Gu Omm From Both Of Fotop's Lectures

Front 1

Upper tract of the urinary system consist of

Back 1

Kidney and Ureter

Front 2

Lower tract of the urinary system consist of

Back 2

Urinary bladder and Urethra

Front 3

Kidney in relation to peritoneum

Back 3

Retroperitoneal

Front 4

Dimensions of the kidneys

Back 4

12 cm long x 7 cm wide x 3 cm deep

Front 5

Which kidney is larger?

Back 5

Left

Front 6

This kidney is lower

Back 6

Right

Front 7

Location of psoas muscle in relationship to kidney

Back 7

Medial to kidney

Front 8

Ureters descend across the

Back 8

psoas fascia

Front 9

Origin of quadratus lumborum

Back 9

Iliolumbar ligament and iliac crest

Front 10

Attachment of quadratus lumborum

Back 10

Tips of TP L1-L4 and Rib 12

Front 11

Action of quadratus lumborum

Back 11

Draws down the 12th rib, and acts as a muscle of inspiration by helping to fix the origin of the diaphragm

Front 12

Quadratus spasm results in

Back 12

Flattened diaphragm

Front 13

Lateral Arcuate covers this muscle

Back 13

Quadratus

Front 14

Lateral Arcuate spans from

Back 14

L1 to midpoint of rib 12

Front 15

Initial effects of rib raising

Back 15

Stimulation of sympathetic outflow

Front 16

Rib raising: Longer lasting effect of decreasing sympathetic tone caused by

Back 16

Reflex inhibition the higher sympathetic centers in the medulla

Front 17

Vertebral attachments of the left crura

Back 17

L2-L4

Front 18

Sympathetic chain ganglia are located

Back 18

Anterior to rib heads

Front 19

Reflex phenomenon produce palpable changes which osteopathic physicians can diagnose and treat

Back 19

Facilitated segment

Front 20

This creates increased activity at the synapses at the cord level, therefore the threshold level is lowered. It is then more easily stimulated to discharge by impulses of sublevel intensity

Back 20

Facilitated segment

Front 21

Anterior Chapman's Point for Kidneys

Back 21

1" lateral and 1" superior to kidneys, ipsilateral to affected organ

Front 22

An abnormal increase in concentration of urea and other nitrogenous substances in the blood plasma

Back 22

Azotemia

Front 23

Symptoms and signs of uremia when nearing

Back 23

End-stage Renal disease

Front 24

Diagnosis of chronic kidney disease

Back 24

Bilateral small kidneys on ultrasound

Front 25

Over 70% of chronic kidney disease is due to

Back 25

Hypertension and Diabetes Mellitus

Front 26

Movement of the kidneys during inhalation

Back 26

Inferior and lateral

Front 27

Parasympathetics of the GU

Back 27

Vagus and S2-S4 (via the pelvic splanchnic nerves)

Front 28

Vagus nerve innervates this portion of the GU

Back 28

Kidney and proximal portion of ureters

Front 29

Superior vagal ganglion sits in the

Back 29

Jugular foramen

Front 30

Inferior vagal ganglion sits around

Back 30

Body of C2

Front 31

S2-S4 (via Pelvic Splanchnic nerves) innervates these portion of the GU

Back 31

Distal portion of ureters, bladder

Front 32

Sympathetic effects on afferent arterioles

Back 32

Vasoconstriction

Front 33

Sympathetic effects on GFR

Back 33

Decreased

Front 34

Sympathetic effects on Ureter peristalsis

Back 34

Decreased

Front 35

Sympathetic effects on the bladder wall

Back 35

Relaxation

Front 36

May lead to vesicoureteral reflux

Back 36

Hypersympathetic tone to the bladder (functional urinary retention)

Front 37

Sympathetic effects to the trigone muscle

Back 37

Contraction

Front 38

Sympathetic effects on internal urethral sphincter

Back 38

Contraction

Front 39

Parasympathetic effects on ureter

Back 39

Maintain normal peristalsis

Front 40

Parasympathetic effects on the detrusor muscle

Back 40

Excitatory

Front 41

Parasympathetics effects on the trigone muscle

Back 41

Inhibition

Front 42

The voluntary control for the external urethral sphincter is thru this nerve

Back 42

Pudendal

Front 43

After relaxation of the external urethral sphincter, this must also occur for voiding to take place

Back 43

Parasympathetic relaxation of the internal sphincter

Front 44

Renal lymphatics flow into the

Back 44

Pre-aortic nodes before traveling up the thoracic duct to the subclavian vein

Front 45

Synchronous motion of the thoracic and pelvic diaphragms is vital to

Back 45

Lymphatic drainage from the urinary system

Front 46

Intrarenal plexi

Back 46

→ lateral aortic nodes
→ thoracic duct
→ left lymphatic duct
→ subclavian vein

Front 47

This test occurs as a result of a visceromotor reflex which causes increased tone to the thoracolumbar junction

