Chapman's Reflex Points Flashcards
Arms
POSTERIOR
Superior medial border of scapula
C2 lateral to the spinous process
Upper Extremity and Lower Extremity- Sympathetic Innervation
UE- T2-T7
LE- T11-L2
Middle Ear
ANTERIOR
Superior, medial 1/3rd of clavicle
POSTERIOR
Occiput 2 cm lateral from midline
Sinuses
ANTERIOR
superior border of rib 2; inferior medial clavicle
POSTERIOR
below occiput, lateral to spinous process of C2
Larynx
ANTERIOR
on rib 2 at costochondral junction
Tonsils
ANTERIOR
Between Rib 1 and 2 just lateral to the manubrium
POSTERIOR
Lateral to the C3 Spinous process
Tongue
ANTERIOR
Junction of 1st rib and sternum
Pharynx, Larynx, and Tongue
POSTERIOR
Lateral to the C2 Spinous Process
HEENT Sympathetic and Parasympathetic Innervation
Sympathetic- T1-T5
Parasympathetic- Vagus N. (OA/AA)
Spleen
ANTERIOR
Between ribs 7 and 8 at the costochondral junction on the LEFT
POSTERIOR
Lateral to T7 on the Left
Esophagus
ANTERIOR
Between ribs 2 and 3 parasternally
POSTERIOR
Lateral to the T2 spinous process
Stomach
ANTERIOR
LEFT; Between Ribs 5-6 and 6-7 at the costochondral junction
POSTERIOR
LEFT; lateral to the T5 and T6 spinous process
Liver
ANTERIOR
RIGHT; Between ribs 5-6 and 6-7 at the costochondral junction
POSTERIOR
RIGHT; lateral to the T5 and T6 spinous process
Pancreas
ANTERIOR
RIGHT; between ribs 6-7 at the costochondral junction
POSTERIOR
RIGHT; lateral to the spinous process of T7
Small Intestine
ANTERIOR
Between ribs 8-11 bilateral at the costochondral junction
POSTERIOR
lateral to the spinous process of T8-T10
Gallbladder
POSTERIOR
RIGHT; lateral to T6
Intestine Peristalsis
ANTERIOR
Lateral to the ASIS bilaterally
POSTERIOR
Superior surface of rib 11, medial to the rib angle
Appendix
ANTERIOR
Tip of the T12 rib
POSTERIOR
RIGHT; lateral to T12
Colon
ANTERIOR
Anterior iliotibial Band (as if the colon were anteriorly displaced along the femurs; projected downward onto the femur)
Rectum
POSTERIOR
Lateral Sacrum 1/2 way between the sacral sulcus and ILA
Large Intestine
POSTERIOR
Transverse Process L2-L4
GI Sympathetic and Parasympathetic Innervations
Sympathetic:
Upper GI- T5-T10
Small intestine and Ascending colon- T9-T11
Ascending and Transverse colon- T10-L2
Descending Colon and Sigmoid Colon/Rectum- T12-L2
Parasympathetic:
Upper GI- Vagus (OA/AA)
Small intestine and ascending colon- Vagus N. (OA/AA)
Ascending and Transverse Colon- Vagus N. (OA/AA)
Descending Colon and Sigmoid Colon/Rectum- S2-S4 (sacrum)
Bronchus
ANTERIOR
Rib 2-3 intercostal space at sternal border
POSTERIOR
Lateral spinous process of T2
Upper Lung
ANTERIOR
Rib 3-4 intercostal space at the sternal border
POSTERIOR
Lateral to the spinous process of T3
Lower Lung
ANTERIOR
Rib 4-5 intercostal space at the sternal border
POSTERIOR
Lateral to the spinous process of T4
Pulmonary Sympathetic and Parasympathetic Innervation
Sympathetic-
Lungs: T1-T7
Parasympathetic-
Lungs: Vagus N. (OA/AA)
Myocardium
ANTERIOR
Ribs 2-3 intercostal space parasternally
POSTERIOR
Superior Border of T3 (lateral to the spinous process)
Adrenal
ANTERIOR
2 cm lateral, 2 cm superior to the umbilicus
POSTERIOR
Lateral to the Spinous process of T11
Heart Viscerosomatic Innervation
Sympathetic- T1-T6
Parasympathetic- Vagus N. (OA/AA)
Adrenal Viscerosomatic Innervation
Sympathetic- T5-T10
Parasympathetic- Vagus N. (OA/AA)
Kidney
ANTERIOR
anterior abdominal wall 1 cm above/ lateral to the umbilicus
POSTERIOR
Lateral to the spinous process of L1
Ureters
POSTERIOR
Transverse Process of L2
Bladder
ANTERIOR
Umbilicus
POSTERIOR
Transverse Process of L2
Prostate
ANTERIOR
ITB (posterior aspect)
POSTERIOR
S1
Urethra
ANTERIOR
Superior surface of the pubic bone
Seminal Vesicles
POSTERIOR
Superior/Medial surface of the PSIS and posterior femoral head
GU Viscerosomatic Innervation
Sympathetic- GU: T10-L2 Ureter (Upper)- T10-T11 Ureter (Lower)- T12-L2 Parasympathetic- Upper Ureter: Vagus N. (OA/AA) Bladder: S2-S4 Lower Ureter: S2-S4 Reproductive Organs, Pelvis: S2-S4
Uterus
ANTERIOR
2 cm lateral (from midline) to inferior pubic bone
POSTERIOR
posterior-transverse process of L5; Sacral Sulcus
Ovaries
ANTERIOR
Pubic tubercle
POSTERIOR
inferolateral portion of T10
Broad Ligament
ANTERIOR
Iliotibial Band (posterior aspect)
POSTERIOR
Sacral Sulcus
Vagina
POSTERIOR
Sacral Sulcus
Fallopian Tubes
POSTERIOR
posterior femoral head; superomedial to PSIS
Thyroid
ANTERIOR
Ribs 2-3 intercostal space at parasternal border
POSTERIOR
Lateral to spinous process of T2