
    1. Ever had a leg diagnosed as shorter? Which one?
    2. Any back, hip, knee, or ankle injury?

CONTRAINDICATED

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19
Q

Do Ridler’s Reflex Enzyme Point (Pancreas - Digestion)

LNT?

A 
Go from client's Left to Right
Zyphoid
Inferior 1"
Lateral
1 Finger

No LNT

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20
Q

Do Dr.DeJarnette’s Sign for Liver (Sugar Handling)

LNT?

A
  • Client SEATED
    1. Landmark 3rd Rib, Right side
    2. A>P with 1 Finger

LNT

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21
Q

LNT: Digestion (Pancreas)

Name products, in order of use

A
  1. Bio-6 Plus (pancreatic enzymes)

2. Bromelain Plus CLA

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22
Q

Qualifying Question(s) for Inguinal Ligament Tenderness

Any Contraindication?

A
  1. Show where on self
  2. Any discomfort?
    * CONTRAINDICATED
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23
Q

Qualifying Question(s) for INTRODUCTION

Contraindication?

A
  1. EXPLAIN re FE and Palpitations
  2. Ask PERMISSION
  3. TENDERNESS INDEX 0-10
  4. Measure ANATOMICAL INCH

CANNOT perform if permission refused

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24
Q

List Steps: FE Exam Fundamentals

A
  1. Set Up station
  2. Introduction (4 items)
  3. Perform FE (Digestion to Fatty Acids: 18
    * Know Qualifying Questions
  4. LNT: first, explain to client how and why my choice(s)
  5. Explain client’s concerns to Proctor
  6. Explain to Proctor choice and reasoning for LNT
  7. LNT to completion
  8. Create & Explain RECOMMENDATIONS to client
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25
Do Posterior Ilium FE (Sugar Handling) LNT?
* Qualifying Questions (2) - contraindication 1. Visually measure any difference in length of legs at heels LNT
26
Do Paradoxical Pupillary Reflex (Sugar Handling) LNT?
* Qualifying Questions (5) - contraindication 1. Have client cover both eyes while keeping eyes open 2. Remove hand, Shine pen light 3. Check how long Pupil HOLDS and then begins to PULSE 4. Max 20sec Score: HOLD 20+ sec = EXCELLENT 10sec then pulses = FAIR Constricts, pulses, then enlarges after 5sec = POOR Constricts, pulses, then enlarges immediately = FAIL Larger Immediately = EXHAUSTION No LNT
27
What organ: Chapman Reflex 6th RIGHT
Liver/Gallbladder
28
What organ: Ridler's Reflex Enzyme Point
Pancreas (Digestion)
29
Special Note re LNT for Bennett Reflexes (what organ?)
Small Intestine | LNT only the Quadrant with HIGHEST number
30
Do Murphy's Sign (Gallbladder - Digestion) LNT?
* From client Left to Right 1. Ask client to bend knees 2. Ask client for 3 deep breaths 3. Start 1.5-2" away from ribs 4. 1st palpate: A>P 5. 2nd: Inferior to Superior + Lateral (Gallbladder) 6. 3rd BREATH: Slightly compress against tissue 7. Allow client to lower knees No LNT
31
Do Chapman Reflex for Adrenals (Sugar Handling) LNT?
``` * Both Right and Left Have client do a CRUNCH 1. Landmark: navel 2. 1-2" Lateral + 2" Superior 3. LOBSTER CLAWS ``` LNT
32
Do Chapman Reflex for Pancreas/Spleen (Sugar Handling) LNT?
1. Stand on client's LEFT 2. 7th Intercostal space 3. A>P with 1 Finger LNT
33
Do Ragland's Postural Hypotension (Sugar Handling) LNT?
* Qualifying Questions (3) 1. Blood Pressure Supine (both Systolic & Diastolic) 2. Blood Pressure Standing (only Systolic) 3. Measure Difference ``` Score: +6-10 = EXCELLENT 0-+5 = FAIR -1-10 = POOR -11-20 = FAIL > -21 = EXHAUSTION ``` No LNT
34
Qualifying Question(s) for Paradoxical Pupillary Response (SUGAR HANDLING) Any Contraindication?
1. Eye surgery recently? 2. EVER had head trauma, head injuries, neurological issues, or experienced seizures? 3. Are you now wearing coloured contacts? * CONTRAINDICATED
35
Do Inguinal Ligament Tenderness FE (Sugar Handling) LNT?
* Qualifying Question (1): show on self (skip w discomfort) * Both L & R (do Left side first, from client's Left) 1. Landmark ASIS 2. Palpitate in violin motion from ASIS to Pubic Bone LNT
36
Qualifying Question(s) for Oral pH (Fatty Acids) Contraindication?