Back 47

Lloyd’s

Front 48

This muscle contracture can increase lumbar lordosis

Back 48

Psoas

Front 49

Viscerosomatic reflexes will progress from T10 to lumbar region if

Back 49

There is a calculi passing through ureter

Front 50

Treating T10-L1 will normalize

Back 50

Sympathetic activity of Kidney and ureters

Front 51

Treating T12-L2 will normalize

Back 51

Sympathetic activity of bladder

Front 52

Treating T11-T12 DYSFUNCTIONS

Back 52

Improves arterial, venous and lymphatic circulation
Relieves Tension in Psoas and Deep Pelvic Muscles

Front 53

DIRECT TREATMENT OF THE KIDNEY (Visceral Manipulation) method

Back 53

Direct kidneys up and out

Front 54

DIRECT TREATMENT OF THE KIDNEY results

Back 54

Relaxes surrounding blood vessels, nerves and lymphatics
May also relax tissues around the ureters

Front 55

Anterior Chapman's Point for Adrenals

Back 55

One inch lateral and two inches superior to the umbilicus ipsilaterally

Front 56

Posterior Chapman's Point for Adrenals

Back 56

Intertransverse space on both sides of T11 and T12 midway between the spinous processes and transverse processes

Front 57

Anterior Chapman's Point for
Bladder

Back 57

Umbilical area

Front 58

Posterior Chapman's Point for Bladder

Back 58

Intertransverse space (midway between spines and transverse process tips of L1-2 and T12-L1 respectively

Front 59

Bladder physical exam findings in a UTI

Back 59

Suprapubic pain

Front 60

Kidney (Pyelonephritis) on a physical exam findings

Back 60

Lower thoracic pain or Flank Pain

Front 61

Distribution of the Lat. Femoral cutaneous nerve paresthesia

Back 61

Groin or inguinal pain

Front 62

Tender point location of the iliolumbar ligament syndrome

Back 62

Located 1 inch superior and lateral from the inferior margin of the PSIS and in the iliolumbar ligament

Front 63

Iiolumbar ligament attachments

Back 63

Attaches to the transverse processes of L4, L5, extends to the iliac crest, and posterior and anterior regions of the SI joint

Front 64

He described a referral pattern for triggerpoints in the psoas muscle

Back 64

Travell

Front 65

Offending pathogen in 70-95% of cases

Back 65

E. coli

Front 66

PNS level of bladder

Back 66

S2-S4

Front 67

The apex of the bladder is attached to the anterior abdominal wall by the remnant of the

Back 67

Urachus—the median umbilical ligament

Front 68

Fibromuscular tissue connects the bladder neck to the inferior aspects of the

Back 68

Pubic bones

Front 69

Bladder lymphatics drains to the

Back 69

External iliac nodes

Front 70

Presumed etiology of urge incontinence

Back 70

Uninhibited bladder contractions of the detrusor (hyperparasympathetics of sacral level)

Front 71

Occurs when increase intra-abdominal pressure leads to sphincter opening in the absence of bladder contraction

Back 71

Stress incontinence

Front 72

Complete failure of urethral closure is called

Back 72

Intrinsic sphincter deficiency (ISD)

Front 73

Due to detrusor weakness and/or bladder outlet obstruction;
Usually occurs when obstruction causes detrusor decompensation

Back 73

Overflow incontinence

Front 74

OMT of urge incontinence

Back 74

Sacral OMT

Front 75

OMT of stress incontinence

Back 75

Pelvic diaphragm OMT

Front 76

OMT of overflow incontinence

Back 76

Balancing autonomic tone and treatment of the sacrum to optimize the voiding reflex and detrusor control

Front 77

Phren Sign

Back 77

Indicates there is pain relief with lifting the affected testicle, which points towards epididymitis; no relief could me testicular torsion

Front 78

Anterior Chapman’s points for Urethra

Back 78

Located in myofascial tissues along the superior margin of the pubis ramus about 2cm lateral to the symphysis

Front 79

SNS levels of testis

Back 79

T10-T11
(Lesser Splanchnic Nerve to Superior Mesenteric Ganglion)

Front 80

SNS levels of Prostate/Genitals

Back 80

T12-L2
(Least/Lumbar Spl NN. To Inferior Mesenteric Ganglion)

Front 81

PNS levels of Testes

Back 81

Vagus

Front 82

PNS levels of Prostate/Genitals

Back 82

S2-S4
(Prostate and Genitals via the Pelvic Splanchnic Nerves)

Front 83

Spinal levels associated with orgasm

Back 83

L1-L2
(sympathetics; Lumbar Splanchnic N.)

Front 84

Innervation of ejaculation

Back 84

Lumbar splanchnic n. via Hypogastric n.
(Sympathetics)

Front 85

Lymphatic plexi of the male reproductive system

Back 85

Superficial lymphatic plexus
Deep lymphatic plexus

Front 86

Both the deep and superficial lymphatic plexus of the male junk join and ascend up the ____ _____ to merge with these nodes

Back 86

Spermatic cords; lateral and pre-aortic nodes

Front 87

Anterior Chapman’s points for Prostate

Back 87

Located in myofascial tissues along the posterior margin of the iliotibial band

Front 88

Prostate lymphatic drains to the

Back 88

Internal iliac and sacral nodes

Front 89

Fascial OMT to this ligament in prostatitis

Back 89

Puboprostatic ligament