Section 1: Osteopathy, fascia, fluid, and the primary respiratory mechanism. Fascia. The primary respiratory mechanism Section 2: Osteopathic assessment. Somatic dysfunction. Diagnosis of somatic dysfunction. History. Physical examination Section 3: Treatment of the patient. Osteopathic treatment. Procedures. Lower extremity procedures. Pelvic procedures. Lumbar procedures. Lumbopelvic muscular procedures. Thoracic procedures. Thoracoabdominal diaphragm procedures. Cervical procedures. Upper extremity procedures. Wrist and hand procedures. Visceral procedures. Cranial procedures. Vault procedures. Ocular procedures. Procedures to modulate the primary respiratory mechanism Section 4: Clinical considerations. 1. Musculoskeletal dysfunctions. Part 1: Axial system. The vertebral column. Spinal motions. Vertebral somatic dysfunction. Changes with aging. The osteopathic contribution to the physical examination and treatment. Advice to the patient Part 2: Appendicular system. Degenerative arthritis: osteoarthritis of the hip and knee. The osteopathic contribution to the physical examination and treatment. Advice to the patient. Overuse syndromes: rotator cuff syndrome. The osteopathic contribution to the physical examination and treatment. Advice to the patient. Entrapment syndromes: carpal tunnel syndrome. The osteopathic contribution to the physical examination and treatment. Advice to the patient. Conclusion 2.Postural imbalance. The vestibular sensory system. The visual sensory system. The somatosensory/proprioceptive sensory system. Age-related changes. The osteopathic contribution to the physical examination and treatment. Advice to the patient 3.Cardiovascular dysfunctions. Hypertension. Congestive heart failure. The osteopathic contribution to the physical examination and treatment. Advice to the patient 4. Respiratory dysfunctions. Lungs. Age-related changes. Obstructive pulmonary disease. Pneumonia. Obstructive sleep apnea. The osteopathic contribution to the physical examination and treatment. Advice to the patient 5. Gastrointestinal dysfunctions. Dysphagia. Gastroesophageal reflux. Hiatal hernia. Irritable bowel syndrome. Constipation. Visceroptosis. The osteopathic contribution to the physical examination and treatment. Advice to the patient 6. Urogenital dysfunctions. Pelvic floor disorders. Benign prostate disorders. The osteopathic contribution to the physical examination and treatment. Advice to the patient 7. Autonomic dysfunctions. Organization and components. Functions of the autonomic nervous system. Dysautonomia. Chronic fatigue syndrome. Fibromyalgia. Sleep disorders. Influence of the autonomic nervous system on menopause. The osteopathic contribution to the physical examination and treatment. Advice to the patient 8. Auditory and visual dysfunctions. Auditory dysfunctions. Visual dysfunctions. The osteopathic contribution to the physical examination and treatment. Advice to the patient