Course overview and SOAP note writing

Question 1

know the viscerosomatic levels for the cardiopulmonary system. do it

Answer 1

now

Question 2

know the anterior and posterior chapman’s reflex points for cardiac and lower respiratory systems

Answer 2

now

Question 3

what are viscerosomatic reflexes?

Answer 3

Localized visceral stimuli producing patterns of reflex response in segmentally related somatic structures
Tissue texture abnormality and tenderness in the dermatomes and myotomes that share innervation with the etiologic pathology

Question 4

pupils

facilitation level

Answer 4

T1-4

Question 5

SINUSES facilitation level

Answer 5

T1-4

Question 6

carotid body and sinus

Answer 6

T1-4

Question 7

lacrimal and salivary glands

Answer 7

T1-4

Question 8

trachea and bronchi

Answer 8

T1-6

Question 9

Heart***

Answer 9

T1-6

Question 10

upper extremity

Answer 10

T2-T6

Question 11

lungs, visceral pleura

Answer 11

T1-6

Question 12

esophagus

Answer 12

T1-6

Question 13

Gallbladder

Answer 13

T5R

Question 14

Stomach

Answer 14

T5-T9 L

Question 15

Liver

Answer 15

T5 R

Question 16

Spleen

Answer 16

T7 L

Question 17

Pancreas

Answer 17

T7 R

Question 18

Adrenal Glands

Answer 18

T10-11

Question 19

Small intestine

Answer 19

T10-11

Question 20

Ascending, transverse colon

Answer 20

T10-11

Question 21

Urinary bladder

Answer 21

T12-L2

Question 22

kidneys

Answer 22

T10-11

Question 23

Ureters- Proximal

Answer 23

T10-11

Question 24

Testes/Ovaries

Answer 24

T10-11

Question 25

Uterus

Answer 25

T10-L2

Question 26

Lower extremity

Answer 26

T10-L3

Question 27

Appendix

Answer 27

T12

Question 28

Ureters distal

Answer 28

T12-L1

Question 29

Descending, Sigmoid colon, rectum

Answer 29

T12-L2

Question 30

Prostate

Answer 30

T12-L2

Question 31

what are chapman’s reflex points?

Answer 31

Gangliform contraction that may block lymphatic drainage, causing inflammation in distal tissues

Often described as a “nodule”

Believed to be part of sympathetic dysfunction

Found in regions which overlap with visceral sympathetic efferent innervation

Excessive input from a viscera of the head or neck produces facilitation of the upper thoracic cord segs and results in reflex stim of somatic tissues innervated by T1-4 (viscero-somatic reflex). Palpatory changes in the upper thoracic and cervical paraspinal tissues as well as traditional Chapman’s reflex locations therefore indicate incr functional activity of the sympathetic nervous system in this region. Pg 3 Kuchera Osteopathic Considerations in System Dysfunction

Question 32

what are the clinical uses chapman’s reflex points

Answer 32

Diagnosis

Influencing the motion of fluids, mostly lymph

Influencing visceral function through the peripheral nervous system