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nodule in the 5th interspace on the left would suggest
stomach acid, gastric ulcer, gastritis
-
nodule in the 6th interspace on the right would suggest
liver or gallbladder problem
-
Periumbilical nodules suggest
bladder problems
-
lymphatic vessels can be divided into 4 groups
- Lymphatic capillaries
- Pre-collectors
- Collectors
- lymph trunks
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Which one of the lymphatic vessels have intrinsic muscular pumps?
Collectors & lymphatic trunks
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Job of lymph nodes in movement of lymph?
Contracts to propel fluid till they reach main collectors & lymphatic trunks that have intrinsic muscular pumps
-
left & right iliac trunks (and numerous GI trunks) join at the cisterna chyle and pass behind the diaphragm (a potential blockage point) to become
thoracic duct (left lymphatic duct)
-
thoracic duct drains to..
left subclavian vein
-
what collects from right side of upper body/head/neck + left lobe of lung?
right lymphatic duct
-
4 common lymphatic blockage pts
Thoracic outlet, thoracic duct (diaphragm), abdomen (hip/inguinal region), popliteal
-
Some collectors from the legs pass through...
soleus arch
-
All collectors from the legs pass through...
Adductor canal hiatus (gap btwn adductor magnus & femur)
-
lymphatic drainage of most of the lower extremity is via..
deep lymphatic collectors (DVT)
-
Internal rotation of the hip is the same as
anterior translation
-
external rotation of the hip is the same as
posterior translocation
-
thoracic duct passes into thoracic cavity via the
aortic hiatus (behind diaphragm)
-
3 muscles can impinge thoracic duct as it passes into thoracic cavity
Iliopsoas, quadratus lumborum, diaphragm
-
bending over too far, short leg syndrome, scoliosis can all be causes for...
impingement of thoracic duct
-
lymphatic pumps are used when?
after potential blockage pts have been treated (except in cases of cancer/chemotherapy/infection)
-
Pure Visceral Nociception
dull ache, poorly localized, and Midline (because every spinal level receives autonomic afferents from both sides of body)
-
Visceral nociceptors are mostly sensitive to
stretch
-
HEART Bainbridge effect
stretch of atria stimulates incr speed & strength of contraction
-
Because of connections of the endocrine system and the adrenals and thyroid, Chapman emphasized
treating the pelvis before treating the reflex points.
-
Treating Chapman pts
Treat for 10-30sec, circular pattern over pt w/ finger tip or until pt cannot tolerate discomfort
-
Gastroenteritis or abdominal cramps will not produce...
acute symphatic changes cuz they're chronic processes
-
chronic changes in T1-4 would suggest against
cardiac cause of the current pain
-
T1-T4
Sympathetics to head and neck
-
T1-T6
sympathetics to the heart and lungs
-
T5-T9 Right
Liver, gallbladder, duodenum, and head of the pancreas
-
T5-T9 Left
Stomach, spleen, and tail of the pancreas
-
T10-T11 Right
Appendix, cecum, and ascending to mid-transverse colon
-
T10-T11 general
Remainder of small intestine , kidneys (R & L), upper part of the ureters (R & L), gonads (ovaries and testes)
-
T12-L2
Colon from mid-transverse to rectum and pelvic organs (bladder, uterus, prostate)
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