1.6.15 - Growth in Peds and Chapmans

Question 1

length

Answer 1

<2 years

Question 2

height

Answer 2

> 3 years

Question 3

height velocity

Answer 3

growth trajectory over time

Question 4

rule of fives

Answer 4

birth to 1 year - 25cm/year
1-4 years - 10cm/year
4-8 years - 5-7cm/year

Question 5

growth during puberty

Answer 5

sex steroid

Question 6

growth 6 months to puberty

Answer 6

GH

Question 7

target height

Answer 7

dad - 13 for girls
mom + 13 for boys
-and average with other parent

ex/ girl = father - 13 + mother / 2

Question 8

bone age

Answer 8

left hand and wrist

Question 9

growth proportionality

Answer 9

look at arm span

Question 10

overweight

Answer 10

endocrine disorders

Question 11

underweight

Answer 11

malnutrition

Question 12

IFG-1

Answer 12

to look at GH

Question 13

glucocorticoid

Answer 13

reduced linear growth

Question 14

usefulness of chapmans points

Answer 14

1 - diagnosis
2 - lymph flow
3 - visceral function through nervous system

Question 15

chapmans reflex

Answer 15

change found in deep fascia as gangliform contractions located at specific points and consistently associated with same viscera

vary in size - occasionally multiple

Question 16

chapmans tx

Answer 16

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

Question 17

determining factor for dosage of tx for chapmans

Answer 17

procured decreased edema, dissolution of contraction and subsidence of tenderness

20s to 2m or more

overtreatment should be avoided

Question 18

endocrine group

Answer 18

prostate, broad ligament, uterus, gonads, thyroid, adrenals

Question 19

GI group

Answer 19

colon, thyroid, pancreas, duodenum, liver, and left/right small intestine

Question 20

infectious group

Answer 20

liver, spleen, adrenals

Question 21

treat what you find

Answer 21

not what you are looking for

Question 22

anterior thyroid chapmans

Answer 22

ICS between 2 and 3 rib close to sternum

Question 23

posterior thyroid chapmans

Answer 23

TP of T2 midway between spinous process and tip of TP

Question 24

thyroiditis

Answer 24

fullness of head, face and neck
nervousness
tachycardia

Question 25

thyroidine

Answer 25

thyroid hormone

-can prove source of bodily ailments

Question 26

intestinal disturbance

Answer 26

thyroid problem

intestinal disturbance - can lead to skin problems

Question 27

anterior kidney chapmans

Answer 27

laterally on area located inch above and lateral to umbilicus

Question 28

posterior kidney chapmans

Answer 28

intertransverse space between T12 and L1

-midway between spins and tops of TPs

Question 29

anterior adrenal chapmans

Answer 29

one inch lateral and 2 inches above umbilicus

Question 30

posterior adrenal chapmans

Answer 30

intertransverse space on both sides of T11 and T12

-midway between SP and tops of TP

Question 31

anterior pancreas chapmans

Answer 31

intercostal space between rib 7 and 8

right side close to approximation of cartilage

Question 32

posterior pancreas chapmans

Answer 32

between TP of T7 and T8 and midway between SP and tops of TP of these vertebrae on right side

Question 33

anterior liver chapmans

Answer 33

ICS from midmammillary line up to sternum on right side between 6 and 7

Question 34

posterior liver chapmans

Answer 34

between TP and T6 and T7

-midway between SP and tip of TP on right side