Renal_Huzij Flashcards
The human being is a ______ unit of function.
Dynamic unit
The body posses ______ that are self healing in nature
self-regulatory mechanisms
____ and ____ are interrelated at all times
structure and function
_____ is based on these principals
Rational Treatment
Somatic Dysfunction Definition
Impaired or altered function of related components of the somatic (body framework) system: skeletal, arthrodial and myofascial structures, and their related vascular, lymphatic, and neural elements
Urologic Anatomy:
The Kidneys are __-peritoneal.
retroperitoneal
Urologic Anatomy:
The R Kidney is associated with the _____.
Duodenum
Urologic Anatomy:
The L Kindey is associated with the ____-
tail of the pancreas
Urologic Anatomy:
Name the 4 mm associated with the kidneys
- Diaphragm
- Psoas
- Quadratus Lumborum
- Transversus Abdominus
Urologic Anatomy:
What mm attaches at the 11th rib?
Internal oblique
Urologic Anatomy:
What mm attaches at the 12th rib?
Quadratus Lumborum
Urologic Anatomy:
Rib(s) assocaiated with the L kidney?
Rib 11 and 12
Urologic Anatomy:
Rib(s) associated with the R kindey?
Rib 12
Urologic Anatomy:
Other non-mm/bone structures associated with the kidney? (2)
- Adrenal gland
2. Arcuate ligament
Urologic Anatomy:
Structures associated with the bladder? (2)
- Ureters
2. Pubic symphysis
SNS Innervation for the Kidney?
T10 - 11
SNS innervation for the Ureter?
T10 - L1
SNS innervation for the Bladder?
T12 - L2
Pre-ganglionic sympathetic fibers for the kindey, ureter, and bladder synapse in the _____.
Superior and inferior mesenteric Ganglion
PSN innervation for the kidney and upper ureter?
Vagus n
PNS innervation for the bladder and lower ureter?
S2-S4
ME: Internal Oblique &Quadratus Lumborum:
Patient _____; Physician stands ______ to be treated.
Prone…..opposite side
ME: Internal Oblique &Quadratus Lumborum:
____ hand grasps _____; ____ hand stabilizes _____; What rib do yo stabilize for internal oblique? Quadratus Lumborum?
Caudad hand grasps ASIS; Cephalad hand Stabilizes Rib (11 or 12). Internal oblique - Rib 11Quadratus Lumborum - Rib 12
ME: Internal Oblique &Quadratus Lumborum Pt and PCP actions:
PCP - Pull ASIS ____; stabilize rib _____ while Pt pulls ASIS ____. PCP resists motion and stretches to new barrier. Treat _____.
…..posteriorly…..to the barrier…..towards the table…..bilaterally
Direct ME for re-doming the diaphragm:
Activating force in ____; refine barrier on _____. Repeat ____.
Inhalation…..Exhalation…..x2
Iliacus (Psoas) TP location
2 inches inferior and 2 inches medial from the ASIS
Iliacus (Psoas) TP patient positioning
- patient is supine; PCP stands on tender side
- flex and externally rotate both the pts legs and place them on your thigh. Flex and sidebend pt until TP resolves; hold for 90 sec and recheck
Anterior location of the kidney’s Chapmans point?
B/L 2.5 cm lateral and superior to the umbilicus
Posterior location of the kidney’s Chapmans Point?
B/L between the transverse processes of T12 and L1
How to treat a Chapmans Point?
circular motion at the point
When treating kidney chapmans point, you treat the _____ point before the ______ point.
anterior before posterior
Visceral treatment of the kidney via deep palpation:
- Start Lateral to Umbilicus on Medial border of Ascending/Descending Colon
- Move Cephalad until contact Anterior/Inferior aspect of Kidney
- Exhalation: Move kidney Cephalo-Medially
- Inhalation: Hold position
Visceral treatment of the kidney via hip movement:
- pt is supine
- operator hand on pt’s quadratus lumborum providing an anterior pressure
- pt flexes, externally rotates, abducts, then extends ipsilateral hip
- repeat 3-4
Treatment for Acute Nephrolithiasis (3)
- Oral hydration, Opioid pain med, Ca Channel or Alpha 1 antagonist.
2 Urology referral (Multiple stones or >5mm) - OMM
