Chapman's Reflexes and Viscerosomatics Flashcards
Stomach? (anterior)
Stomach Posterior?
Between ribs 5/6 and 6/7 at the costochondral junction on the LEFT
Lateral to T5 and T6 spinous Processes
Rectum (posterior)?
Posterior-lateral sacrum 1/2 way between sacral sulcus and ILA
Anterior Myocardium?
Posterior Myocardium?
Rib 2/3 intercostal space parasternally
superior border of T3 (lateral to spinous process)
Esophagus? (anterior)
Esophagus (posterior)
between ribs 2 and 3 parasternally
Lateral to T2 spinous process
Tonsils? (anterior)
between ribs 1 and 2 lateral to manubrium
Kidney? (anterior)
Kidney (posterior)
Anterior abdominal wall 1cm above/lateral to umbilicus
lateral spinous process of L1
Pancreas? (anterior)
Pancreas Posterior?
between 7 and 8 at the costochondral junction on the RIGHT
Lateral to spinous process of T7 on the RIGHT
Ureters?
Transverse process of L2
POSTERIOR:
Uterus:
Ovaries:
Broad Ligament
Vagina
Fallopian tubes
PTP of L5
inferolateral portion of T10
Sacral sulcus
Sacral Sulcus
Posterior femoral head, superomedial to PSIS
ANTERIOR:
Uterus
Ovaries?
Broad ligament?
2cm lateral to inferior pubic bone
Pubic Tubercle
IT band posterior aspect
Spleen (anterior)
Spleen posterior?
between ribs 7 and 8 at the costochondral junction on THE LEFT
Lateral to T7 on the left!
Bronchus Posteriorly?
Upper lung?
Lower lung?
lateral to spinous process of T2
Lateral to spinous process of T3
Lateral to spinous process of T4
Thyroid?
rib 2/3 intercostal space at parasternal border
lateral to spinous process of T2
Tongue? (anterior)
medial rib 2 at costochondral junction
Colon/Large intestines?
what specific parts?
Large intestines posteriorly?
IT band –> Cecum at the right greater trochanter, hepatic flexure just above the right knee.
TP of L2,L3,L4 (NOT laterally)
Prostate? (anterior)
Prostate posterior?
ITB posterior aspect of it!
S1
Appendix anterior?
Appendix posteriorly?
Tip of the 12th rib
Lateral to T12 on the Right
Seminal Vesicles?
Superior/medial surface of the PSIS and posterior femoral head
Pharynx,larynx,tongue (posterior)
lateral to spinous process of C2
Bladder? (anterior)
Bladder Posterior?
Umbilicus
Transverse process of L2
Liver? (anterior)
Liver Posterior?
between ribs 5/6 and 6/7 at the costochondral junction on the right
Lateral to T5 and T6 on the right
Anterior Adrenal Gland
Posterior Adrenal gland?
2cm lateral and 2cm superior to the umbilicus
Lateral to the spinous process of T11
Small intestines? (anterior)
Small intestines Posterior
between 8/9, 9/10, and 10/11 bilaterally at costochondral junction
Lateral to spinous processes of T8-10
Bronchus? (anteriorly)
Upper lung? (anteriorly)
Lower lung? (anteriorly)
Rib 2/3 intercostal space @ sternal border
Rib 3/4 intercostal space @ sternal border
Rib 4/5 intercostal space @ sternal border
chapman reflex is what?
what are you doing?
how long do you do it?
what are you using?
pinpoint pain, sharp and radiating
push down and blanch your finger, circular and clockwise and counterclockwise.
moving pressure for 10-30 seconds until the mass disappears or the patient can no longer tolerate it
pads of fingers, not thumbs!
Middle ear chapman? (anterior)
Middle ear (posterior)
superior, medial 1/3 of clavicle
occiput 2cm lateral from midline
Intestinal peristalsis anterior?
Intestine Peristalsis (Posterior)
lateral to AIIS bilaterally
superior surface of rib 11, medial to rib angle
Arms Chapman reflex? (2)
superior medial border of the scapula
either side of spinous process of C2
Gallbladder Posterior?
Lateral to T6 on the right
Larynx Chapman? (anterior)
on rib 2 at costochondral junction
Urethra? (anterior)
superior surface of the pubic bone
Sinus Chapman? (anterior)
Sinuses (posterior)
superior border of rib 2, inferior medial clavicle
below occiput, lateral to spinous process of C2
Retina?
Lateral Humerus
What are the viscerosomatic SYMPATHETIC reflexes for Head and Neck (inlcuding upper esophagus)
T1-T5
What are the viscerosomatic SYMPATHETIC reflexes for:
Upper GI (including upper esophagus)
small intestine/ascending colon?
Ascending and Transverse colon?
Descending colon and sigmoid rectum?
T5-T10
T9-T11
T10-L2
T12-L2
What are the viscerosomatic PARASYMPATHETIC reflexes for:
Upper GI (including upper esophagus)
small intestine/ascending colon?
Ascending and Transverse colon?
Descending colon and sigmoid rectum?
Vagus N. (OA,AA)
Vagus N. (Oa,AA)
Vagus N. (OA,AA)
S2-S4 (Sacrum)
What are the viscerosomatic SYMPATHETIC reflexes for:
Upper extremities
Lower extremities
T2-T7
T11-L2
What are the viscerosomatic SYMPATHETIC reflexes for:
Heart?
Adrenals?
T1-T6
T5-T10
What are the viscerosomatic PARASYMPATHETIC reflexes for:
Heart
Adrenals
Vagus N.
What are the viscerosomatic SYMPATHETIC reflexes for:
Lungs?
T1-T7
What are the viscerosomatic PARASYMPATHETIC reflexes for:
Lungs
Vagus N.
What are the viscerosomatic SYMPATHETIC reflexes for:
Genitourinary tract
Ureter-Upper
Ureter-Lower
T10-L2
T10-T11
T12-L2
What are the viscerosomatic PARASYMPATHETIC reflexes for:
Upper ureter
Bladder
Lower ureter
Reproductive organs
Vagus N.
S2-S4
S2-S4
S2-S4 (sacrum)