Renal_Huzij Flashcards

1
Q

The human being is a ______ unit of function.

A

Dynamic unit

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2
Q

The body posses ______ that are self healing in nature

A

self-regulatory mechanisms

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3
Q

____ and ____ are interrelated at all times

A

structure and function

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4
Q

_____ is based on these principals

A

Rational Treatment

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5
Q

Somatic Dysfunction Definition

A

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

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6
Q

Urologic Anatomy:

The Kidneys are __-peritoneal.

A

retroperitoneal

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7
Q

Urologic Anatomy:

The R Kidney is associated with the _____.

A

Duodenum

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8
Q

Urologic Anatomy:

The L Kindey is associated with the ____-

A

tail of the pancreas

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9
Q

Urologic Anatomy:

Name the 4 mm associated with the kidneys

A
  1. Diaphragm
  2. Psoas
  3. Quadratus Lumborum
  4. Transversus Abdominus
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10
Q

Urologic Anatomy:

What mm attaches at the 11th rib?

A

Internal oblique

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11
Q

Urologic Anatomy:

What mm attaches at the 12th rib?

A

Quadratus Lumborum

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12
Q

Urologic Anatomy:

Rib(s) assocaiated with the L kidney?

A

Rib 11 and 12

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13
Q

Urologic Anatomy:

Rib(s) associated with the R kindey?

A

Rib 12

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14
Q

Urologic Anatomy:

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

A
  1. Adrenal gland

2. Arcuate ligament

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15
Q

Urologic Anatomy:

Structures associated with the bladder? (2)

A
  1. Ureters

2. Pubic symphysis

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16
Q

SNS Innervation for the Kidney?

A

T10 - 11

17
Q

SNS innervation for the Ureter?

A

T10 - L1

18
Q

SNS innervation for the Bladder?

A

T12 - L2

19
Q

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

A

Superior and inferior mesenteric Ganglion

20
Q

PSN innervation for the kidney and upper ureter?

A

Vagus n

21
Q

PNS innervation for the bladder and lower ureter?

A

S2-S4

22
Q

ME: Internal Oblique &Quadratus Lumborum:

Patient _____; Physician stands ______ to be treated.

A

Prone…..opposite side

23
Q

ME: Internal Oblique &Quadratus Lumborum:

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

A

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

24
Q

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 _____.

A

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

25
Q

Direct ME for re-doming the diaphragm:

Activating force in ____; refine barrier on _____. Repeat ____.

A

Inhalation…..Exhalation…..x2

26
Q

Iliacus (Psoas) TP location

A

2 inches inferior and 2 inches medial from the ASIS

27
Q

Iliacus (Psoas) TP patient positioning

A
  • 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
28
Q

Anterior location of the kidney’s Chapmans point?

A

B/L 2.5 cm lateral and superior to the umbilicus

29
Q

Posterior location of the kidney’s Chapmans Point?

A

B/L between the transverse processes of T12 and L1

30
Q

How to treat a Chapmans Point?

A

circular motion at the point

31
Q

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

A

anterior before posterior

32
Q

Visceral treatment of the kidney via deep palpation:

A
  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
33
Q

Visceral treatment of the kidney via hip movement:

A
  • 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
34
Q

Treatment for Acute Nephrolithiasis (3)

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