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Osteopathic Shit > Chapman's and Lymphatics > Flashcards

Chapman's and Lymphatics Flashcards

(102 cards)

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1
Q

Where does Lymphatic circulation return into?

A

Subclavian vein

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2
Q

What does the Left Thoracic Duct drain?

A

Majority of the body except Right hemicranium, Right UE, Heart and Lungs (except left upper lobe)

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3
Q

What does the right thoracic (minor) duct drain?

A

Right Hemicranium
Right Upper extremity
Heart
Lungs: except the left upper lobe

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4
Q

What is the effect of Sympathetics on Lymphatic capillaries?

A

Constriction

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5
Q

What is the primary mover of Lymph?

A

The Thoracic Diaphragm

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6
Q

What are the thoracic and abdominal pressures that occur with contraction of the diaphragm?

A

(-) Thoracic Pressure
(+) Abdominal Pressure

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7
Q

What are Relative Contraindications to Lymphatic Treatment?

A

Osseus Fracture
Untreated Bacterial Infections
Abscess or Local Infection in area to be treated
Cancer

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8
Q

What are the 2 main categories of Lymphatic Treatment?

A

Improve Restrictions

Augmentation of Flow

treatment should include 1 from each category

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9
Q

What is the basic sequence for lymphatic treatment?

A

“TSDP”
-Thoracic Inlets
-sympathetic with rib raising
-Thoracic diaphragm
-Pump techniques

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10
Q

What needs to be treated first in lymphatic techniques?

A

The thoracic Inlet

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11
Q

What is the Functional thoracic inlet?

A

T1-4
Ribs 1-2
Manubrium of the sternum

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12
Q

What is the anatomic Thoracic Inlet?

A

T1
First Ribs
Superiorend of the manubrium

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13
Q

What is Sibson’s Fascia?

A

CT of the Scalenes and longus Colli muscle which is transversed by both lymphatic ducts

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14
Q

What is another name for the Thoracic Pump technique?

A

Miller Pump

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15
Q

What is another name for the Pedal Pump Technique?

A

Dalrymple Pump

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16
Q

What are Chapman’s Reflexes?

A

Palpable points in predictable locations due to increased sympathetic tone or blockages in the lymphatic system

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17
Q

What cause Chapman’s reflexes?

A

Increased sympathetic tone or blockages in the lymphatic system

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18
Q

What is felt on Palpation of Chapman’s reflexes?

A

Smooth, firm discreet nodules 2-3mm within the deep fascia or on the periosteum of the bone

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19
Q

What are posterior Chapman’s reflexes located?

A

Halfway between the SP and TP

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20
Q

Where are Anterior Chapman’s reflexes located?

A

Varying locations including laterally

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21
Q

What do acute chapman’s reflexes feel like?

A

Boggy, Edematous

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22
Q

What do chronic chapman’s reflexes feel like?

A

Ropy, Thickened and “feels like a pea”

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23
Q

Do you treat the Anterior or Posterior chapman’s reflex first?

A

Anterior

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24
Q

How do you treat a Chapman’s Reflex?

A

Contact the point with the finger pad: apply circular pressure for 15 second to 2 minutes until the fascia softens

