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17 Cards in this Set
- Front
- Back
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Learn the common somatic manifestations of renal dysfunction
Learn the common somatic influences on renal function Learn the common symptoms of nephroptosis Learn the common symptoms of renal disease mediated through the musculoskeletal system |
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Where are the Chapman's points for the kidneys?
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Anterior: One inch lateral to and one inch superior to the umbilicus
Posterior: T12/L1 Intertransverse Space midway between the spinous process and the tip of the transverse processes. |
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Innervation of the Kidney
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Parasympathetics:
Vagus -C1 & C2 -Renal parenchyma S2-4 -Renal Pelvis (DrE) -Upper Ureter (Dr E) -lower ureter (Savarese) -bladder (Savarese) Sympathetics T10 to L1 (Dr E) T10 to T11: Kidneys, Upper Ureters T12 to L1: Lower Ureters |
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Sympathetic Effects
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Vasoconstriction of afferent arterioles
Decreased Glomerular Filtration Rate Decreased Urine Volume Elevation of Systemic Blood Pressure Increases release of renin from the juxtaglomerular apparatus Assists in regulation of sodium retention. This response is exaggerated by emotional stress. |
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Sympathetic Hyperactivity to the kidney has been implicated as one cause of hypertension.
Prolonged Sympathetic stimuli to the kidney creates a functional retention of salt and water, and elevated arterial pressure. How long is "prolonged"? |
(several weeks)
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Parasympathetics of the kidney?
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Vagal afferent fibers, both mechanoreceptors and chemoreceptors play a role in renorenal reflexes.
The mechanoreceptors also modulate cardiovascular reflexes to assist in regulating blood pressure. |
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Effects of Hyperparasympathecotonia on the kidney?
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Unknown
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Lymphatic Drainage of the kidney?
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diaphragm
Diaphragmatic motion can be impaired by lower rib dysfunction, upper lumbar dysfunction and via Somatosomatic reflexes from C3-5 dysfunction Ultimately all renal lymph drains to the thoracic duct and into the left subclavian vein. |
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Effect of Posture on the kidney
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Kyphotic posturing tends to tense the diaphragm, thus pushing the liver downward on the kidney on the right. Because of this pressure, the protective fat is often lost and ptosis of the kidney follows.
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Effect of Ptosis of the kidney
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Chronic passive congestion
Kinked ureters Hydronephrosis Orthostatic Albuminuria Urinary Stasis Infection Stone Formation |
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Symptoms of Renal Ptosis
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Low Back Pain
Sciatica Inguinal Pain Recurrent Pyelonephritis Recurrent Renal Lithiasis |
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Less Common Symptoms of Renal Ptosis
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Considerable Morning Thirst
Low Back Pain upon Awakening Coated Tongue Painful Soles of the Feet Leg Discomfort Knee Pain |
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Treating Renal Ptosis
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1) Lift Kidney (Visceral Technique), observe to see if kidney stays lifted.
2) If not try lifting the liver (Visceral Technique), it may be pushing the kidney down. 3) Redome the Diaphragm (Lymphatic Technique) 4) Release the Pelvic Floor (Lymphatic Technique) 5) Release the Anterior Cervical Fascias (Myofascial Release) (Sibson's) 6) Balance the Reciprocal Tension Membrane (Cranial Technique) |
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Discuss Renal Transplantation
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Donor kidney is usually transplanted to the right pelvis of the recipient.
Anastamosis is made with the external iliac artery and vein, and the ureter is implanted in the wall of the bladder. This creates a contraindication for the use of mesenteric release techniques on the right Cecum and ascending colon. antirejection - corticosteroids --> Osteoporosis |
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Major muscles in contanct with kidneys (cause Somatic effects)
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Psoas
Quadratus Lumborum Transversus Abdominus Diaphragm |
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Name some conditions that exacerbate somatic effects caused by muscles in contact with the kidneys
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PKD
pyelonephritis |
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Learn the common somatic manifestations of renal dysfunction
Learn the common somatic influences on renal function Learn the common symptoms of nephroptosis Learn the common symptoms of renal disease mediated through the musculoskeletal system |
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