Chapter 11 Chapman's Points and Trigger Points Flashcards

1
Q

How would you describe anterior chapman’s points?

A

Smooth, firm, discretely palpable nodules approx 2-3mm in diameter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where are anterior chapman’s points located?

A

Within deep fascia or on periosteum of bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where are posterior chapmna’s points located?

A

Bt spinous and transverse processes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How would you describe posterior chapman’s points?

A

Rubbery, similar to tissues texture changes assoc with classic viscero-somatic reflexes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What will gentle pressure on a chapman’s point elicit?

A

Sharp, nonradiating, exquisitely distressing pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are chapman’s points?

A

Somatic manifestations of a visceral dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Anterior appendix?

A

Tip of right 12th rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Posterior appendix?

A

Transverse process of T11

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The presence of which particular reflex helps to direct the DDx more toward acute appendicitis?

A

Posterior appendix chapman’s point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Anterior adrenal?

A

2” superior and 1” lateral to umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Posterior andrenals?

A

Bt spinous and transverse processes of T11 and T12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Anterior kidneys?

A

1” superior and 1” lateral to umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Posterior kidney?

A

Bt spinous and transverse processes of T12 and L1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Bladder?

A

Periumbilical region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Colon?

A

Lateral thigh within the IT band from greater trochanter to just above knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cecum?

A

Right proximal femur

17
Q

Hepatic flexure?

A

Right distal femur

18
Q

Sigmoid colon?

A

Left proximal femur

19
Q

Splenic flexure?

A

Left distal femur

20
Q

What is a trigger point?

A

May refer pain when pressed

21
Q

What is a tender point?

A

DOES NOT refer pain when pressed

22
Q

Where will trigger points of the SCM refer pain?

A

Ipsilateral occipital and temporal regions

23
Q

What trigger point is assoc with supraventricular tachycardias?

A

Right pectoralis muscle bt 5th and 6th ribs near the sternum

24
Q

What do trigger points represent?

A

Somatic manifestations of a viscero-somatic, somato-visceral or somato-somatic reflex

25
Q

Methods are used to eliminate trigger points?

A

Neurological or vascular methods

26
Q

How do you treat myofascial trigger points?

A

Spray and stretch using vapocoolant spray, injection with local anesthetic

27
Q

What are tenderpoints used for?

A

Diagnostic criteria and as a treatment monitor for counterstrain