Final: Renal Patient

Question 1

How do you treat nephrolithiasis conservatively?

Answer 1

Hydration and Dietary modification

-surgery if severe

Question 2

What are 4 ways to prevent nephrolithiasis?

Answer 2

Drink More fluids
Avoid Strictly vegetarian diet
Eat more phytate rich foods (bran, legumes)
Avoid excessive animal fats and salts

Question 3

Which nerve refers pain from ureter to groin?

Answer 3

Genitofemoral N (L1-L2)

Question 4

What muscle do most people with renal issues have hypertonicity in?

Answer 4

Psoas

-most renal pts have some sort of psoas syndrome

Question 5

As we age, how does kidney function change?

Answer 5

GFR decreases and nephron # decreases

-cannot clear drugs as well**

Question 6

What type of incontinence: leakage of bladder with pressure?

Answer 6

Stress

Question 7

What type of incontinence: sudden, intense urge followed by involuntary loss of urine?

Answer 7

Urge

Question 8

What type of incontinence: dribbling of urie due to a bladder that doesn’t completely empty?

Answer 8

Overflow

Question 9

What type of incontinence: physical or mental impairment makes it difficult to get to toilet?

Answer 9

Functional

Question 10

Which kidney is inferior and more caudad?

Answer 10

Right

-below the liver

Question 11

Sym innervation of the kidney?

Answer 11

T10-L1

Question 12

Sym innervation of ureter?

Answer 12

Upper: T10-L1
Lower: L1-L2

Question 13

Sym innervation of bladder?

Answer 13

T11-L2

Question 14

PSym of kidney?

Answer 14

Vagus

Question 15

Psym of Ureter?

Answer 15

Upper: Vagus
Lower: S2-S4

Question 16

PSym of bladder?

Answer 16

S2-S4

Question 17

Which CP is 2” above and 1” lateral to umbilicus?

Answer 17

Adrenal

Question 18

Which CP is 1” above and 1” lateral to umbilicus?

Answer 18

Kidney

Question 19

Which CP is around the umbilicus?

Answer 19

Bladder

Question 20

Which CP is on the inner edge of pubic ramus, near the symphysis?

Answer 20

Urethra

Question 21

Posterior CP for Adrenals?

Answer 21

Intertransverse space between T11-T12

Question 22

Posterior CP for Kidneys?

Answer 22

Intertransverse space between T12-L1

Question 23

Posterior CP for Ureters?

Answer 23

Intertransverse space between L1-L2

Question 24

Posterior CP for bladder and urethra?

Answer 24

Superior edge of L2 TP

Question 25

Where is the first LN that the kidneys drain into?

Answer 25

Lateral aortic nodes–>thoracic duct

Question 26

What GI issue can cause bladder symptoms?

Answer 26

Constipation can cause bedwetting and UTIs in kids

Question 27

What innominate dysfunction would you expect for bladder issues?

Answer 27

Superior or Inferior Pubic Shear

Question 28

Counterstrain AT 9-12 Location and Set Up

Answer 28

All FSTRA

AT9 1” Above Umbilicus
AT10 1” Below Umbilicus
AT11 halfway b/t umbilicus and pubis
AT12 Medial ASIS

Question 29

Counterstrain PT 9-PL2 Location and Set Up

Answer 29

All E STRA

PTs=located on TP of corresponding vertebrae
PLs=located on SP (1/2 segment below) of corresponding vertebrae

Pt prone, Doc opposite, Grasp Pt ASIS

Question 30

A reflex related to lymphatic and autonomic interactions is called?

Answer 30

Viscerosomatic reflex

Question 31

If wanting to improve lymphatics of a patient (resp/circ model), what would you do? (5)

Answer 31

1. open the thoracic inlet
2. Dome the thoracic diaphragm
3. Check lower ribs
4. Examine Pelvic diaphragm
5. Pedal pump (if pt can handle)