Renal_Huzij

Question 1

The human being is a ______ unit of function.

Answer 1

Dynamic unit

Question 2

The body posses ______ that are self healing in nature

Answer 2

self-regulatory mechanisms

Question 3

____ and ____ are interrelated at all times

Answer 3

structure and function

Question 4

_____ is based on these principals

Answer 4

Rational Treatment

Question 5

Somatic Dysfunction Definition

Answer 5

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

Question 6

Urologic Anatomy:

The Kidneys are __-peritoneal.

Answer 6

retroperitoneal

Question 7

Urologic Anatomy:

The R Kidney is associated with the _____.

Answer 7

Duodenum

Question 8

Urologic Anatomy:

The L Kindey is associated with the ____-

Answer 8

tail of the pancreas

Question 9

Urologic Anatomy:

Name the 4 mm associated with the kidneys

Answer 9

1. Diaphragm
2. Psoas
3. Quadratus Lumborum
4. Transversus Abdominus

Question 10

Urologic Anatomy:

What mm attaches at the 11th rib?

Answer 10

Internal oblique

Question 11

Urologic Anatomy:

What mm attaches at the 12th rib?

Answer 11

Quadratus Lumborum

Question 12

Urologic Anatomy:

Rib(s) assocaiated with the L kidney?

Answer 12

Rib 11 and 12

Question 13

Urologic Anatomy:

Rib(s) associated with the R kindey?

Answer 13

Rib 12

Question 14

Urologic Anatomy:

Other non-mm/bone structures associated with the kidney? (2)

Answer 14

1. Adrenal gland

2. Arcuate ligament

Question 15

Urologic Anatomy:

Structures associated with the bladder? (2)

Answer 15

1. Ureters

2. Pubic symphysis

Question 16

SNS Innervation for the Kidney?

Answer 16

T10 - 11

Question 17

SNS innervation for the Ureter?

Answer 17

T10 - L1

Question 18

SNS innervation for the Bladder?

Answer 18

T12 - L2

Question 19

Pre-ganglionic sympathetic fibers for the kindey, ureter, and bladder synapse in the _____.

Answer 19

Superior and inferior mesenteric Ganglion

Question 20

PSN innervation for the kidney and upper ureter?

Answer 20

Vagus n

Question 21

PNS innervation for the bladder and lower ureter?

Answer 21

S2-S4

Question 22

ME: Internal Oblique &Quadratus Lumborum:

Patient _____; Physician stands ______ to be treated.

Answer 22

Prone…..opposite side

Question 23

ME: Internal Oblique &Quadratus Lumborum:

____ hand grasps _____; ____ hand stabilizes _____; What rib do yo stabilize for internal oblique? Quadratus Lumborum?

Answer 23

Caudad hand grasps ASIS; Cephalad hand Stabilizes Rib (11 or 12). Internal oblique - Rib 11Quadratus Lumborum - Rib 12

Question 24

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 _____.

Answer 24

…..posteriorly…..to the barrier…..towards the table…..bilaterally

Question 25

Direct ME for re-doming the diaphragm: | Activating force in ____; refine barrier on _____. Repeat ____.

Answer 25

Inhalation.....Exhalation.....x2

Question 26

Iliacus (Psoas) TP location

Answer 26

2 inches inferior and 2 inches medial from the ASIS

Question 27

Iliacus (Psoas) TP patient positioning

Answer 27

- 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

Question 28

Anterior location of the kidney's Chapmans point?

Answer 28

B/L 2.5 cm lateral and superior to the umbilicus

Question 29

Posterior location of the kidney's Chapmans Point?

Answer 29

B/L between the transverse processes of T12 and L1

Question 30

How to treat a Chapmans Point?

Answer 30

circular motion at the point

Question 31

When treating kidney chapmans point, you treat the _____ point before the ______ point.

Answer 31

anterior before posterior

Question 32

Visceral treatment of the kidney via deep palpation:

Answer 32

1. Start Lateral to Umbilicus on Medial border of Ascending/Descending Colon 2. Move Cephalad until contact Anterior/Inferior aspect of Kidney 3. Exhalation: Move kidney Cephalo-Medially 4. Inhalation: Hold position

Question 33

Visceral treatment of the kidney via hip movement:

Answer 33

- 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

Question 34

Treatment for Acute Nephrolithiasis (3)

Answer 34

1. Oral hydration, Opioid pain med, Ca Channel or Alpha 1 antagonist. 2 Urology referral (Multiple stones or >5mm) 3. OMM