1. Have you had anything to eat or drink past 30min? 2. Tobacco, Gum, or Mints past 30min? 3. Have any oral or gum infections? Contraindicated or do later
37
Order of Organs tested for Sugar Handling FE
1. Adrenals 2. Pancreas 3. Liver
38
First rule of LNT Liver
Always first address FAT DIGESTION
39
Qualifying Question(s) for Ragland's Postural Hypotension (SUGAR HANDLING) Contraindication?
1. Do you know your regular Blood Pressure? 2. Do you get dizzy upon standing from supine or seated? 3. I will support you upon standing.
40
LNT: Digestion (Stomach) | Name additional products after first 3, in order of use
1. Gastrazyme (chew) 2. Betaine 3. Bio-6 Plus (pancreatic enzymes) 4. HCl-Plus (ONLY if Betaine AND Bio-6 work well)
41
Items for Set Up of FE station (12)
1. Water 2. Cups (zinc, water, spit) 3. FE FORM 4. Pen & Clipboard 5. Tissue 6. Stethoscope 7. Blood Pressure Cuff 8. Pen Light 9. Zinc 10. Iodine 11. Q-Tips 12. pH tape
42
Do Repeated Muscle Challenge FE (Fatty Acids) LNT?
* Qualifying Questions (1) - contraindication 1. Postural Muscle 2. Non-Postural Muscle ``` Score: REPS > 20 = No Deficiency 15-19 = Mild Deficiency 9-14 = Moderate Deficiency 0-8 = Severe ``` LNT
43
FE Qualifying Questions: When? Digestion-Detoxification
@ 14 points 1. Sugar Handling: RAGLAND's HYPOTENSION 2. Sugar Handling: PUPILLARY RESPONSE 3. Sugar Handling: POSTERIOR ILIUM (Short Leg) 4. Sugar Handling: INGUINAL LIGAMENT 5. Fatty Acids: ORAL PH 6. Fatty Acids: REPEATED MUSCLE CHALLENGE 7. Mineral: LOWENBURGS 8. Mineral: IODINE 9. Mineral: ZINC 10. Endocrine: MEDIAL HEEL and INSIDE ARCH 11. Endocrine: CHAPMAN for OVARIES and UTERUS 12. Endocrine: BREAST TENDERNESS 13. Immune: TOE TOUCH 14. Immune: INTERNAL HIP ROTATION * NONE in (4) Digestion, Hydration, Cardio or Detox
44
LNT: Digestion (Ileocecal Valve) | Name products, in order of use
1. Probiotics | 2. Garlic Plus
45
LNT: Large Intestine
1. ANYTHING that worked further North 2. Chlorella Caps 3. Marshmallow Root 4. Slippery Elm 5. Physillum Seed Husks
46
How to handle a Digestive Reaction to Nutritional Therapy
Support their digestion
47
How to handle a Sensitivity or Allergic Reaction to Nutritional Therapy
Find an alternate therapy
48
How to handle a Healing Reaction to Nutritional Therapy
If Mild/Moderate Symptoms: give client option to cut back dosage or work through it If Severe: recommend the client call you
49
First FE examination is:
Sanchez-Cuenca (pulse twice)
50
Qualifying Question(s) for Lowenburg's Test (MINERAL BALANCE) Any Contraindications?
Any vascular or circulation problems like varicose, edema, etc CONTRAINDICATED
51
Do Lowenburg's Test (Mineral Balance) LNT?
* ASK Qualifying Question (Contraindicated) 1. Client Seated - Leg @ 90 degree 2. Use Leg that cramps more often 3. Blood pressure cuff around largest part of Calf 4. Instruct client to let you know at ONSET of TWINGE 5. SLOWLY inflate cuff 6. Deflate immediately once threshold met 7. Wait 30sec then REPEAT Scores: 1) > 240 = OPTIMAL 2) 200-239 = SUFFICIENT 3) 150-199 = DEFICIENT 4) < 150 = VERY DEFICIENT LNT
52
Qualifying Question(s) for Iodine Status Test (MINERAL BALANCE) Any Contraindications?
Allergies to Shellfish or Iodine? Hashimoto? CONTRAINDICATED
53
Do Iodine Status Test LNT?
* Ask Qualifying Question (Contraindicated) 1. Apply 5cm x 5cm patch 2. Ask Client to monitor next 24 hours COMPLETELY gone 3. Will send you an Email No LNT
54
Qualifying Question(s) for Zinc Status Test (MINERAL BALANCE) Any Contraindications?
Eat or drink anything other than water within last 30min? CONTRAINDICATED (do later)
55
Do Zinc Status Test LNT?
* Ask Qualifying Question (Contraindicated) Swirl gently in mouth, hold 30 sec, and then swallow Scores: 1) Immediate, strong, bad taste = EXCELLENT 2) Immediate but not bad taste = FAIR 3) No immediate taste but after 10-15sec, mineral taste = POOR 4) Tastes like water = DEFICIENT 5) Tastes sweet = VERY DEFICIENT No LNT
56
Do Chapmans Reflex for Kidneys (HYDRATION) LNT?
* Similar to Chapmans for Adrenals: ChinUp andClaws 1. Navel 2. 1" Lateral + 1" Superior 3. A>P * Both R and L LNT
