Question | Answer |
least splanchnic nerve | T12 |
lumbar splanchnic nerve | L1,2 |
T12-L2 | inferior mesenteric ganglion--> left colon, lower half of ureters, bladder, genitalia |
T10,11 | lesser splanchnic nerve--> superior mesenteric ganglion--> small inestines, right colon, adrenals, gonads, kidney, upper half of ureters |
reffered pain of stones | usually anterior abdominal, mayb refer to labium or ipsilateral testicle |
innervation of prostate cowpers gland and corpus cavernosa | sympathetic--> T12-L2, parasympathetic--> S2-4 |
chapmans reflex for prostate | anterior located in myofascial tissues along the posterior margin of the iliotibial band |
chapmans reflex for epidydymis | anterior located in mysofascial tissues along superior margin of pubis ramus about 2 cm lateral to symphysis |
external urinary sphincter tone | S2-4 |
T12-L2 | bladder |
T10-L1 | kidney |
symptoms of a UTI | fever, chills, nausea, fatigue, urinary frequency or pain/burning |
pain from UTI's | bladder--> suprapubic Kidney--> lower thoracic or flank pain |
duplication of ureters | may present with nonresolving UTI's |
obstructin bands or vessles | may present with nonresolving UTI's |
ectopic kidney | recurrent lower lumbar somatic dysfunction |
polycystic kidneys | lumbar pain |
chapmans reflex for bladder | anterior--> umbilical area posterior--> intertransverse space between L1-2 and T12-L1 |
chapmans reflex kidney | anterior 1 inch lateral and superior to umbilicus ipsilaterally |
chapmans reflex adrenals | anterior 1 inch lateral and 2 inches superior to umbilicus ipsilaterally |
increased sympathetic tone to renal | relaxation of the internal urinary sphincter, increased peristalsis of ureters and incresed bladder wall tone |
parasympathetic of distal ureters and bladder | pelvic splanchnic-->S2-4 |
parasympathetic of kidney and proximal ureter | vagus nerve |
increased sympathetics to T10-L1 | ureterospasm, decreased peristalsis of ureters(decreases urine flow), arteriole constriction to kidney(decreses GFR), urinary retention contributing to HTN |
increased sympathetics to T12-L2 | relaxes bladder wall |
renal lymphatic flow | flows into preaortic nodes, assisted by thoracic and pelvic diaphrams |