Chapman's Points

Question 1

Middle Ear

Answer 1

Anterior – Superior to medial clavicles

Posterior – C1 posterior rami

Associated diseases – Otitis media

Question 2

Sinuses

Answer 2

Anterior – Inferior to medial clavicles

Posterior – C2 articular pillars

Associated diseases – Sinusitis

Question 3

Pharynx

Answer 3

Anterior – Inferior to sternoclavicular joint

Posterior – C2 articular pillars

Associated diseases – Pharyngitis

Question 4

Tonsils

Answer 4

Anterior – Medial 1st ICS

Posterior – C2 articular pillars

Associated diseases – Tonsillitis

Question 5

Tongue

Answer 5

Anterior – Medial 2nd ribs

Posterior – C2 articular pillars

Associated diseases – Thrush; Glossitis

Question 6

Thyroid
Heart
Esophagus
(“THE”)

Answer 6

Anterior – Medial 2nd ICS

Posterior – T2 TPs

Associated diseases – Hyper/hypothyroidism (various causes); GERD; Esophagitis; MI

Question 7

Upper lung
Arm

Answer 7

Anterior – Medial 3rd ICS

Posterior – T3 TPs

Associated diseases – Lung cancer; Restrictive or obstructive lung disease; Tuberculosis; Endometriosis (if in lung)

Question 8

Lower lung

Answer 8

Anterior – Medial 4th ICS

Posterior – T4 TPs

Associated diseases – Lung cancer; Restrictive or obstructive lung disease; Tuberculosis; Endometriosis (if in lung)

Question 9

Liver

Answer 9

Anterior – Medial right 5th/6th ICS

Posterior – Right T5/T6 TPs

Associated diseases – Hepatitis; Cirrhosis; NAFLD

Question 10

Stomach acidity

Answer 10

Anterior – Medial left 5th ICS

Posterior – Left T5 TP

Associated diseases – GERD (most common); Gastric ulcers; Zollinger-Ellison syndrome/gastrinoma

Question 11

Stomach mobility

Answer 11

Anterior – Medial left 6th ICS

Posterior – Left T6 TP

Question 12

Gallbladder

Answer 12

Anterior – Medial right 6th ICS

Posterior – Right T6 TP

Associated diseases – Cholecystitis; Cholelithiasis

Question 13

Pancreas

Answer 13

Anterior – Medial right 7th ICS

Posterior – Right T7 TP

Associated diseases – DM 1 or 2; Pancreatitis

Question 14

Spleen

Answer 14

Anterior – Medial left 7th ICS

Posterior – Left T7 TP

Associated diseases – Mononucleosis (EBV); Hypersplenism

Question 15

Small intestine

Answer 15

Anterior – Medial 8th-10th ICS

Posterior – T8-T10 TPs

Associated diseases – Duodenal ulcers; Celiac disease

Question 16

Pylorus

Answer 16

Anterior – Midline body of sternum

Posterior – T9 TPs

Associated diseases – Pyloric stenosis

Question 17

Adrenals

Answer 17

Anterior – 1” lateral, 2” superior to umbilicus

Posterior – T11 TPs

Associated diseases – Addison disease

Question 18

Kidneys

Answer 18

Anterior – 1” lateral, 1” superior to umbilicus

Posterior – L1 TPs

Associated diseases – AD PKD; Turner syndrome (horseshoe kidneys); Glomerulonephritis; Pyelonephritis; Nephrogenic DI, SIADH

Question 19

Bladder

Answer 19

Anterior – Periumbilical

Posterior – L2 TPs

Associated diseases – Cystitis

Question 20

Intestine peristalsis

Answer 20

Anterior – 1”-2” inferolateral to anterior superior iliac spine

Posterior – Between T10-T11 TPs

Associated diseases – Constipation; IBS

Question 21

Appendix

Answer 21

Anterior – Tip of rib 12

Posterior – Right T11 TP

Associated diseases – Appendicitis

Question 22

Ovaries

Answer 22

Anterior – Pubic tubercles

Posterior – T10 TPs

Associated diseases – PCOS; Ovarian torsion

Question 23

Urethra

Answer 23

Anterior – Pubic tubercles

Posterior – L3 TPs

Associated diseases – Urethritis

Question 24

Uterus

Answer 24

Anterior – Inferior pubic rami

Posterior – L5 TPs

Associated diseases – Adenomyosis; Endometriosis; Abnormal uterine bleeding

Question 25

Rectum

Answer 25

Anterior – Lesser trochanters

Posterior – Lateral aspect of middle sacrum

Associated diseases – UC

Question 26

Colon

Answer 26

Anterior – Anterior IT bands

Posterior – L2-L4 TPs

Associated diseases – UC; Diverticulitis; Arteriovenous malformation

Question 27

Prostate
Broad ligament

Answer 27

Anterior – Lateral IT bands

Posterior – PSIS

Associated diseases – Prostatitis; BPH