click below
click below
Normal Size Small Size show me how
Renal OMM
| 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 |