Chapmans point's and VS reflexes Flashcards

1
Q

What do viscersomatic reflexes represent?

A

VS disease or dysfx, ocassionally somatosomatic, compromise of ANS

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2
Q

Pain from chapmans point

A

pinpoint, sharp, non-radiating, greater than expected, pt previously unaware

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3
Q

Where are chapman points found?

A

usually subcutaneous superficial layers

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4
Q

Characteristics of chapmans point

A

smooth, small, firm

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5
Q

Chapman point treatment

A

gentle pressure on or over point, small circles, work to diminish localized fluid accumulation

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6
Q

Indications for Chapman dx

A

clinically indicated from pt history

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7
Q

Contraindications for chapman tx

A

pt in emergency care, refusal, relative contraindication with fracture or cancer

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8
Q

Post tx precautions of chapman tx

A

post-treatment discomfort, drink water, pts may take what they normally take for pain management

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9
Q

Chapman reflexes for UE

A

posterior; lateral to C2 spinous process, superior medial border of scapula

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10
Q

Sympathetic UE VS

A

T2-T7

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11
Q

Sympathetic LE VS

A

T11-L2

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12
Q

Middle ear chapman pt

A

anterior: 1/3 medial clavicle, superior
Posterior: occiput 2 cm lateral from midline

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13
Q

Sinuses chapman pt

A

anterior: superior border rib 2, inferior medial clavicle
posterior: below occiput, lateral to spinous processes of C2

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14
Q

Larynx chapman pt

A

anterior: rib 2 at costochondral junction
posterior: below occiput, lateral to spinous processes of C2

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15
Q

Tonsils chapman pt

A

rib 1 and 2 just lateral to manubrium

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16
Q

Tongue chapman pt

A

anterior: junction of rib 1 and sternum
posterior: below occiput, lateral to spinous processes of C2

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17
Q

Viscerosomatic sympathetic head/neck

A

T1-T5

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18
Q

Viscerosomatic PS head/neck

A

vagus/OA-AA region

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19
Q

Spleen chapman pt

A

lateral to T7 on left

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20
Q

Liver chapman pt

A

between ribs 6&7 and 5&6 at costochondral junction on R

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21
Q

Viscerosomatics for infectious disease

A

NONE

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22
Q

Esophagus anterior chapman

A

ribs 2 and 3 parasternally

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23
Q

Stomach anterior chapman

A

LEFT - b/r ribs 5-6 and 6-7 at costochondral junction

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24
Q

Pancreas anterior chapman pt

A

RIGHT - ribs 6-7 at costochondral junction

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25
Q

Small Intestine anterior chapman pt

A

Bilateral ribs 8-11 at costochondral junctions

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26
Q

Esophagus posterior chapman pt

A

lateral to T2 spinous process

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27
Q

Stomach posterior chapman pt

A

LEFT lateral to T5 and T6

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28
Q

Liver posterior chapman pt

A

Lateral to T5 and T6

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29
Q

Gallbladder posterior chapman pt

A

RIGHT lateral to T6

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30
Q

Pancreas posterior chapman pt

A

RIGHT lateral to T7

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31
Q

Small Intestines posterior chapman pt

A

lateral to spinous processes of T8, 9, 10

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32
Q

Intestine peristalsis posterior chapman pt

A

superior surface of rib 11, medial to rib angle

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33
Q

Appendix anterior chapman pt

A

RIGHT tip of 12th rib

34
Q

Intestinal peristalsis anterior chapman pt

A

lateral to AIIS bilaterally

35
Q

Colon anterior chapman pt

A

anterior IT band, as if it were placed along the femurs

36
Q

Appendix posterior chapman pt

A

R lateral to T12

37
Q

Rectum posterior chapman pt

A

posterior-lateral sacrum half way between sacral sulcus and ILA

38
Q

Large intestine posterior chapman pt

A

transverse process of L2, 3, 4

39
Q

VS sympathetic Upper GI

A

t5-T10

40
Q

VS sympathetic SI/AC

A

T9-T11

41
Q

VS sympathetic AC/TC

A

T10-L2

42
Q

VS sympathetic DC/SC/rectum

A

T12-L2

43
Q

VS PS UGI through TC

A

Vagus (OA,AA)

44
Q

VS PS DC through rectum

A

S2-S4

45
Q

Bronchus anterior chapman pt

A

rib 2-3 intercostal space at sternal border

46
Q

Upper lung anterior chapman pt

A

rib 3-4 intercostal space at sternal border

47
Q

Lower lung anterior chapman pt

A

rib 4-5 intercostal space at sternal border

48
Q

Bronchus posterior chapman pt

A

lateral to spinous process T2

49
Q

Upper lung posterior chapman pt

A

T3 spinous process

50
Q

Lower lung posterior chapman pt

A

T4 spinous process

51
Q

VS sympathetic lungs

A

T1-7

52
Q

VS parasympathetic lungs

A

Vagus

53
Q

Myocardium posterior chapman pt

A

superior T3 lateral to spinous process

54
Q

Adrenal posterior chapman pt

A

lateral to spinous process of T11

55
Q

Myocardium anterior chapman pt

A

Rib 2-3 intercostal space parasternally

56
Q

Adrenal anterior chapman pt

A

2 cm lateral and 2 cm superior umbilicus

57
Q

Bladder anterior chapman pt

A

umbilicus

58
Q

Kidney anterior chapman pt

A

1 cm lateral and superior to umbilicus

59
Q

Urethra anterior chapman pt

A

superior surface pubic bone

60
Q

Prostate anterior chapman pt

A

posterior ITB

61
Q

Kidney posterior chapman pt

A

Lateral to L1

62
Q

Ureters posterior chapman pt

A

TP L2

63
Q

Bladder posterior chapman pt

A

TP L2

64
Q

Prostate posterior chapman pt

A

S1, sacral sulci

65
Q

Seminal vesicles posterior chapman pt

A

superior/medial surface PSIS and posterior femoral head

66
Q

VS GU sympathetic

A

T10-L2

67
Q

VS upper ureter sympathetic

A

T10-T11

68
Q

VS lower ureter sympathetic

A

T12-L2

69
Q

VS upper ureter ps

A

Vagus (OA,AA)

70
Q

VS bladder, lower ureter, repro organs PS

A

S2-S4

71
Q

Uterus posterior chapman pt

A

posterior-transverse process L5, sacral sulcus

72
Q

Ovaries posterior chapman pt

A

inferolateral portion of T10

73
Q

Broad ligament posterior chapman pt

A

sacral sulcus

74
Q

Vagina posterior chapman pt

A

sacral sulcus

75
Q

Fallopian tubes posterior chapman pt

A

posterior femoral head, superomedial to PSIS

76
Q

Uterus anterior chapman pt

A

2cm lateral to inferior pubic bone

77
Q

Ovaries anterior chapman pt

A

pubic tubercle

78
Q

Broad ligament anterior chapman pt

A

ITB posterior aspect

79
Q

Thyroid anterior chapman pt

A

Rib 2-3 intercostal space at parasternal boarder

80
Q

Thyroid posterior chapman pt

A

lateral spinous process T2