Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

lymph nodes drainage of the adrenal gland

A

para aortic nodes, driven by motion of resp diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

lymph drainage of the kidney

A

follow the renal veins to the lateral aortic nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

adrenal gland spinal cord segments

A

T6-L2

common to see flexed SD’s at the TL junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

thyroid spinal cord segments

A

T1 vasomotor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pancreas spinal cord segment

A

T6-9 vasomotor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

kidney spinal cord segment

A

T10-L1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

parasympathetic innervation to the pancreas and liver?

A

CNX

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

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

A 
temporal bone
occipitomastoid suture compression
OA 
AA
C2
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

level of the superior cervical ganglion

A

level of transverse process of C2 and C3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

middle cervical ganglion level

A

C6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

level of inferior (stellate) cervical gangliion

A

near 1st rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what happens with increased sympathetic tone to the adrenal gland

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

thyroid gland chapmans

A

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

posterior Transverse process of TV2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
Q

kidneys chapmans

A

anterior
1” lateral to median
line and 1” superior to
umbilicus

posterior
Intertransverse space of TV11-12

26
Q

What are the palpable characteristics of chapmans points

A

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
Q

specify the determining factor for dosing the treatment of a chapman’s reflex point

A

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
Q

in utero, size of human depends on what

A

maternal factors–> size, nutrition, health, social status (ETOH, tobacco, stress)

29
Q

after birth, size of human depends on what factors

A

genetic makeup

30
Q

after 18-24 months what is the growth pattern of children

A

kids typically stay along the same percentile of growth

31
Q

webbed neck, low set ears, broad chest

A

turner syndrome

32
Q

webbed neck, double curve scoliosis, and rib deformities

A

noonan

33
Q

tirangular face, clindoactyly, blue sclera, lack of subQ fat

A

russel silver

34
Q

the first 18 months after birth signify what type of period for children

A

catch-up or catch down period in growth

35
Q

structural period of pregnancy

A

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
Q

stomach hyperacidity chapman

A

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
Q

stomach decreased peristalsis chapman

A

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
Q

liver gallbladder chapman

A

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
Q

pancreas chapmans

A

7th ICS right

Pancreas - – intertransverse space, midway between the spinous and transverse processes, between 7th and 8th vertebrae on the right

40
Q

small intestine chapmans

A

Small intestine – spaces between the 8th and 9th, 9th and 10th, and 10th and 11th ribs near the cartilages bilaterally

41
Q

intestinal peristalsis (constipation) chapmans

A

Intestinal peristalsis (constipation) - – face of 11th rib at its junction with tip of TP of 11th vertebrae on the right

42
Q

uterus chapmans point

A

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
Q

ovaries chapmans

A

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
Q

broad ligament ovary

A

Broad ligament – from the trocanter downward on the outer aspect of the femur to within 2” of the knee joint

45
Q

chapmans posterior for broad ligament, fallopian tubes, uterus, vagina (leukorrhea)

A

Broad ligament, fallopian tubes, uterus, vagina (leukorrhea) – between PSIS and spinous process of L5

46
Q

vagina clitoris chapmans posterior and anterior

A

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
Q

fallopian tubes chapmans posteriorly

A

Fallopian tubes – midway between acetabulum and sciatic notch (anterior points)

48
Q

vagina anterior chapman’s

A

Vagina (leukorrhea) – inner femoral condyle and upwards from 3-6” on the posterior aspect (anterior points)

49
Q

colon chapmans points

A

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
Q

colon (spastic constipation or colitis) chapman’s

A

TP of L2
TP of L4
triangualr area reaching across the iliac crest

51
Q

in the early structural stage of pregnancy (0-12 weeks) what to you focus on treating

A

Treat any somatic dysfunctions found
Hyperemesis gravidarum
Treat areas C2 and T5-9
Related Chapman’s reflexes

52
Q

late structural stage of pregnancy is how many weeks.

A

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
Q

treatments to do in the late structural stage (12-28 weeks)

A 
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
Q

what weeks is the congestive state of pregnancy

A

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
Q

what should your focus be for treatment during the congestive stage (28-36 weeks)

A

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
Q

prepatory stage of pregnancy

A

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
Q

during labor how do you:
includence uterine contractions

influence cervical dilation

A

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)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions