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Flashcards in Renal_Huzij Deck (34):
1

The human being is a ______ unit of function.

Dynamic unit

2

The body posses ______ that are self healing in nature

self-regulatory mechanisms

3

____ and ____ are interrelated at all times

structure and function

4

_____ is based on these principals

Rational Treatment

5

Somatic Dysfunction Definition

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

6

Urologic Anatomy:
The Kidneys are __-peritoneal.

retroperitoneal

7

Urologic Anatomy:
The R Kidney is associated with the _____.

Duodenum

8

Urologic Anatomy:
The L Kindey is associated with the ____-

tail of the pancreas

9

Urologic Anatomy:
Name the 4 mm associated with the kidneys

1. Diaphragm
2. Psoas
3. Quadratus Lumborum
4. Transversus Abdominus

10

Urologic Anatomy:
What mm attaches at the 11th rib?

Internal oblique

11

Urologic Anatomy:
What mm attaches at the 12th rib?

Quadratus Lumborum

12

Urologic Anatomy:
Rib(s) assocaiated with the L kidney?

Rib 11 and 12

13

Urologic Anatomy:
Rib(s) associated with the R kindey?

Rib 12

14

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

1. Adrenal gland
2. Arcuate ligament

15

Urologic Anatomy:
Structures associated with the bladder? (2)

1. Ureters
2. Pubic symphysis

16

SNS Innervation for the Kidney?

T10 - 11

17

SNS innervation for the Ureter?

T10 - L1

18

SNS innervation for the Bladder?

T12 - L2

19

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

Superior and inferior mesenteric Ganglion

20

PSN innervation for the kidney and upper ureter?

Vagus n

21

PNS innervation for the bladder and lower ureter?

S2-S4

22

ME: Internal Oblique &Quadratus Lumborum:
Patient _____; Physician stands ______ to be treated.

Prone.....opposite side

23

ME: Internal Oblique &Quadratus Lumborum:
____ hand grasps _____; ____ hand stabilizes _____; What rib do yo stabilize for internal oblique? Quadratus Lumborum?

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

24

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 _____.

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

25

Direct ME for re-doming the diaphragm:
Activating force in ____; refine barrier on _____. Repeat ____.

Inhalation.....Exhalation.....x2

26

Iliacus (Psoas) TP location

2 inches inferior and 2 inches medial from the ASIS

27

Iliacus (Psoas) TP patient positioning

- 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

Anterior location of the kidney's Chapmans point?

B/L 2.5 cm lateral and superior to the umbilicus

29

Posterior location of the kidney's Chapmans Point?

B/L between the transverse processes of T12 and L1

30

How to treat a Chapmans Point?

circular motion at the point

31

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

anterior before posterior

32

Visceral treatment of the kidney via deep palpation:

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

Visceral treatment of the kidney via hip movement:

- 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

Treatment for Acute Nephrolithiasis (3)

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