Head and Neck/Mediastinum Chapman Points

Question 1

Sinuses Anterior and Posterior Points

Answer 1

Anterior: Inferior to Midclavicle
Posterior: Between SP and TP of C2

Question 2

Tonsils Anterior and Posterior

Answer 2

Anterior:1st ICS
Posterior: Between SP and TP C1

Question 3

Middle Ear Anterior and Posterior

Answer 3

Anterior: Superior Clavicle
Posterior: TP of C1

Question 4

Esophagus, Thyroid, Bronchi: Anterior and Posterior Points

Answer 4

Anterior: 2nd ICS
Posterior: Between SP and TP of T2

NOTE: Thyroid doesn’t have a Posterior Point

Question 5

Heart Anterior and Posterior

Answer 5

Anterior: 2nd ICS
Posterior: Between SP and TP of T2-T3

Question 6

Upper Lung

Answer 6

Anterior: 3rd ICS
Posterior: Btw SP and TP of T3-4

Question 7

Lower Lung

Answer 7

Anterior: 4th ICS
Posterior: Btw SP and TP of T4-5

Question 8

Pharynx

Answer 8

Anterior: 3-4cm medial to where first rib emerges from beneath clavicle
Posterior: Btw SP and TP of C2

Question 9

Larynx

Answer 9

Anterior: On 2nd rib 5-7cm lateral to sternocostal junction
Posterior: Btw SP and TP of C2

Question 10

Esophagus

Answer 10

Anterior: 2nd ICS
Posterior: Btwn SP and TP of T2

Question 11

Stomach Acidity

Answer 11

Anterior: Left 5th ICS
Posterior: Btw SP and TP of T5-6

Question 12

Stomach Peristalsis

Answer 12

Anterior: Left ICS
Posterior: Btw SP and TP of T6-7

Question 13

Pylorus

Answer 13

Only Posterior: Right 10th Costotransverse Junction

Question 14

Liver/Gallbladder

Answer 14

Anterior:
- Liver: Right 5th/6th ICS at Intercostal junction
- Gallbladder: Right 6th ICS at Sternocostal junction
Posterior: Intertransverse Space btwn T5-7

Question 15

Pancreas

Answer 15

Anterior: R. 7th ICS
Posterior: Intertransverse Space btwn T7-8 on Right

Question 16

Spleen

Answer 16

Anterior: Left 7th ICS
Posterior: Left TP of T7

Question 17

Appendix

Answer 17

Anterior: Tip of 12th rib
Posterior: Intertransverse space T11-12 (right)

Question 18

Cecum

Answer 18

Anterior: Right Lateral Thigh (Upper 1/5th)
Posterior: Btwn L2 and L4 transverse processes

Question 19

Large Intestines

Answer 19

Anterior: Lateral Thigh
Posterior: Btwn L2 and L4 transverse processes

Question 20

Rectum

Answer 20

Anterior: Lesser Trochanter (Proximal Inner Thigh)
Posterior: S2

Question 21

Small Intestines

Answer 21

Anterior:
- Duodenum: 8th ICS
- jejunum: 9th ICS
- Ileum: 10th ICS
Posterior: Midway btwn SP and TP of…
-Duodenum: T8-9
-Jejunum: T9-10
-Ileum: T10-11

Question 22

Thyroid

Answer 22

Anterior: 2nd ICS
Posterior: No point exists

Question 23

Adrenal Glands

Answer 23

Anterior: 1in lateral and 2in superior to umbilicus
Posterior: Intertransverse space btwn T11-12