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Renal OMM

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Question
Answer
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: swohlers
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