Chapman's Points

Question 1

What is the anterior CP for middle ear?

Answer 1

Superior, medial 1/3 of clavicle

Question 2

What is the posterior CP of middle ear?

Answer 2

2 cm lateral of midline occiput

Question 3

What is the anterior CP of sinuses?

Answer 3

Superior, medial border of rib 2, inferior medial clavicle

Question 4

What is the posterior CP for sinuses?

Answer 4

Below occiput, lateral to spinous process of C2

Question 5

What is the anterior CP of the larynx?

Answer 5

Rib 2 at the costochondral junction

Question 6

What is the posterior CP of the larynx?

Answer 6

Lateral to spinous process of C2

Question 7

What is the anterior CP of tonsils?

Answer 7

Between ribs 1 and 2, lateral to the manubrium

Question 8

Anterior CP of tongue?

Answer 8

1st rib and sternum

Question 9

Posterior CP of tongue?

Answer 9

Lateral to spinous process of C2

Question 10

What 4 HEENT structures have posterior CP that are lateral to C2?

Answer 10

Tongue, sinuses, larynx, pharynx

Question 11

What will be the anterior and posterior Chapman points if a kid has otitis media?

Answer 11

Superior clavicle, lateral or rib 1

Lateral c1

Question 12

Anterior and posterior Chapman’s points for sinusitis?

Answer 12

Superior aspect of rib 2, 3 inches lateral

Lateral to C2

Question 13

Anterior and posterior Chapman points of pharyngitis?

Answer 13

First rib, about an inch lateral to sternum

C2

Question 14

Anterior and posterior Chapman points of nasal?

Answer 14

1st costochondral junction

Anterior c1

Question 15

What is sensory to posterior 1/3 skull? What is sensory to anterior 2/3 skull?

Answer 15

C1,2,3

Cn7

Question 16

Ear structures are provided sensory innervation by what 6 nerves?

Answer 16

CN 5,7,9,10

Cervical nerves 2 and 3

Question 17

What are the 4 criteria to have antibiotics for AOM?

Answer 17

Moderate to severe pain
Pain greater than 48 hours
Temp over 102.2
Less than 24 months and bilateral AOM

Question 18

What are two conditions where we might do close observation before antibiotic?

Answer 18

Children 6-23 with unilateral with mild symptoms

Older than 24 months with bilateral with mild symptoms

Question 19

Drug of choice for when antibiotics are needed? 3 scenarios.

Answer 19

Amoxicillin if had not had amoxicillin in last 30 days
Amox and clavulanate if had amox or unresponsive to amox
Ceftriaxone IM once

Question 20

3 scenarios as far as duration of antibiotics?

Answer 20

10 days if severe or less than 2
7 days if 2-5 with mild to moderate symptoms
5-7 days older than 6 with mild symptoms