4 quadrants of functional diagnosis - fmtown4 quadrants of functional diagnosis functional &...

Intro to Functional P.E.Dicken Weatherby, N.D..

© Weatherby & Associates, LLChttp://www.FMTrainingCenter.com 1

4 Quadrants of 4 Quadrants of Functional DiagnosisFunctional Diagnosis

Functional & Nutritional P.E.

The Basics of P.E.The Basics of P.E.

Inspection

Palpation

Percussion

Auscultation

InspectionInspection

Teaching your eyes to see.

General appearance

State of their nutrition

Body habitsy

Symmetry

Posture and gait

Speech



A Simple ExerciseA Simple Exercise

How many ‘fs’ are in this sentence?

Finished files are the re-

lt f f i tifsult of years of scientif-

ic study combined with

the experience of years.

Answer!Answer!

The answer is 6.

Finished files are the re-

sult of years of scientif-

Most people only count 3, missing the ‘f’ in the 3 “ofs”

su t o yea s o sc e t

ic study combined with

the experience of years.

PalpationPalpation

Use of fingers to determine characteristics of an organ system

Used in the neuro-lymphatic palpation

The majority of the functional PE is palpation



PercussionPercussion

Relationship between tactile sensation and sound produced.

Provide information about the structure of the underlying organ or tissue

A mass in the abdomen will change the percussive sound of the abdomen

AuscultationAuscultation

Training our ears to hear

Listening to the sounds produced by internal organs

Absence of abnormal bowel sounds could indicate an acute abdominal emergency

Equipment NeededEquipment Needed

Blood pressure cuff (automatic or blow up)

Stethoscope

Pen light

Reflex hammer

pH indicator paper

Tracking forms



Medical TerminologyMedical Terminology

Anatomical DirectionsAnatomical Directions

Some Common Terms

1. Distal

2. Proximal

3. Lateral

4. Medial

5. Superior

6. Inferior

7. Anterior

8. Posterior

Landmarks on Anterior ThoraxLandmarks on Anterior Thorax

1. Clavicle

2. 1st Rib

3. Intercostal spaces

4. Mid-clavicular line

5. Sternal border

6. Xyphoid



Vertebral indicators and Vertebral indicators and NutritionNutrition

Autonomic Autonomic Nervous Nervous SystemSystem

Traditional P.E.Traditional P.E.



Traditional Abdominal ExamTraditional Abdominal Exam

Traditional Cardio ExamTraditional Cardio Exam

Trad. Peripheral Vascular ExamTrad. Peripheral Vascular Exam



Traditional Lung ExamTraditional Lung Exam

Traditional Neuro ExamTraditional Neuro Exam

Functional P.E.Functional P.E.



The Mirrors of the BodyThe Mirrors of the Body

Reflexology

Auricular Medicine

Pulse

Tongueg

Skin

Applied Kinesiology

Neurological Reflexes

Neurological ReflexesNeurological Reflexes

History

Lymphatic Lymphatic SystemSystem



Why are these points present?Why are these points present?

Tenderness in a particular neuro-lymphatic or neuro-vascular point indicates dysfunction in a corresponding organ or system.

D f ti h th i Dysfunction occurs when there is an ongoing disruption in homeostasis.

Homeostatic disruptors come in many different forms.

Total LoadTotal Load

Hormone Imbalances

Repressed/Toxic

EmotionsCompromised Detoxification Environmental Toxins

Heavy Metals

Nutritional

Deficiencies

Medication Interactions

FUNCTIONAL DISTURBANCESFUNCTIONAL DISTURBANCES

Mold Exposure

Structural

Imbalances

Intestinal

Pathogens

TERRAIN DAMAGE

Leaky

GutFood

Allergies



The Functional P.E. The Functional P.E. TechniquesTechniques



Exam Flow ChartExam Flow Chart

Clinical IndicatorsPostural hypotension (adrenals)Paradoxical pupilary reflexL b ti i lLowenbergs tissue mineral

assessment testOral pHAssess hydration (check veins)Zinc Assessment

Posterior/Vertebral IndicatorsPatient Prone Palpate paraspinally, on the transverse

process, form occiput to sacrum and note pain or congestion as a possible indicator of stress to the corresponding organ. Palpate sacroiliac joint and pelvis for pain

and alignment, as a possible indication of adrenal stress Palpate next to the spinous process of T6

and T7, assess for pain on the right side as a possible indicator of pancreatic stress/blood sugar imbalance.

Patient Supine HCL (stomach) – 1 inch below

xyphoid and on the left edge of rib cage on the costal margin

Anterior/Thoracic/Anterior/Thoracic/Abdominal IndicatorsAbdominal Indicators

cage on the costal margin. Enzyme (pancreas) – 1 inch below

xyphoid and on the right edge of rib cage on the costal margin. Liver on the 3rd rib, 2 inches lateral to

the sternum at the costochondral junction.




Patient Supine Murphy’s sign – liver/gallbladder,

press up under the right rib cage.Bennett refle (small intestine) Bennett reflex (small intestine) –superficially palpate 4 quadrants 3 inches around umbilicus. Colon - palpate entire length and

ileotibial band.

Patient Supine Colon – palpate the colon ascending,

transverse, descending and sigmoid. Head of pancreas - palpate 2/3rds of the

way on a 45 degree angle between


way on a 45 degree angle between umbilicus and margin of ribs. Adrenal indicatorsUnilateral inguinal ligament painShort leg,Medial knee pain.

Extremity IndicatorsExtremity Indicators

Patient Supine

ArmRepeated (aerobic) muscle challenge

(EFA sufficiency indicator). Muscle locking 20 times is normallocking 20 times is normal

Hand pointsRight web thumb (gallbladder)Right thenar pad (pancreas)Left thenar pad (heart)



Patient Supine LegsTissue Mineral AssessmentPre tibial edema

Extremity IndicatorsExtremity Indicators

Pre-tibial edemaAchilles Return ReflexChapman reflexes colonChapman reflexes prostate uterusChapman reflexes testicles ovaries

4 quadrants of functional diagnosis - fmtown4 quadrants of functional diagnosis functional &...

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