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Chapman's points

zirunacu's version from 2018-02-12 17:37

Chapman's points

Question Answer
Myocardium (anterior)2 nd ICS
Esophagus (anterior)2 nd ICS
Thyroid (anterior)2 nd ICS
Bronchi (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
Adrenals (anterior)1 in. lateral 2 in. superior to umbilicus
Kidneys (anterior)1 in. lateral 1 in. superior to umbilicus
Bladder (anterior)Peri - umbilical area
Urethra (anterior)Superior pubic ramus, 2 cm lateral to symphysis
Prostate (anterior)Outer femur (along posterior IT band) bilateral
Middle Ear (anterior)superior, medial part of clavicle
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
Myocardium (posterior)T2-T3 lamina of TP
Esophagus (posterior)T2 lamina of TP
Thyroid (posterior)T2 lamina of TP
Bronchi (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
Bladder (posterior)L2 upper edge of TP bilateral
Urethra (posterior)L3 TP bilateral
Prostate (posterior)between the PSIS and L5
Ear (posterior)C1 posterior lateral pillar
Pylorus (posterior)T9 lamina of TP right
Uterus (posterior)tip of L5 TP toward Iliac crest and b/n PSIS and L5 SP
Uterus (anterior)superior edge of inferior pubic ramus
broad ligament (anterior)outer femur along posterior IT band
broad ligament (posterior)Between PSIS and L5
vagina (posterior)lateral sacral base bilateral & upper inner edge of thigh
ovaries (anterior)superior pubic ramus, 2 cm lateral to symphysis
ovaries (posterior)IT space 9-10 (inner) and 10-11 (outer)
intestine, peristalsis (anterior)few inches above greater trochanter, just below ASIS
large intestine (posterior)right triangle - lateral edge is TP of L2-4, bottom edge is L4 to iliac crest
pharynx, tongue, larynx, sinuses, arms (posterior)C2
nasal sinuses (posterior)bottom edge of C1 pillar
nasal sinuses, pharynx, tonsils, tongue, larynx, sinusesbetween clavicle and first rib clockwise
small intestine (anterior)costochondral junction ribs 8,9, 10
peristalsis (posterior)rib 11

sympathetic levels

Question Answer
Head and Neck T1-4
Respiratory SystemT2-7
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)
adrenal medullaT10
upper uretersT10-T11
lower uretersT12-L1
erectile tissue of penis and clitorisT11-L2
Uterus & cervixT10-L2