Chapman Points Flashcards
Middle Ear
anterior: Superior medial aspect of the clavicle
Myocardium/ Pericardium
ant: 2nd ICS
post: T2 -T3 lamina of TP
esophagus
ant: 2 nd /3rd ICS
post: T2 -T3 lamina of TP
thyroid
ant: 2nd ICS
post: T2 -T3 lamina of TP
bronchi
ant: 2nd ICS
post: T2 lamina of TP
larynx
ant: superior aspect 2nd rib
upper lung
ant: 3rd ICS
post: T3 lamina of TP
lower lung
ant: 4th ICS
post: T4 lamina of TP
Liver
ant: 5th and 6th ICS R
post: T5-T6 lamina of TP R
stomach
ant: 5th and 6th ICS L
post: T5 L (acid) T6 L (peristalsis)
gallbladder
ant: 6th ICS R
post: T6 lamina of TP R
pancreas
ant: 7th ICS R
post: T7 lamina of TP R
spleen
ant: 7th ICS L
post: T7 lamina of TP L
intestinal peristalsis
ant: 1 inch below ASIS
appendix
ant: Tip of the 12 th rib R
post: T11 lamina R
adrenals
ant: 1 in. lateral 2 in. superior to umbilicus
post: T11 -T12 (could be unilateral)
kidneys
ant: 1 in. lateral 1 in. superior to umbilicus
post: T12 - L1 lamina of TP bilateral
bladder
ant: peri-umbilical region
post: L2 upper edge of TP bilateral
urethra
ant: Superior pubic ramus, 2 cm lateral to symphysis
post: L2/L3 TP bilateral
ovaries
ant: Lateral to pubic symphysis
prostate/broad ligament
ant: Outer femur (along posterior IT band) bilateral (aka lateral thigh)
post: Lateral sacral base bilateral
hemorrhoidal plexus
ant: Ischiopubic ramus, by obturator foramen
ear
ant: Top of clavicle
post: C1 posterior lateral pillar
pylorus
ant: center of sternum
celiac ganglion
ant: just below xiphoid process
superior mesenteric ganglion
ant: Between points for the celiac and inferior mesenteric ganglion
inferior mesenteric ganglion
ant: just above umbilicus
colon
ant: IT band
retina/conjunctiva
ant: Greater tubercle of the humerus (lateral)
neck
ant: Surgical neck of the humerus (medial)
pylorus
ant: Lower 1/3 of the sternum
cerebellum
ant: tip of Coracoid Plexus
nasal sinuses
ant: Top of 1st rib. Midclavicular line
pharynx
ant: Top of 1st riv where it meets the manubrium
tongue
ant: 2nd rib at costosternal joint
rectum
ant: superior medial thigh
uterus
post: medial to PSIS at L5 TP