1.6.15 - Growth in Peds and Chapmans Flashcards
length
<2 years
height
> 3 years
height velocity
growth trajectory over time
rule of fives
birth to 1 year - 25cm/year
1-4 years - 10cm/year
4-8 years - 5-7cm/year
growth during puberty
sex steroid
growth 6 months to puberty
GH
target height
dad - 13 for girls
mom + 13 for boys
-and average with other parent
ex/ girl = father - 13 + mother / 2
bone age
left hand and wrist
growth proportionality
look at arm span
overweight
endocrine disorders
underweight
malnutrition
IFG-1
to look at GH
glucocorticoid
reduced linear growth
usefulness of chapmans points
1 - diagnosis
2 - lymph flow
3 - visceral function through nervous system
chapmans reflex
change found in deep fascia as gangliform contractions located at specific points and consistently associated with same viscera
vary in size - occasionally multiple
chapmans tx
surface locus has been contacted by pad of finger
- firm gentle contact is maintained and rotary motion to finger through arm and hand to express fluid content into surrounding tissue
- finger held firmly in contact with locus
light touch important
determining factor for dosage of tx for chapmans
procured decreased edema, dissolution of contraction and subsidence of tenderness
20s to 2m or more
overtreatment should be avoided
endocrine group
prostate, broad ligament, uterus, gonads, thyroid, adrenals
GI group
colon, thyroid, pancreas, duodenum, liver, and left/right small intestine
infectious group
liver, spleen, adrenals
treat what you find
not what you are looking for
anterior thyroid chapmans
ICS between 2 and 3 rib close to sternum
posterior thyroid chapmans
TP of T2 midway between spinous process and tip of TP
thyroiditis
fullness of head, face and neck
nervousness
tachycardia
thyroidine
thyroid hormone
-can prove source of bodily ailments
intestinal disturbance
thyroid problem
intestinal disturbance - can lead to skin problems
anterior kidney chapmans
laterally on area located inch above and lateral to umbilicus
posterior kidney chapmans
intertransverse space between T12 and L1
-midway between spins and tops of TPs
anterior adrenal chapmans
one inch lateral and 2 inches above umbilicus
posterior adrenal chapmans
intertransverse space on both sides of T11 and T12
-midway between SP and tops of TP
anterior pancreas chapmans
intercostal space between rib 7 and 8
right side close to approximation of cartilage
posterior pancreas chapmans
between TP of T7 and T8 and midway between SP and tops of TP of these vertebrae on right side
anterior liver chapmans
ICS from midmammillary line up to sternum on right side between 6 and 7
posterior liver chapmans
between TP and T6 and T7
-midway between SP and tip of TP on right side
