Chapmans reflexes Flashcards
Chapmans point treatment
Firm pressure with finger pad of one finger. Slowly move tip of finger in circular fashion 10-30 seconds. Can alternate clockwise counterclockwise. Cease when mass dissapears or procedure no longer tolerated.
Arms
Superior medial border of scapula, , T2 lateral to spinous process
Middle ear Anterior/Posterior
Anterior: Superior medial 1/3 of clavicle
Posterior: Occiput 2 cm lateral from midline
Sinuses Anterior/posterior
A: Superior border of rib 2, inferior medial clavicle
P: Below occiput, lateral to spinous process of C2
Larynx
Rib 2 costcochondral jxn
Tonsils
between rib 1/2 just lateral to manubrium
Tongue
Jxn of 1st rib and sternum
Posterior Pharynx/Larynx/Tongue
Lateral to spinous process of
C2
Spleen anterior/posterior
Anterior: between ribs 7 & 8 at the
costochondral junction on the LEFT
Posterior: lateral to T7 on the LEFT
Esophagus Anterior/posterior
A: Between rib 2 & 3 parasternally
P:Lateral to T2 spinous process
Stomach - LEFT anterior/posterior
A:Between Rib 5/6 and 6/7 at costochondral junction
P: Lateral to T5 & T6 spinous process
Liver - RIGHT anterior/posterior
A: Between Rib 5/6 and 6/7 at costochondral junction
P: Lateral to T5 & T6 spinous process
Pancreas - RIGHT anterior/Posterior
A: Between Ribs 6&7 @ costochondral jxn
P: Lateral to spinous process of T7
Small intestines anterior/posterior
A: Between Ribs 8/9, 9/10, and 10/11 bilat @costochondral jxn
P: Lateral to spinous processes of T8, 9, 10
Gallbladder – RIGHT posterior
Lateral to T6
Intestine peristalsis Anterior/posterior
A: lateral to AIIS bilaterally
P: Superior surface of rib 11, medial to the rib angle
Appendix Anterior/posterior
A: Tip of the 12th rib
P: lateral to T12
A Colon – Iliotibial Band
As if the colon were anteriorly displaced along the femurs. (Cecum at the greater trochanter [R]; hepatic flexure just above [R] knee)
P Rectum
Posterior-lateral
sacrum ½ way
between sacral sulcus
and ILA
P Large Intestines
Transverse processes
of L2, 3, 4
Bronchus Anterior/posterior
A: Rib 2/3 intercostal space @ sternal border
P: Lateral to spinous process of T2
Upper Lung Anterior/posterior
A: Rib 3/4 intercostal space @ sternal border
P: Lateral to spinous process of T3
Lower Lung Anterior/posterior
A: Rib 4/5 intercostal space @ sternal border
P: Lateral to spinous process of T4
Myocardium Anterior/posterior
A: Rib 2/3 intercostal space parasternally
P: superior border of T3 (lateral to spinous process)
Adrenal Anterior/posterior
A: 2 cm lateral, 2 cm superior to the umbilicus
P: lateral to the spinous process of T11
Kidneys Anterior/posterior
A: Anterior abdominal wall 1 cm above/lateral to umbilicus
P: Lateral to spinous process of L1
Bladder Anterior/posterior
A: Umbilicus
P: Transverse process of L3
Prostate Anterior/posterior
A: ITB (posterior aspect)
P: S1
A Urethra
Superior surface of the pubic
bone
P Ureters
Transverse process of L2
P Seminal Vesicles
Superior/Medial surface of the
PSIS and posterior femoral head
Uterus Anterior/posterior
A: 2cm lateral (from midline) to inferior pubic bone
P: Posterior-transverse process of L5, Sacral sulcus
Ovaries Anterior/posterior
A: Pubic tubercle
P: Inferolateral portion of T10
Broad ligament Anterior/posterior
A: Iliotibial Band (posterior aspect)
P: Sacral sulcus
P Vagina
Sacral sulcus
P Fallopian tubes
Posterior femoral head,
Superomedial to PSIS
Thyroid Anterior/posterior
A: Rib 2/3 intercostal space at parasternal border
P: lateral to spinous process of T2
