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Chapman's points

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ledafiyo's version from 2015-09-23 21:47

Chapman's points

Question Answer
Heart (anterior)2 nd ICS
Esophagus (anterior)2 nd ICS
Upper Lung (anterior)3 rd ICS
Lower Lung (anterior)4 th ICS
Liver (anterior)5 th and 6 th ICS R
Stomach (anterior)5 th and 6 th ICS L
Gallbladder (anterior)6 th ICS R
Pancreas (anterior)7 th ICS R
Spleen (anterior)7 th ICS L
Appendix (anterior)Tip of the 12 th rib R
Pylorus (anterior)Center of sternum
Celiac Ganglion (anterior)just below xiphoid process
Superior Mesenteric Ganglion (anterior)Between points for the celiac and inferior mesenteric ganglion
Inferior Mesenteric Ganglion (anterior)Just above the umbilicus
Heart (posterior)T2-T3 lamina of TP
Esophagus (posterior)T2 lamina of TP
Upper Lung (posterior)T3 lamina of TP
Lower Lung (posterior)T4 lamina of TP
Liver (posterior)T5-T6 lamina of TP R
Stomach (posterior)T5 L (acid) T6 L (peristalsis)
Gallbladder (posterior)T6 lamina of TP R
Pancreas (posterior)T7 lamina of TP R
Spleen (posterior)T7 lamina of TP L
Appendix (posterior)T11 lamina R
Adrenals (posterior)T11 -T12 (could be unilateral)
Kidneys (posterior)T12 - L1 lamina of TP bilateral
pharynx, tongue, larynx, sinuses, arms (posterior)C2
small intestine (anterior)costochondral junction ribs 8,9, 10
peristalsis (posterior)rib 11
memorize

sympathetic levels

Question Answer
Head and Neck T1-4
HeartT1-5
Respiratory SystemT2-7
EsophagusT2-8
Upper GIT5-9 (stomach, liver, gall bladder, spleen, portions of the pancreas and proximal duodenum)
Middle GIT10-11(distal duodenum, jejunum, ileum, ascending colon and proximal 2/3 transverse colon)
Lower GIT12-L2 (distal 1/3 transverse colon, descending and sigmoid colon, rectum)
AppendixT12
Kidney/AdrenalsT10-11
adrenal medullaT10
upper uretersT10-T11
lower uretersT12-L1
gonadsT10-T11
BladderT11-L2
erectile tissue of penis and clitorisT11-L2
Uterus & cervixT10-L2
ProstateT12-L2
armsT2-T8
legsT11-L2
spleenT7 on the Left
stomachT5-9 on Left
duodenumT5-9 on Right
LiverT7 on Right
GallbladderT7 on Right
memorize