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OS CPA 2 > Chapman's points > Flashcards

Chapman's points Flashcards

1
Q

Pain characteristics applicable to chapman’s point

A

pinpoint, sharp, non-radiating

located under the physician’s finger tip

pain is greater than expected

patient is usually unaware of the sore spot

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2
Q

Chapman steps

A

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

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3
Q

when to cease chapman

A

mass disappears
or
Pt/physician cannot tolerate treatment any longer

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4
Q

a nontender chapman reflex

A

indicates nothing by itself

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5
Q

never ignore a tender chapman reflex

A

unless you have a good explanation for the findings

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6
Q

chapman contraindications

A

anytime a pt is in emergent care

patient refusal

relative contraindication with fracture/cancer/inpatient instability

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7
Q

post treatment instructions for chapman

A

may be some post-treatment pain/discomfort.

drink plenty of water over next 24 hours

may take normal pain management drugs

rest

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8
Q

arms chapman

A

anterior
none

posterior

Superior medial border of scapula
C2 lateral to spinous process

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9
Q

middle ear

A

anterior: superior medial 1/3 of clavicle
posterior: occiput 2cm lateral from midline

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10
Q

larynx

A

Anterior:
On rib 2 at costochondral junction

Posterior:
Lateral to spinous process of C2

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11
Q

sinuses

A

Anterior
Superior border of rib 2, inferior medial clavicle

Posterior
Below occiput, lateral to spinous process of C2

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12
Q

tonsils

A

anterior
between ribs 1/2 just lateral to the manubrium

posterior:
none

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13
Q

retina/conjunctiva

A

anterior
lateral humerus

posterior
none

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14
Q

tongue

A

anterior
medial rib 2 at costochondral juntion

posterior
Lateral to spinous process of C2

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15
Q

Spleen

A

anterior
between ribs 7/8 at the costochondral junction on THE LEFT

posterior
lateral to spinous process of T7 on THE LEFT

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16
Q

Tonsils

A

Anterior
between ribs 1/2 just lateral to manubrium

posterior
none

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17
Q

esophagus

A

anterior
between ribs 2/3 parasternally

posterior
lateral to T2 spinous process

18
Q

stomach

A

LEFT
Anterior
Between ribs 5/6 & 6/7 at costochondral
junction

Posterior
Lateral to T5 & T6 spinous processes

19
Q

liver

A

RIGHT

Anterior
Between ribs 5/6 & 6/7 at costochondral
junction

Posterior
Lateral to T5 & T6 spinous processes

20
Q

gallbladder

A

RIGHT

Anterior
Between ribs 6/7 at costochondral
junction

Posterior
Lateral to T6 spinous processes

21
Q

pancreas

A

RIGHT

Anterior
Between ribs 7/8 at costochondral
junction

Posterior
Lateral to T7 spinous processes

22
Q

small intestines

A

BILATERALLY

anterior

between ribs 8/9 9/10 10/11 at costochondral junction

posterior

lateral to T8, T9, and T10 spinous process

23
Q

intestine peristalsis

A

BILATERALLY

anterior
lateral to AIIS

posterior
superior surface of rib 11, medial to the rib angle

24
Q

Appendix

A

RIGHT

anterior
tip of 12th rib

posterior
lateral to T12 spinous process

25
Q

rectum

A

posterior
Posterior-lateral sacrum ½ way between
sacral sulcus and ILA

26
Q

bronchus

A

Anterior
Between ribs 2/3 at sternal border

Posterior
Lateral to spinous process of T2

27
Q

upper lung

A

Anterior
Between ribs 3/4 at sternal border

Posterior
Lateral spinous process of T3

28
Q

lower lung

A

Anterior
Between ribs 4/5 at sternal border

Posterior
Lateral spinous process of T4

29
Q

myocardium

A

Anterior
between ribs 2/3 parasternally

Posterior
superior border of T3 (lateral to spinous process)

30
Q

kidneys

A

anterior
anterior abdominal wall 1cm superior/lateral to umbilicus

posterior
lateral to spinous process of L1

31
Q

ureters

A

anterior
none

posterior
Transverse process of L2

32
Q

bladder

A

Anterior
umbilicus

posterior
transverse process of L2

33
Q

prostate

A

Anterior
posterior aspect of IT band

Posterior
S1, sacral sulcus

34
Q

urethra

A

Anterior
superior surface of pubic bone

Posterior
none

35
Q

seminal vesicles

A

Anterior
none

Posterior
anterior/superior surface of PSIS and posterior femoral head

36
Q

uterus

A

Anterior
2cm lateral to inferior pubic bone

Posterior
posterior Transverse process of L5 and sacral sulcus

37
Q

ovaries

A

Anterior
Pubic tubercle

Posterior
inferolateral portion of T10

38
Q

broad ligament

A

Anterior
posterior aspect of IT band

Posterior
S1, Sacral sulcus

39
Q

Vagina

A

Anterior
none

Posterior
Sacral sulcus

40
Q

Fallopian Tubes

A

Anterior
none

Posterior
Posterior femoral head superomedial to PSIS

41
Q

Thyroid

A

Anterior
between ribs 2/3 at parasternal border

Posterior
lateral to Spinous process of T2

42
Q

Adrenal

A

Anterior
2cm superior and 2cm lateral to umbilicus

Posterior
lateral to spinous process of T11

OS CPA 2 (1 decks)

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