Renal Self Study- Sandhouse Flashcards
The sympathetics of T12-L2 activate what?
The Bladder Sphincter, Trigone, and uretheral orifice.
Is the Bladder wall activated or inactivated by parasympathetics?
Activated!
What sympathetic level are the kidney and upper ureter?
T10-L1
Where do the fibers for the lower ureter synapse?
Inferior mesenteric ganglion
What sympathetic level is the bladder?
T12-L2
What are the results of increased sympathetic tone on the renal system?
Afferent arteriole constriction, Decreased GFR, Decreased urine volume, Decreased peristaltic waves, Ureter spasm, Decreased Ureteral flow
Guyton suggested that chronic hypersympathetic tone may result in what?
Hypertension
Vagus controls the parasympathetic tone of what?
Kidney and proximal ureter
What controls the parasympathetics of the distal ureter/bladder?
Pelvic Splanchnic Nerves, S2-S4
What are the results of increased parasympathetic tone on the renal system?
Increased peristalsis of urethra, increased urine flow, increased bladder wall tone.
What are the results of decreased parasympathetic tone on the renal system?
Tight internal urinary sphincter, incomplete emptying of bladder, impotence
What occurs when there is lymphatic congestion?
Increase in oncotic pressure in interstitium, decrease in flow between plasma and interstitium.
Where does the prostate refer to?
T12-L2
Where are the prostate chapman’s points?
Tensor Fascia Lata
What happens with a left lumbar scoliosis?
The right kidney is brought anteriorly
What is the goal of all treatment?
To NORMALIZE
What is the treatment for hyperactivity of sympathetics?
Rib raising, Treat T10-L2, Chapman’s
What is the treatment for hyperactivity of the parasympathetics?
Treat S2-S4, Sacral inhibition, SI Joints
What muscle is often irritated when there is a ureteral calculi?
The Psoas, due to the ureter running across the psoas.
How do you treat ureteral calculi?
You Inhibit sympathetics or increase parasympathetics.
How does the tissue reaction of a chronic problem compare to an acute one?
Chronic have less tissue reaction than acute, as well as fibrotic changes.
What are some treatments for UTI?
Quadratus Lumborum soft tissue, Mobilize psoas, T10-L2, Lymphatic, Abdominal fascial release, Pelvic diaphragm mobilization
In the postpartum period, dysfunction of what can be misinterpreted as a UTI?
Pubic Symphisis
In bladder problems, what is the primary dysfunction?
Tension in the paraspinals T10-L2
