MO: Test points for Digestion Functional Evaluation - LARGE INTESTINE.
1. Ileocecal Valve: Palpate 1/2 the distance between the right ASIS and the umbilicus. Palpate A>P feeling for tenderness. Use a slight circular motion (clockwise) to help move the tissue as you probe deeper. DOES LNT.
2. Large Intestine/Colon Palpation: With the edge of your fingers palpate deeply feeling for resistance/congestion or until the client feels tenderness in the surrounding lymphatic tissues. Start just inside the ASIS, right side, palpate side to side and concurrently A>P across the colon, upward to the rib cage (ascending colon), then across the abdomen, palpating in an upward and downward motion (transverse colon), and then down the left side, side to side motion (descending colon). On the exam form the points are indicated A-B and B-C (A being the ASIS on the right, B the midpoint of the abdomen and C the ASIS on the left) Record any tenderness in corresponding areas. DOES LNT.
3. Chapman Colon/Iliotibial Bands: The iliotibial band runs down the exterior of the leg from the hip (greater trocanter) to the knee in the same place as the stripe on a band uniform. This mirrors the Large Intestine palpation. If you dissected the colon in the middle of the abdomen and drew the ends down the iliotibial band, the palpations for tenderness on the iliotibial band would likely mirror the tender points on the colon and should validate your findings for the Colon. If only the iliotibial band is tender at the mid-point, this is likely an indicator of prostate/uterus weakness, not a colon indicator. DOES LNT.