Chapman's points Flashcards
Pain characteristics applicable to chapman’s point
pinpoint, sharp, non-radiating
located under the physician’s finger tip
pain is greater than expected
patient is usually unaware of the sore spot
Chapman steps
firm pressure with finger pad of one finger
apply somewhat heavy or uncomfortable pressure to gangliform mass
slowly move tip of finger in circular fashion (attempt to flatten the mass as if to mobilize a localized fluid accumulation)
continue the moving pressure for 10-30 seconds
can alternate clockwise/counter-clockwise
when to cease chapman
mass disappears
or
Pt/physician cannot tolerate treatment any longer
a nontender chapman reflex
indicates nothing by itself
never ignore a tender chapman reflex
unless you have a good explanation for the findings
chapman contraindications
anytime a pt is in emergent care
patient refusal
relative contraindication with fracture/cancer/inpatient instability
post treatment instructions for chapman
may be some post-treatment pain/discomfort.
drink plenty of water over next 24 hours
may take normal pain management drugs
rest
arms chapman
anterior
none
posterior
Superior medial border of scapula
C2 lateral to spinous process
middle ear
anterior: superior medial 1/3 of clavicle
posterior: occiput 2cm lateral from midline
larynx
Anterior:
On rib 2 at costochondral junction
Posterior:
Lateral to spinous process of C2
sinuses
Anterior
Superior border of rib 2, inferior medial clavicle
Posterior
Below occiput, lateral to spinous process of C2
tonsils
anterior
between ribs 1/2 just lateral to the manubrium
posterior:
none
retina/conjunctiva
anterior
lateral humerus
posterior
none
tongue
anterior
medial rib 2 at costochondral juntion
posterior
Lateral to spinous process of C2
Spleen
anterior
between ribs 7/8 at the costochondral junction on THE LEFT
posterior
lateral to spinous process of T7 on THE LEFT
Tonsils
Anterior
between ribs 1/2 just lateral to manubrium
posterior
none
