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OPP IV Exam I > Review (Endo, Repro, Chapman's, Pregnant Patient) > Flashcards

Review (Endo, Repro, Chapman's, Pregnant Patient) Flashcards

1
Q

how much dosage of treatment is necessary when treating chapman’s points

A

decrease in edema

dissolution of the ganliform contracture which lies in the deep fascia

subsidence of the tenderness in the anterior reflex areas

twenty seconds of treatment - two minutes or more

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2
Q

thyroiditis chapmans

A

intercostal space b/w the second and third ribs close to the sternum

posterior:
across the face of the transverse process of the second dorsal vertebrae , midway b/w the spinous process and the tip of the transverse process

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3
Q

adrenal gland blood supply

A

superior, middle, lower suprarenal arteries

veins
R- suprarenal v goes to the IVC
L - suprarenal v goes to the L renal vein then the IVC

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4
Q

lymph nodes drainage of the adrenal gland

A

para aortic nodes, driven by motion of resp diaphragm

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5
Q

lymph drainage of the kidney

A

follow the renal veins to the lateral aortic nodes

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6
Q

adrenal gland spinal cord segments

A

T6-L2

common to see flexed SD’s at the TL junction

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7
Q

thyroid spinal cord segments

A

T1 vasomotor

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8
Q

Pancreas spinal cord segment

A

T6-9 vasomotor

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9
Q

kidney spinal cord segment

A

T10-L1

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10
Q

parasympathetic innervation to the pancreas and liver?

A

CNX

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11
Q

what are 5 areas of somatic dysfunction that can affect vagal function

A 
temporal bone
occipitomastoid suture compression
OA 
AA
C2
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12
Q

what areas should you focus on treatment when you have an adrenal problem

A

crania- altered hypothalamus/pituitary function due to a SBC sompression

abdomen - ventral abdominal release to improve function of celiac, aortiorenal, superior and inferior mesenteric ganglion

sympathetics T6-L2

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13
Q

when treating the thyroid dysfunction what areas should you focus on

A

thoracic inlet

resp diaphragm

upper thoracics (T1)

1st rib - stellate gangliion

cervicals

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14
Q

level of the superior cervical ganglion

A

level of transverse process of C2 and C3

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15
Q

middle cervical ganglion level

A

C6

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16
Q

level of inferior (stellate) cervical gangliion

A

near 1st rib

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17
Q

what happens with increased sympathetic tone to the adrenal gland

A

vasomotor function–> results in increased secretion of epi and norepi

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18
Q

what happens with increased parasympathetic tone to the pancreas

A

para from CNX results in secretomotor function

-secretion of insulin
-bicarb
somatostatin
glucagon

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19
Q

sympathetic and parasympathetic stimulation of the liver?

A

Sympathetic stimulation promotes breakdown of glycogen to glucose to provide
increased energy.

Increased parasympathetic tone decreases degradation of
glycogen and results in decreased energy supply.

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20
Q

sympathetic stimulation of the kidney?

A

sympathetic tone may cause vasoconstriction

enhanced Na reabsorption from proximal tubule

increased renin secretion resulting in net increase in fluid retention and BP

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21
Q

chapmans adrenal gland

A

2-2.5” above and 1”
lateral to umbilicus
(b/l)

posterior
Intertransverse spaces between TV11
and TV12 (b/l)

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22
Q

thyroid gland chapmans

A

anterior
2nd/3rd ICS near
sternum (b/l)

posterior Transverse process of TV2

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23
Q

chapmans pancreas

A

Right 7th ICS close to
costochondral junction

posterior
Right intertransverse spaces midway between the spinous processes and tips of the transverse processes of
TV7-8.

24
Q

liver chapmans

A

anterior
Right 5th and 6th ICS
from MCL to the
sternum

Right intertransverse spaces midway
between the spinous processes and
tips of the transverse processes of
TV5-7

