Renal Self Study- Sandhouse

Question 1

The sympathetics of T12-L2 activate what?

Answer 1

The Bladder Sphincter, Trigone, and uretheral orifice.

Question 2

Is the Bladder wall activated or inactivated by parasympathetics?

Answer 2

Activated!

Question 3

What sympathetic level are the kidney and upper ureter?

Answer 3

T10-L1

Question 4

Where do the fibers for the lower ureter synapse?

Answer 4

Inferior mesenteric ganglion

Question 5

What sympathetic level is the bladder?

Answer 5

T12-L2

Question 6

What are the results of increased sympathetic tone on the renal system?

Answer 6

Afferent arteriole constriction, Decreased GFR, Decreased urine volume, Decreased peristaltic waves, Ureter spasm, Decreased Ureteral flow

Question 7

Guyton suggested that chronic hypersympathetic tone may result in what?

Answer 7

Hypertension

Question 8

Vagus controls the parasympathetic tone of what?

Answer 8

Kidney and proximal ureter

Question 9

What controls the parasympathetics of the distal ureter/bladder?

Answer 9

Pelvic Splanchnic Nerves, S2-S4

Question 10

What are the results of increased parasympathetic tone on the renal system?

Answer 10

Increased peristalsis of urethra, increased urine flow, increased bladder wall tone.

Question 11

What are the results of decreased parasympathetic tone on the renal system?

Answer 11

Tight internal urinary sphincter, incomplete emptying of bladder, impotence

Question 12

What occurs when there is lymphatic congestion?

Answer 12

Increase in oncotic pressure in interstitium, decrease in flow between plasma and interstitium.

Question 13

Where does the prostate refer to?

Answer 13

T12-L2

Question 14

Where are the prostate chapman’s points?

Answer 14

Tensor Fascia Lata

Question 15

What happens with a left lumbar scoliosis?

Answer 15

The right kidney is brought anteriorly

Question 16

What is the goal of all treatment?

Answer 16

To NORMALIZE

Question 17

What is the treatment for hyperactivity of sympathetics?

Answer 17

Rib raising, Treat T10-L2, Chapman’s

Question 18

What is the treatment for hyperactivity of the parasympathetics?

Answer 18

Treat S2-S4, Sacral inhibition, SI Joints

Question 19

What muscle is often irritated when there is a ureteral calculi?

Answer 19

The Psoas, due to the ureter running across the psoas.

Question 20

How do you treat ureteral calculi?

Answer 20

You Inhibit sympathetics or increase parasympathetics.

Question 21

How does the tissue reaction of a chronic problem compare to an acute one?

Answer 21

Chronic have less tissue reaction than acute, as well as fibrotic changes.

Question 22

What are some treatments for UTI?

Answer 22

Quadratus Lumborum soft tissue, Mobilize psoas, T10-L2, Lymphatic, Abdominal fascial release, Pelvic diaphragm mobilization

Question 23

In the postpartum period, dysfunction of what can be misinterpreted as a UTI?

Answer 23

Pubic Symphisis

Question 24

In bladder problems, what is the primary dysfunction?

Answer 24

Tension in the paraspinals T10-L2

Question 25

Post op urinary retention can be treated by what?

Answer 25

INcreasing parasympathetic health! Sacrum, Pubis, Thoracolumbar Junction (decrease sympathetic)

Question 26

How to treat enuresis?

Answer 26

Treat innominates, Coccyx, Pelvic diaphragm

Question 27

What can trigger points in the lower abdomen do?

Answer 27

Cause urinary frequency/urgency, sphincter spasm, bladder pain, residual urine.