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