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25
Where is the Anterior Chapman's Reflex for the eyes?
Surgical neck of the humerus
26
Where is the posterior chapman's reflex for the eyes?
Squamous portion of the occipital bone below the superior nuchal line
27
Where is the anterior chapman's reflex for the middle ear?
Superior to the clavicles
28
Where is the posterior chapman's reflex for the middle ear?
C2 midway between the SP and TP
29
Where is the anterior chapman's reflex for the Sinuses?
1st rib
30
Where is the posterior chapman's reflex for the sinuses?
C2 midway between the SP and TP
31
Where is the anterior chapman's reflex for the Pharynx?
Inferior aspect of the SC joint
32
Where is the posterior chapman's reflex for the Phayrnx?
C2 midway between the SP and TP
33
Where is the anterior chapman's reflex for the Larynx?
2-3 inches lateral to the SC junction on the 2nd rib
34
Where is the posterior chapman's reflex for the Larynx?
C2 midway between the SP and TP
35
Where is the anterior chapman's reflex for the Tonsils?
1st intercostal space
36
Where is the posterior chapman's reflex for the Tonsils?
Atlas midway between the SP and TP
37
Where is the anterior chapman's reflex for the tongue?
2nd rib laterally
38
Where is the anterior chapman's reflex for the heart?
2nd ICS proximal to the sternum
39
Where is the posterior chapman's reflex for the heart?
ITS between T2 and T3 lateral to the SP
40
Where is the anterior chapman's reflex for the bronchi?
2nd ICS proximal to the Sternum
41
Where is the posterior chapman's reflex for the bronchi?
T2 midway between the SP and TP
42
Where is the anterior chapman's reflex for the upper lung?
3rd ICS
43
Where is the posterior chapman's reflex for the upper lung
ITS between T3 and T4 midway between the SP and TP
44
Where is the anterior chapman's reflex for the Upper extremities?
3rd ICS
45
Where is the anterior chapman's reflex for the Lower lung?
4th ICS
46
Where is the posterior chapman's reflex for the Lower lung?
ITS between T4 and T5 midway between the SP and TP
47
Where is the anterior chapman's reflex for the Thyroid?
2nd ICS proximal to the sternum
48
Where is the anterior chapman's reflex for the adrenals?
1 in lateral and 2 in superior to the umbilicus
49
Where is the posterior chapman's reflex for the adrenals?
ITS between T11 and T12 midway between the SP and TP
50
Where is the anterior Chapman's Reflex for the Esophagus?
2nd ICS proximal to the sternum
51
Where is the posterior chapman's reflex for the esophagus?
T2 midway between the SP and TP
52
Where is the anterior chapman's reflex for the stomach (acidity)?
5th ICS on the left
53
Where is the posterior chapman's reflex for the stomach (acidity)?
Left ITS between T5 and T6 midway between the SP and TP
54
Where is the anterior chapman's reflex for the stomach (Peristalsis)?
6th ICS on left
55
Where is the posterior chapman's reflex for the stomach (Peristalsis)?
Left ITS between T6 and T7 midway between SP and TP
56
What is the anterior chapman's reflex for the pylorus?
Midline in the sternum
57
What is the posterior chapman's reflex for the pylorus?
Costotransverse junction on the right 10th rib
58
What is the anterior chapman's reflex for the liver?
5th and 6th ICS on the right
59
What is the posterior chapman's reflex for the liver?
Right ITS between T5 and T7 midway between SP and TP
60
What is the anterior chapman's reflex for the Gallbladder?
6th ICS on the right
61
What is the posterior chapman's reflex for the gallbladder?
Right ITS between T5 and T7 midway between SP and TP
62
What is the anterior champan's reflex for the pancreas?
7th ICS on right
63
What is the posterior chapman's reflex for the pancreas?
Right ITS between T7 and T8 midway between SP and TP
64
What is the anterior chapman's reflex for the spleen?
7th ICS on the Left
65
What is the posterior chapman's reflex for the spleen?
TP of T7 on the left
66
What is the anterior Chapman's reflex for teh duodenum?
8th ICS, Costochondral Junction
67
What ist he posterior Chapman's reflex for the duodenum?
ITS between T8 and T9 midway between the SP and TP
68
What is the anterior chapman's reflex for the duodenum?
9th ICS, costochondral junction
69
What is the posterior chapman's reflex for the duodenum?
ITS between T9 and T10 midway between the SP and TP
70
What is the anterior chapman's reflex for the Ileum?
below 9th rib near costochondral junction
71
What is the posterior chapman's reflex for the ileum?
ITS between T10 and T11 midway between SP and TP
72
What is the anterior chapman's reflex for the appendix?
Tip of 12th rib
73
What is the posterior chapman's reflex for the appendix?
Right ITS between T11 and T12 midway between the tips of the TP
74
What is the anterior Chapman's reflex for the ascending colon?
Middle 3/5 of the Right lateral thigh
75
What is the posterior Chapman's reflex for the ascending colon?
Triangular area between the TP of L2, Iliac crest and TP of L4
76
What is the anterior chapman's reflex for the hepatic flexure?
Lower 1/5 of the Right lateral thigh
77
What is the posterior chapman's reflex for the hepatic flexure?
Triangular area between the TP of L2, Iliac crest and TP of L4
78
What is the anterior chapman's reflex for the Sigmoid colon?
Upper 1/5 of the left lateral thigh
79
What is the posterior chapman's reflex for the sigmoid colon?
Triangular area between the TP of L2, Iliac crest and TP of L4
80
What is the anterior chapman's reflex for the descending colon?
Middle 3/5 of the left lateral thigh
81
What is the anterior champan's reflex for the Splenic flexure?
Lower 1/5 of the left lateral thigh
82
What is the posterior chapman's reflex for the descending colon?
Triangular area between the TP of L2, Iliac crest and TP of L4
83
What is the posterior chapman's reflex for the Splenic flexure?
Triangular area between the TP of L2, Iliac crest and TP of L4
84
What is the anterior chapman's reflex for the Rectum?
Lesser trochanter of femur
85
What is the posterior chapman's reflex for the rectum?
Sarcum, Level of L2
86
What is the anterior Chapman's for the Kidneys?
1 in lateral and 1 in superior to the umbilicus
87
What is the posterior Chapman's for the kidneys?
ITS between T12 and L1 midway between the SP and TP
88
What is the anterior Chapman's for the bladder?
Periumbilical region
89
What is the posterior chapman's for the bladder?
L2 TP
90
What is the anterior chapman's for the urethra?
Superior aspect of the pubic Symphysis
91
What is the posterior chapman's for the urethra?
L3 TP
92
What is the anterior chapman's for the ovaries?
Superior aspect of the pubic symphysis
93
What is the posterior chapman's for the ovaries?
T10 TP
94
What is the anterior chapman's for the Testes?
Superior aspect of the pubic symphysis
95
What is the posterior chapman's for the testes?
T10 TP
96
What is the anterior chapman's for the Broad ligament?
Lateral aspect of the thigh from greater trochanter to 1 in proximal to the knee
97
What is the posterior chapman's for the Broad Ligament?
Between the PSIS and TP of L5
98
What is the anterior chapman's for the Prostate?
Lateral aspect of the thigh from greater trochanter to 1 in proximal to the knee
99
What is the posterior chapman's for the prostate?
Between the PSIS and TP of L5
100
What is the anterior Chapman's for the uterus?
Lateral aspect of the thigh from greater trochanter to 1 in proximal to the knee
101
What is the posterior Chapman's for the uterus?
Between the PSIS and TP of L5
102
What is the posterior chapman's for the vagina/clitoris?
Posterior aspect of the proximal inner thigh

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