25
kidneys chapmans
anterior 1” lateral to median line and 1” superior to umbilicus posterior Intertransverse space of TV11-12
26
What are the palpable characteristics of chapmans points
Chapman’s reflexes are gangliform (rounded) contractions in deep fascia that can block lymphatic drainage and cause inflammation. They are thought to be associated with sympathetic dysfunctions and are found in regions with overlapping visceral sympathetic innervation. Anterior points do not radiate. Posterior reflexes generally have a more edematous feel with a stringy quality noted deeper than in the anterior reflex. more for treatment! Anterior reflexes have more of a feeling of contraction . more tender. more for diagnosis and efficacy of treatment
27
specify the determining factor for dosing the treatment of a chapman's reflex point
Determining factor for dosage is whether there is a decrease in edema, dissolution of the contracture, and resolution of tenderness at the anterior reflex locus
28
in utero, size of human depends on what
maternal factors--> size, nutrition, health, social status (ETOH, tobacco, stress)
29
after birth, size of human depends on what factors
genetic makeup
30
after 18-24 months what is the growth pattern of children
kids typically stay along the same percentile of growth
31
webbed neck, low set ears, broad chest
turner syndrome
32
webbed neck, double curve scoliosis, and rib deformities
noonan
33
tirangular face, clindoactyly, blue sclera, lack of subQ fat
russel silver
34
the first 18 months after birth signify what type of period for children
catch-up or catch down period in growth
35
structural period of pregnancy
0-12 weeks ``` Examination Postural exam (3 planes) Thoracic inlet fascia Thoracic cage Pelvis and sacrum Viscerosomatic reflexes T10-L2 levels for sympathetics – uterus (contractions, pain) S2-S4 for parasympathetics – cervix (dilation) Chapman’s Reflexes CRI ```
36
stomach hyperacidity chapman
5th intercostal space from the mid-clavicular line to the sternum on the left Stomach hyperacidity - intertransverse space, midway between the spinous and transverse processes, between 5th and 6th vertebrae on the left
37
stomach decreased peristalsis chapman
Stomach decreased peristalsis –6th intercostal space from the mid-clavicular line to the sternum on the left Stomach decreased peristalsis -- intertransverse space, midway between the spinous and transverse processes, between 6th and 7th vertebrae on the left
38
liver gallbladder chapman
Liver/gallbladder – 6th intercostal space from mid-clavicular line to the sternum on the right Liver, gallbladder - intertransverse space, midway between the spinous and transverse processes, between 6th and 7th vertebrae on the right
39
pancreas chapmans
7th ICS right Pancreas - -- intertransverse space, midway between the spinous and transverse processes, between 7th and 8th vertebrae on the right
40
small intestine chapmans
Small intestine – spaces between the 8th and 9th, 9th and 10th, and 10th and 11th ribs near the cartilages bilaterally
41
intestinal peristalsis (constipation) chapmans
Intestinal peristalsis (constipation) - – face of 11th rib at its junction with tip of TP of 11th vertebrae on the right
42
uterus chapmans point
Uterus - laterally on either side of the pubic symphysis – extends downward and outward at an angle, for about 2” across the inner, lower margin of the obturator foramen Uterus – tip of TP of L5 toward iliac crest
43
ovaries chapmans
Ovaries – round ligaments from the upper border of the pubic bone downward to the attachment of the muscles on the lower border Ovaries – intertransverse space between 9th and 10th vertebrae (inner half of the ovary) and 10th and 11th vertebrae (outer half of the ovary)
44
broad ligament ovary
Broad ligament – from the trocanter downward on the outer aspect of the femur to within 2” of the knee joint
45
chapmans posterior for broad ligament, fallopian tubes, uterus, vagina (leukorrhea)
Broad ligament, fallopian tubes, uterus, vagina (leukorrhea) – between PSIS and spinous process of L5
46
vagina clitoris chapmans posterior and anterior
Vagina, clitoris – upper, inner aspect of the posterior thigh 3-5” long and 1.5-2” wide (anterior points), on the side of the articulation of the coccyx with the sacrum (posterior points)
47
fallopian tubes chapmans posteriorly
Fallopian tubes – midway between acetabulum and sciatic notch (anterior points)
48
vagina anterior chapman's
Vagina (leukorrhea) – inner femoral condyle and upwards from 3-6” on the posterior aspect (anterior points)
49
colon chapmans points
an area 1-2” wide, extending from the trocanter to within an inch of the patella on the front, outer aspect of the femur – on the right side = upper 1/5 indicates cecum, next 3/5 ascending colon, last 1/5 for the first 2/5 of transverse colon; on the left side = first 1/5 just above the knee corresponds to the last 3/5 of transverse colon, middle 3/5 is the descending colon, last 1/5 is the sigmoid; extreme upper end of the trocanter on the left side is the recto-sigmoid junction
50
colon (spastic constipation or colitis) chapman's
TP of L2 TP of L4 triangualr area reaching across the iliac crest
51
in the early structural stage of pregnancy (0-12 weeks) what to you focus on treating
Treat any somatic dysfunctions found Hyperemesis gravidarum Treat areas C2 and T5-9 Related Chapman’s reflexes
52
late structural stage of pregnancy is how many weeks.
12-28 Monthly visits Evaluate for somatic dysfunction Expect to find: Pelvis to rotate anterior about a right/left axis at S2 (Increased pelvic tilt) Increase in lumbar lordosis Compensatory increase of thoracic kyphosis May produce strain in cervical spine carpel tunnel
53
treatments to do in the late structural stage (12-28 weeks)
``` Fascial release (direct/indirect) Abdominal wall pain above pubes Especially helpful if pt has had prior surgery with resultant adhesions ``` Anterior counterstrain points L3-5 may help round ligament pain Treat sacrum and pelvis with any modality comfortable to patient
54
what weeks is the congestive state of pregnancy
28-36 weeks Gravitational effects on the uterus accentuate abdominal fascial drag on the inguinal tissues Increased pressure on the venous and lymphatic return flow from the LE’s and inferior vena cava Increase in interstitial fluids Increase in uterus size Produces a “ball-valve” effect on the veins of the lower extremities = edema Some may get HYPOTENSIVE when supine (vena caval compression/supine compression syndrome) Size impedes diaphragmatic and rib excursion Diaphragm works harder due to volume and pressure changes
55
what should your focus be for treatment during the congestive stage (28-36 weeks)
Viscerosomatics Upper GI T5-9 T10-L2 Adrenal Ovarian Uterine contractility – caution! Pelvic diaphragm tx Lifts abdominal contents to relieve constipation Caution: cervix is not far away!! Cranial Can provoke uterine contractions Therefore, avoid unless near term!
56
prepatory stage of pregnancy
36 weeks to delivery Weekly visits Time of “REALLY BEING PREGNANT” Maintain good structural balance and lymphatic flow Build psychological support while planning for delivery
57
during labor how do you: includence uterine contractions influence cervical dilation
Tx thoracic spine Influence uterine contractions via sympathetics Tx sacral base Influence cervical dilation via parasympathetics Tx cranial mechanism (CV4) Influence uterine contractions

OPP IV Exam I (1 decks)

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