SPLEEN Flashcards
Cautionary
What points are cautionary on the SP Channel
Why?
12 Points
SP6 and SP11- SP 21
Sp6-pregnancy
Sp11- femoral artery/deep perpendicular
Sp12- femoral artery ( deep medial insertion) femoral vein ( deep lateral insertion)
Sp13- peritoneal cavity thin patients
Sp14- peritoneal cavity thin patient
Sp15- peritoneal cavity/ deep needling can penetrate a substantially enlarged SP or LR
N:p 0.5-1cun
Sp16-peritoneal cavity/ enlarged SP
N:p 0.5-1 cun
Sp17- sp21- deep perpendicular / pneumothorax
N: transverse - oblique along the ICS 0.5-1cun

Cautionary
When following the direction of the SP channel,
what is the 1st cautionary point?
Sp6
Pregnancy
Next one sp 11
Caution: deep perpendicular- femoral artery
Cautionary
SP 12
What is located medial and lateral to this point?
Medial: Femoral Artery
Lateral: Femoral Nerve
caution: no needling medial
caution: no needling lateral.
Location
SP 12
Level with CV 2 / kd11/st30
What MUST we palpate for before needling?
Femoral Artery
caution: deep medial needling
Cautionary
SP 13
What must we be cautious of when needling?
Peritoneal Cavity
caution: deep needling in thin pl.
Cautionary
SP 15
What must we be cautious of when needling?
Peritoneal Cavity
Substantially enlarged SP or LR
caution: deep needling
Other: enlarged sp/ lr
Location
SP 15
What must we palpate for to locate this point?
Border of the rectus abdominis muscle
SP15 is level with the umbilicus and
kd 16/ ST25 / gb26
Cautionary
SP 14
What must we be cautious of when needling?
Peritoneal Cavity
SP14 is located 1.3 cun inferior to SP15
caution: deep needling
Cautionary
SP 16
What must we be cautious of when needling?
2 Points
Peritoneal Cavity
Enlarged Spleen
caution: deep needling
caution: OTHER - enlarged spleen
Location
SP 16
What must we palpate for in locating this point?
Lateral boarder of rectus abdominis muscle
3 cun superior to umbilicus
Located level with CV11, ST22.
Cautionary
SP 17
What must we be cautious of when needling?
LUNG
pneumothorax
5th intercostal space with GB 22,23
caution: perpendicular needling
Other: pneumothorax
Location
SP 17
What intercostal space is it located in?
How many cun from the mid line?
What other points are on the same ICS, lateral to medial ?
5th Intercostal Space
6 cun from midline
Same intercostal space as GB 22, GB23,st18, kd22
Cautionary
SP 18
What must we be cautious of when needling?
LUNG
pneumothorax
caution: perpendicular needling
Location
SP 18
What intercostal space is it located in?
4th Intercostal space
6 cun from midline
same intercostal space as the nipple
Cautionary
SP 19
What must we be cautious of when needling?
LUNG
pneumothorax
Located in 3rd intercostal space
caution: perpendicular needling
