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1 / 27

What are Chapman points?

2 / 27

Where is the anterior Chapman point for the middle ear?

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Where is the posterior Chapman point for the middle ear?

4 / 27

Where is the anterior Chapman point for the sinuses?

5 / 27

Do the sinuses have a posterior Chapman point?

6 / 27

Where are the anterior Chapman points for the thyroid, esophagus, and myocardium?

7 / 27

Where are the posterior Chapman points for the thyroid, esophagus, and myocardium?

8 / 27

Where are the bronchial Chapman points anteriorly and posteriorly?

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What are the Chapman points for the upper lung?

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What are the Chapman points for the lower lung?

11 / 27

Where is the stomach acidity Chapman point?

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Where is the stomach peristalsis Chapman point?

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Where are the liver Chapman points anteriorly and posteriorly?

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Where are the gallbladder Chapman points anteriorly and posteriorly?

15 / 27

Where are the pancreas and spleen Chapman points anteriorly and posteriorly?

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What are the Chapman points for the small intestine?

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Where is the anterior Chapman point for the appendix?

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Where are the posterior Chapman points for the appendix?

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How are the colon Chapman points represented anteriorly and posteriorly on the right side?

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Where are the rectum Chapman points anteriorly and posteriorly?

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Where are the adrenal Chapman points anteriorly and posteriorly?

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Where are the kidney Chapman points anteriorly and posteriorly?

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Where is the bladder Chapman point anteriorly and posteriorly?

24 / 27

Where is the urethra Chapman point anteriorly and posteriorly?

25 / 27

Where are the ovary and testis Chapman points anteriorly and posteriorly?

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Where is the prostate Chapman point anteriorly and posteriorly?

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Where is the uterus Chapman point anteriorly and posteriorly?

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Flashcards neste baralho (27)

What are Chapman points?

Small, tender nodules in the fascia that reflect viscerosomatic dysfunction and have predictable anterior and posterior locations corresponding to specific organs.

definition chapman
Where is the anterior Chapman point for the middle ear?

Superior clavicular border about one-third from the midline anteriorly.

headneck middleear
Where is the posterior Chapman point for the middle ear?

C1 posterior lateral pillar posteriorly.

headneck middleear
Where is the anterior Chapman point for the sinuses?

Inferior clavicular border one-third from the midline anteriorly.

headneck sinuses
Do the sinuses have a posterior Chapman point?

No, the sinuses have no posterior point.

headneck sinuses
Where are the anterior Chapman points for the thyroid, esophagus, and myocardium?

Second intercostal space (ICS) anteriorly.

thorax cardio
Where are the posterior Chapman points for the thyroid, esophagus, and myocardium?

T2–T3 bilaterally posteriorly.

thorax cardio
Where are the bronchial Chapman points anteriorly and posteriorly?

Anterior: second ICS. Posterior: T2 bilaterally.

thorax bronchi
What are the Chapman points for the upper lung?

Anterior: third ICS. Posterior: T3 (unilateral).

lungs thorax
What are the Chapman points for the lower lung?

Anterior: fourth ICS. Posterior: T4 (unilateral).

lungs thorax
Where is the stomach acidity Chapman point?

Left fifth ICS anteriorly and T5 on the left posteriorly.

gastro stomach
Where is the stomach peristalsis Chapman point?

Left sixth ICS anteriorly and T6 on the left posteriorly.

gastro stomach
Where are the liver Chapman points anteriorly and posteriorly?

Anterior: right fifth to sixth ICS. Posterior: T5–T6 on the right.

gastro liver
Where are the gallbladder Chapman points anteriorly and posteriorly?

Anterior: right sixth ICS. Posterior: T6 on the right.

gastro gallbladder
Where are the pancreas and spleen Chapman points anteriorly and posteriorly?

Pancreas: right seventh ICS anteriorly and T7 posteriorly. Spleen: left seventh ICS anteriorly and T7 posteriorly.

gastro pancreas spleen
What are the Chapman points for the small intestine?

Anterior: eighth through tenth ICS bilaterally. Posterior: T8–T10.

gastro smallintestine
Where is the anterior Chapman point for the appendix?

Tip of the twelfth rib on the right anteriorly.

lowergastro appendix
Where are the posterior Chapman points for the appendix?

T11–T12 on the right posteriorly.

lowergastro appendix
How are the colon Chapman points represented anteriorly and posteriorly on the right side?

Anterior: right anterior thigh in upper, middle, lower segments for cecum, ascending colon, right transverse colon. Posterior: triangular area between L2 and L4 transverse processes and the iliac crest.

lowergastro colon
Where are the rectum Chapman points anteriorly and posteriorly?

Anterior: proximal inner thigh near the lesser trochanter. Posterior: sacrum at S2.

lowergastro rectum
Where are the adrenal Chapman points anteriorly and posteriorly?

Anterior: one inch lateral and two inches superior to the umbilicus. Posterior: T11–T12.

genitourinary adrenals
Where are the kidney Chapman points anteriorly and posteriorly?

Anterior: one inch lateral and one inch superior to the umbilicus. Posterior: T12–L1.

genitourinary kidneys
Where is the bladder Chapman point anteriorly and posteriorly?

Anterior: periumbilical area. Posterior: L2 transverse processes bilaterally.

genitourinary bladder
Where is the urethra Chapman point anteriorly and posteriorly?

Anterior: pubic symphysis. Posterior: L2 transverse processes.

genitourinary urethra
Where are the ovary and testis Chapman points anteriorly and posteriorly?

Anterior: superior pubic ramus about 2 cm lateral to the symphysis. Posterior: T9–T11.

genitourinary gonads
Where is the prostate Chapman point anteriorly and posteriorly?

