Gastrointestinal - Chapman's Points Flashcards
What is the anterior abdomen chapman’s point?
Just lateral to the pubic symphysis on the upper edge of the ramus.
What is the posterior abdomen chapman’s point?
Tip of the transverse process of L2
What is the anterior appendix chapman’s point?
Upper edge of the 12th rib on the right, near the tip
What is the posterior appendix chapman’s point?
Intertransverse space of TV11/12 on the right
What is the anterior chapman’s point for the colon?`
This can be an area 1-2” wide from the trochanter to patella on the antero-lateral surface of the femur.
ON THE RIGHT
The upper 1/5 corresponds to the cecum
Middle 3/5 = ascending colon
Lower 1/5 = initial 2/5 of transverse colon
ON THE LEFT
The lower 1/5 = remaining 3/5 of transverse colon
Middle 3/5 = descending colon
Upper 1/5 = sigmoid colon
Superior trochanter = recto-sigmoid junction
What is the posterior chapman’s point for the colon?
A triangular area spanning from transverse processes of LV2 and LV4 to the iliac crest
What is the anterior chapman’s point for the esophagus?
2nd intercostal space near the sternum
What is the posterior chapman’s point for the esophagus?
Midway between the spinous and transverse process of TV2
NOTE: Same as the bronchus
What is the anterior chapman’s point for the gallbladder
6th intercostal space between the MCL and sternum on the right
What is the posterior chapman’s point for the gallbladder?
Intertransverse space of TV6/7 on the right
What is the anterior chapman’s point of constipation?
Between the ASIS and greater trochanter
What is the posterior chapman’s point of constipation?
Costovertebral junction of the 11th rib on the right
What is the anterior chapman’s point of the liver?
5th and 6th intercostal spaces from MCL to sternum on the right
What is the posterior chapman’s point of the liver?
Intertransverse space of TV5/6 or TV6/7 on the right
What is the anterior chapman’s point of the pancreas?
7th intercostal space near the costochondral junction, on the right
What is the posterior chapman’s point of the pancreas?
Intertransverse space of TV7/8 on the right
What is the anterior chapman’s point for pyloric stenosis?
Sternal body from angle to xiphoid
What is the posterior chapman’s point for pyloric stenosis?
Costovertebral junction of the 10th rib on the right
What is the anterior chapman’s point of the rectum?
Lesser trochanter of the femur
What is the posterior chapman’s point of the rectum?
Inferior aspect of the SI joint, on the edge of the sacrum
What is the anterior chapman’s point of the small intestine?
8th, 9th, and 10th intercostal spaces near the cartilaginous attachments
What is the posterior chapman’s point of the small intestine?
Intertransverse spaces of TV8/9, TV9/10, and TV10/11
What is the spleen anterior chapman’s point?
7th intercostal space near costochondral joint on the left
What is the posterior chapman’s point of the spleen?
Intertransverse space of TV7/8 on the left
What is the anterior chapman’s point for decreased stomach peristalsis?
6th intercostal space from MCL to sternum on the left
What is the posterior chapman’s point for decreased stomach peristalsis?
Intertransverse space of TV6/7 on the left
What is the anterior chapman’s point of stomach hyperacidity?
5th intercostal space from MCL to sternum on the left
What is the posterior chapman’s point for stomach hyperacidity?
Intertransverse space of TV5/6 on the left
What is the anterior chapman’s point for the tongue?
Superior aspect of the 2nd rib near the sternum
What is the posterior chapman’s point for the tongue?
Midway between the spinous and transverse processes of CV2
What is the anterior chapman’s point for the tonsils?
1st intercostal space near the sternum
What is the posterior chapman’s point for the tonsils?
Midway between the transverse process and nuchal ligament of CV1
What is the posterior chapman’s point for hemorrhoids?
Inferior aspect of the SI joint, on the edge of the sacrum and on the ischial tuberosity
