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gr8chameleon's version from 2017-07-23 03:11

chapman's points

Question Answer
myocardium anterior2nd ICS
myocardium posteriorT2-T3 lamina of TP
esophagus anterior2nd ICS
esophagus posteriorT2-T3 lamina of TP
thyroid anterior2nd ICS
thyroid posteriorT2-T3 lamina of TP
bronchi anterior2nd ICS
bronchi posteriorT2 lamina of TP
upper lung anterior3rd ICS
upper lung posteriorT3 lamina of TP
lower lung anterior4th ICS
lower lung posteriorT4 lamina of TP
liver anterior5th and 6th ICS right
liver posteriorT5-T6 lamina of TP right
stomach anterior5th ICS left
stomach posteriorT5 L (acid), T6 L (peristalsis)
gallbladder anterior6th ICS right
gallbladder posteriorT6 lamina of TP right
pancreas anterior7th ICS right
pancreas posteriorT7 lamina of TP right
spleen anterior7th ICS left
spleen posteriorT7 lamina TP left
appendix anteriortip of 12th rib right
appendix posteriorT11 lamina right
adrenals anterior1 in lateral 2 in superior to umbilicus
adrenals posteriorT11-T12
kidneys anterior1 in lateral 1in superior to umbilicus
kidneys posteriorT12-L1 lamina of TP bilaterally
bladder anteriorperi-umbilical area
bladder posteriorL2 upper edge of TP bilateral
urethra anteirorsuperior pubic ramus 2 cm lateral to symphysis
urethra posteriorL2, TP bilateral
prostate anteriorposterior IT band, bilateral
prostate posteriorlateral sacral base bilateral
ear posteriorC1 posterior lateral pillar
pyloruscenter sternum
celiac ganglionjust below xiphoid
inferior mesenteric ganglionjust above the umbilicus
eyeslateral humerus
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Autonomics

Section 1

Question Answer
radial head when forearm is pronatedposterior
radial head when forearm is supinatedanterior
increased carrying angleulna is abducted, wrist is adducted; distal ulna restricted in medial glide, olecranon restricted in lateral glide
decreased carrying angleulna is adducted, wrist is abducted; distal ulna restricted in lateral glide, olecranon restricted in medial glide
posterior radial headforearm is pronated; restricted anterior glide of radial head
anterior radial headforearm is supinated; restricted posterior glide of radial head
tennis elbowlateral epicondylitis; strain of the extensor and supinators of the forearm
golfer's elbowmedial epicondylitis; strain of the flexors and pronators of the forearm
swan neck deformityextension contracture of PIP; flexion contracture of MCP and DIP; caused by volar plate laxity or rupture of ExtDigLig/Mallet finger or FDS laceration. Most Common Path RA leading to volar plate laxity.
boutonniere deformityflexion contracture of PIP; extension contracture of MCP and DIP; rupture of the central slip of the extensor digitorum ligament at PIP
rotator cuff musclessupraspinatus, infraspinatus, teres minor, subscapularis
supraspinatusabductor of arm
infraspinatusexternal rotator of arm
teres minorexternal rotator of arm
subscapularisinternal rotator of arm
primary flexor of the shoulderdeltoid
primary abductor deltoid
primary extensorlatissimus dorsi, teres major, and deltoid
primary adductorspec major, lat
primary external rotatorsinfraspinatus, teres minor
primary internal rotatorsubscapularis
most common disfunction at the sternoclavicular jointclavicle is posterior and superior
most common disfunction at the acromioclavicular jointclavicle is superior and lateral on the acromion
most common brachial plexus injuryerb-duchenne's C5 and C6
klumpke's palsyC8 and T1; affect intrinsic muscles of the hand
innervation of flexors of the wrist and handmedian nerve
innervation of the extensors of the wrist and handradial nerve
innervation of the primary supinatorsbiceps (musculocutaneous) and supinator (radial nerve)
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rotator cuff muscles

Question Answer
motion of the supraspinatusabduction
motion of the infraspinatusexternal rotation
teres minorexternal rotation
subscapularisinternal rotation
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cranial

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Question Answer
primary movement of OA (flexion and extension, sidebending/rotation to opposite side
primary movement of AA (C1 on C2)rotation, sidebending/rotation to opposite side
primary movement of C2-C4rotation, sidebending/rotation to same side
primary movement of C5-C7sidebending, sidebending/rotation to opposite side
anterior innominate causes long leg on this sidesame side (ipsilateral)
physiologic barrierbarrier to which patient can move on their own when healthy (active motion)
anatomic barrierbarrier to which patient can move with physician when healthy (passive motion)
restrictive/pathologic barrierloss of full motion
cobb angle at which you see respiratory compromise50 degrees
cobb angle at which you see cardiovascular compromise75 degrees
exhalation dysfx of rib 1 ME treatmentpatient lifts head up (anterior and middle scalenes)
exhalation dysfx of rib 2 ME treatmentpatient turns head to opposite side and lifts head (posterior scalene)
exhalation dysfx of ribs 3-5 ME treatmentpatient pushes elbow of affected side toward opposite ASIS (pectoralis minor)
exhalation dysfx of ribs 6-9 ME treatmentpatient pushes arm anteriorly (serratus anterior)
exhalation dysfx of ribs 10-12 ME treatmentpatient adducts arm (latissimus dorsi)
lateral epicondylitisoveruse injury of the extensor muscles near the lateral epicondyle
increased pain with active wrist flexionlateral epicondylitis
fryette's first lawdescribes neutral mechanics
fryette's second lawdescribes non-neutral mechanics
fryette's third lawthe motion in one direction decreases the motion in all other directions
ME treatment of posterior radial head dysfunctionposterior = pronated, take patient to barrier of supination and have them try to pronate
mild scoliosiscobb angle of <20 degrees
moderate scoliosiscobb angle of 20-45 degrees
severe scoliosiscobb angle > 45 degrees
treatment that increases the amplitude of the CRIbulb decompression (CV4 technique)
pump handle ribs1-5
bucket handle ribs6-10
motion of ribs 11-2caliper motion
axis of pump handle ribstransverse
axis of bucket handle ribsA-P axis
axis of caliper ribsvertical
subluxation of the ribrib will be either anterior or posterior compared to other ribs
rib torsionexternal torsion has porminent superior aspect with widened intercostal space above it, internal torsion has prominent inferior aspect and widened intercostal space below
rib compressionlateral compression - prominent AP aspect or anterior-posterior - prominent lateral aspect
associated with posterior rib tenderpoints"elevated ribs"
associated with anterior rib tenderpoints"depressed ribs"
unhappy triadACL, MCL, lateral meniscus
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