57
Do Pituatary/Hypothalmus Point (ENDOCRINE) LNT?
SEATED 1. Locate V ridge on forehead 2. Single finger A>P No LNT
58
Do Costal Margins: Thyroid (ENDOCRINE) LNT?
``` Approach from Above, Angled (V SHAPE) Curved Hands Start at Clavicle Rocking Motion, top to bottom Then across Bottom of Ribs Then Up the Medial of Both Ribs Check for General Tenderness ``` LNT
59
Do Chapman Reflex: Thyroid/Heart (ENDOCRINE) LNT?
* Right side for Thyroid and Left side for Heart FROM ABOVE 1. 2nd Intercostal Space, VERY near sternum 2. A>P LNT
60
Do Pretibial Edema: Thyroid (ENDOCRINE) LNT?
Flattest part of Tibia 1/4" - 1/3" up TIBIA from Ankle A>P Check for Indentation Score: NONE = Disappears Immediately MILD = Disappears within 10sec SEVERE = Remains longer than 10sec No LNT
61
Qualifying Question(s) for Medial Heel & Inside Arch FE (REPRODUCTIVE) Contraindication?
Pregnant? Any chance? Contraindicated
62
Do Medial Heel and Inside Arch (Reproductive) LNT?
* Ask Qualifying Question (Contraindicated) MEDIAL HEEL: 1/2 way between Ankle Bone & Heel Bone Support with other hand Lobster Claw INSIDE ARCH: Gently bend foot Apex of Arch, FEEL for "pea" No LNT (chronic points)
63
Do Iliotibial Band: Chapman Reflex for Uterus/Prostate (Reproductive) LNT?
1. Support leg hard on table 2. Where client's fingers end outside of leg 3. Palpate LNT
64
Qualifying Question(s) for Chapman Reflex: Ovaries/Testes (REPRODUCTIVE) Contraindications
Show where the next points are on yourself and ask if client comfortable. Client can choose to do by self or NOT AT ALL
65
Do Chapman Reflex: Ovaries/Testes (Reproductive) LNT?
* Ask Qualifying Question 1. Ask client to locate the top of PUBIC SYMPHYSIS 2. INNER Points, R & L 3. 1 Finger on each point 4. A>P 5. Then other side LNT
66
Do Chapman Reflex: Uterus/Prostate (Reproductive) LNT?
* Ask Qualifying Question 1. From Chapman Reflex for Ovaries/Testes, slide fingers over to OUTSIDE points 2. 1 Finger on each point 3. A>P LNT
67
Qualifying Question(s) for Breast Tenderness FE (Reproductive) Contraindications
For WOMEN ONLY 1. Do you experience any breast tenderness during your period? 2. Are you currently menstruating? FOR ALL: Demonstrate palpations on yourself using the PINKIE side of hands and have them copy you. NO Contraindications
68
Do Breast Tenderness FE (Reproductive) LNT?
Have client palpate around the circumference of the breast using PINKIE side of hands LNT (for MEN, Estrogen dominance)
69
Do Chapman Reflex: Sinuses (IMMUNE) LNT?
1. 1st Intercostal Space (R and L) 2. Cavity of sternum and clavicle 3. A>P LATERALLY from sternum 4. Other side LNT
70
Do Chapman Reflex: Lungs (IMMUNE) LNT?
1. 3rd & 4th Intercostal Spaces (R and L) 2. Very near sternum 3. A>P 4. Move down to 4th 5. Other side LNT
71
Do Histamine Point FE (IMMUNE) LNT?
1. Right Side 2. 1/2 way between Xyphoid and mid-Mammary 3. Locate 6th intercostal space 4. Move up ONTO 5th RIB and lateral 5. Point is @ 5:00 on edge of Pectoral Muscle 6. A>P 7. Check if muscle Contracts or Relaxes No LNT
72
Qualifying Question(s) for Toe Touch FE (IMMUNE) Contraindication
Any lower back problems or injury? Contraindicated
73
Do Toe Touch FE (Immune) LNT?
* Ask Qualifying Question 1. Feet shoulder width apart 2. Measure CM from end of fingers to floor (don't strain) LNT
74
Qualifying Question(s) for Internal Hip Rotation Contraindication
Any ankle, hip, or knee problems? Contraindicated
75
Do Internal Hip Rotation FE (Immune) LNT?
* Ask Qualifying Question 1. Cradle ankles with each hand 2. Gently ROLL INWARD 3. Measure rotation in DEGREES LNT
76
When LNT for Cardiovascular B and G Types, how do you deal with a SWITCHER?
Treat as G-Type (Hypertension)
77
Match Cardiovascular B and G Types to either Hypertension or Hypotension
B Type = HYPO | G Type = HYPER
78
Do Balance Test FE (Detoxification) LNT?
First, Eyes OPEN Next, Closed ONLY IF able to stand > 20sec when OPEN ``` Scores: 20+ sec = EXCELLENT 11-19 = SATISFACTORY 6-10 = POOR 0-5 = FAIL ``` No LNT
NTP Brisbane 2019
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