Lecture 1: Renal Patient Flashcards

1
Q

Which vertebral levels are associated with the upper and lower pole of the kidneys?

A
  • Upper pole at T12
  • Lower pole at L3
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2
Q

Which 3 muscles of the posterior abdomen are in close relationship with the kidneys?

A
  • Quadratus lumborum
  • Psoas major
  • Transversus abdominis
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3
Q

The autonomic innervation of the kidneys and upper half of ureter correlate with what vertebral levels?

A

T10-T11

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4
Q

What is the sympathetic, paraysympathetic, and collateral ganglia associated with the kidneys?

A
  • Sympathetic = Lesser Splanchnic
  • Parasympathetic = Vagus
  • Ganglia = Superior Mesenteric
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5
Q

The autonomic innervation of the lower ureters, bladder, and pelvic organs are at what vertebral levels?

A

T12-L2

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6
Q

What is the sympathetic, parasympathetic, and collateral ganglia associated with the lower ureters, bladder, and pelvic organs?

A
  • Sympathetic = Least/Lumbar Splanchnic
  • Parasympathetic = Sacral (pelvic) Splanchnic (S2-S4)
  • Ganglia = Inferior Mesenteric
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7
Q

Excessive distention of the ureter or spasm of its muscle due to a stone may cause referred pain from which spinal segments?

A

T11-L2

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8
Q

What is the location of the Anterior and Posterior Chapman’s points for the Kidney/Ureters?

A
  • Anterior = 1’’ above and 1’’ lateral to umbilicus
  • Posterior:
  • Kidney = Intertransverse spaces btw T12 and L1
  • Ureters = Intertransverse spaces btw L1 and L2
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9
Q

What is the location of the Posterior Chapman’s point for the Bladder/Urethra?

A

Superior edge of L2 TP

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10
Q

What is the pathway of lymph flow from the intrarenal plexi to the left subclavian V.?

A

Intrarenal plexi –> lateral aortic nodes –> thoracic duct: cisterna chyli to L. subclavian vein

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11
Q

Treatment of constipation in whom is very important so that bladder sx’s can improve?

A

A child

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12
Q

What are 2 contraindications to OMT in the renal patient?

A
  • Pt is unable to tolerate OMT secondary to pain or positioning
  • Delaying more definitive care
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13
Q

List 5 primary locations of SD which may cause a renal patient to be more susceptible to their disease?

A
  • Rib
  • Diaphragm
  • Thoracic
  • Lumbar
  • Pelvic
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14
Q

Which Anterior Thoracic (AT) tenderpoints should you consider for treating a renal patient?

A

AT 9-12

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15
Q

Which posterior TP’s should you consider treating for a renal patient?

A

PT9-PL2

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16
Q

Local osteopathic fascial manipulation was found to decrease pain perception and what aspect of the kidney?

A

Improvement of kidney MOBILITY

17
Q

Referred pain from the ureter may extend into the proximal anterior aspect of the thigh by projection to what nerve (L1, L2)

A

Genitofemoral nerve

18
Q

After passing a stone, you recommend to a patient that he should drink plenty of water and avoid soft drinks/tea, which osteopathic model does this fall under?

A

Behavioral

19
Q

Prescribing antibiotics as part of the tx regimen for pt with pyelonephritis is focusing on which osteopathic model (5-models)?

A

Metabolic Energetic