Chapman Points

Question 1

middle ear (otitis media)

Answer 1

superior portion of clavicle in MCL

Question 2

pharynx (pharyngitis)

Answer 2

superior portion of 1st rib just lateral to manubrium at costo-sternal junction

“PHaryngitis=PHirst rib”

Question 3

sinuses (sinusitis)

Answer 3

superior portion of 2nd rib in MCL

“Sinusitis=Second rib”

Question 4

eyes (retina/conjunctiva)

Answer 4

lateral humerus

Question 5

esophagus: bronchus (bronchitis)
thyroid (thyroid disease)
myocardium (heart disease)

Answer 5

between ribs 2 and 3 (2nd ICS) just lateral to sternum

Heart is just on left

Question 6

upper lung (upper lobe pneumonia)

Answer 6

b/t ribs 3 and 4 (3rd ICS) just lateral to sternum

Question 7

lower lung (lower lobe pneumonia)

Answer 7

b/t ribs 4 and 5 (4th ICS) near costo-chondral junction

Question 8

stomach (acidity/gastritis)

Answer 8

b/t ribs 5 and 6 (5th ICS), near costo-chondral junction

left side only

Question 9

liver, gallbaldder

Answer 9

b/t ribs 6 and 7 (6th ICS) near costo-chondral junction

right side only

Question 10

spleen

Answer 10

b/t ribs 7 and 8 (7th ICS) near costo-chondral junction

left side only

Question 11

pancreas

Answer 11

b/t ribs 7 and 8 (8th ICS) near costo-chondral junction

right side only

Question 12

appendix

Answer 12

anterior point= at tip of 12th rib on right

posterior point= transverse process of T11

Question 13

adrenals

Answer 13

anterior point= 2 in. superior and 1 in. lateral to umbilicus
posterior point= b/t spinous process and transverse process of T11 and T12

Question 14

kidneys

Answer 14

anterior point= 1 in. superior and 1 in. lateral to umbilicus
posterior point= b/t spinous process and transverse process of T12 and L1

Question 15

bladder

Answer 15

at umbilicus

Question 16

ovaries/urethra

Answer 16

lateral to pubic symphysis

Question 17

prostate

Answer 17

on top of IT band, in its midline

Question 18

colon

Answer 18

spans from greater trochanter to just above knee
right femur: cecum, ascending colon, hepatic flexure, right 2/5th of transverse colon
left femur: sigmoid, descending colon, splenic flexure, left 3/5th of transverse colon

“take your intestines and flip it over your thigh”