Anterior: posterior iliotibial band of the outer femur. Posterior: lateral sacral base.

genitourinary prostate
Where is the uterus Chapman point anteriorly and posteriorly?

Anterior: inferior pubic rami. Posterior: L5 transverse processes bilaterally, medial to the PSIS.

genitourinary uterus

Notas de estudo

Overview

Chapman points are small, tender fascial nodules that indicate viscerosomatic dysfunction and map predictably to specific organs.
They appear in anterior and posterior locations; anterior points are used for palpation and posterior points often correspond to spinal levels.

How to use these notes

Palpate anterior points at described rib/intercostal or bony landmarks and compare bilaterally.
Confirm with posterior points near the spine, transverse processes or rib pillars.
Remember: anterior = clinical screening; posterior = spinal correlation and treatment focus.

Head & neck

Middle ear: anterior at superior clavicular border about \(1/3\) from midline; posterior at lateral pillar of \(C1\).
Sinuses: anterior at inferior clavicular border about \(1/3\) from midline; no posterior point.

Thorax — Heart, Lungs, Bronchial tree

Thyroid / Esophagus / Myocardium: anterior at \(2^{nd}\) intercostal space (ICS); posterior at \(T2\)–\(T3\) bilaterally.
Bronchi: anterior at \(2^{nd}\) ICS; posterior at \(T2\) (bilateral).
Upper lung: anterior at \(3^{rd}\) ICS; posterior at \(T3\) (unilateral correspondence).
Lower lung: anterior at \(4^{th}\) ICS; posterior at \(T4\) (unilateral).

Upper gastrointestinal (stomach, liver, spleen, pancreas, small bowel)

Stomach acidity: anterior at left \(5^{th}\) ICS; posterior at left \(T5\).
Stomach peristalsis: anterior at left \(6^{th}\) ICS; posterior at left \(T6\).
Liver: anterior at right \(5^{th\)–\(6^{th}}\) ICS; posterior at right \(T5\)–\(T6\).
Gallbladder: anterior at right \(6^{th}\) ICS; posterior at right \(T6\).
Pancreas: anterior at right \(7^{th}\) ICS; posterior at \(T7\).
Spleen: anterior at left \(7^{th}\) ICS; posterior at \(T7\) (left).
Small intestine: anterior at \(8^{th}\)–\(10^{th}\) ICS bilaterally; posterior at \(T8\)–\(T10\).

Lower gastrointestinal

Appendix: anterior at tip of right \(12^{th}\) rib; posterior at right \(T11\)–\(T12\).
Cecum / Ascending colon / Right transverse (right half): anterior along right anterior thigh in upper, middle, lower segments respectively.
Posterior points form a triangular area between \(L2\) and \(L4\) transverse processes and the iliac crest (right side).
Left transverse (left half) / Descending colon: mirror the right-side pattern on the left anterior thigh; same posterior triangular region on left.
Rectum: anterior at proximal inner thigh near the lesser trochanter; posterior at sacrum at \(S2\).

Genitourinary & endocrine

Adrenals: anterior \(1\) inch lateral and \(2\) inches superior to the umbilicus; posterior at \(T11\)–\(T12\).
Kidneys: anterior \(1\) inch lateral and \(1\) inch superior to the umbilicus; posterior at \(T12\)–\(L1\).
Bladder: anterior periumbilical area; posterior at \(L2\) transverse processes bilaterally.
Urethra: anterior at pubic symphysis; posterior at \(L2\).
Ovaries / Testes: anterior at superior pubic ramus about \(2\) cm lateral to symphysis; posterior at \(T9\)–\(T11\).
Prostate: anterior along posterior iliotibial band of outer femur; posterior at lateral sacral base.
Uterus: anterior at inferior pubic rami; posterior at \(L5\) transverse processes bilaterally (medial to PSIS).

Patterns & clinical tips

Most visceral Chapman points are paired (bilateral) except a few anterior-only points (e.g., sinuses).
Anterior points often lie on intercostal spaces or pelvic bony landmarks; posterior points cluster near thoracic vertebrae or sacrum.
Use tenderness and reproducibility to identify clinically relevant points; compare symmetric sites.
Treating posterior points (rib/TP work, soft tissue, MFR) often reduces anterior tenderness.

Quick palpation cheatsheet (by anterior landmark)

Superior clavicle ~ \(1/3\) from midline: middle ear.
Inferior clavicle ~ \(1/3\) from midline: sinuses.
\(2^{nd}\) ICS: thyroid/esophagus/myocardium/bronchi.
\(3^{rd}\) ICS and \(T3\): upper lung.
\(4^{th}\) ICS and \(T4\): lower lung.
Left \(5^{th}\) and \(6^{th}\) ICS: stomach acidity and peristalsis.
Right \(5^{th}\)–\(6^{th}\) ICS: liver; right \(6^{th}\) ICS: gallbladder.
\(7^{th}\) ICS: pancreas (right) and spleen (left).
\(8^{th}\)–\(10^{th}\) ICS: small intestine.
Right \(12^{th}\) rib tip: appendix.
Anterior thigh segments: colon mapping (right and left mirror).
Periumbilical and near-umbilicus offsets: adrenals, kidneys, bladder.

Practical exam & study advice

Memorize common ICS-vertebral level pairs (e.g., \(2^{nd}\) ICS → \(T2\)–\(T3\), stomach \(5^{th}\)–\(6^{th}\) → \(T5\)–\(T6\)).
Learn anterior landmarks first (easy to palpate), then confirm with posterior spinal levels.
Practice bilateral comparison and graded pressure to distinguish true Chapman points from local muscular tender spots.

References for practice (recommended)

Use this map clinically as a screening and treatment guide, not a definitive diagnostic test.
Combine Chapman point findings with history, organ-specific exam, and appropriate investigations.