1 Topography of the Urinary System Flashcards

1
Q

Wht are the 2 centres of the neural apparatus for the urinary system?

A

continence

micturition

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2
Q

How long are the ureter?

Are they retro-peritoneal?

A

25cm long

superior 12.5cm is retro-peritoneal, the rest is intra-peritoneal

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3
Q

What part of the urinary system passes through the pelvic floor?

A

urethra

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4
Q

Which surface of the kidney is covered by parietal peritoneum?

A

the anterior side

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5
Q

What fascia is immediately anterior to the kidney?

A

Gerota’s fascia

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6
Q

Which fascia is immediately posterior to the kidney?

A

Zuckerland’s fascia

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7
Q

Where is the retro-peritoneal space?

A

all around the perineal space, weird

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8
Q

Where might left and right perineal spaces connect?

A

across the midline through a fenestrated barrier anterior to the aorta and vena cava

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9
Q

What are the 3 main muscles of the posterior abdominal wal?

A

Quadratus Lumborum
Psoas Minor
Psoas Major

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10
Q

How do the medial and lateral lumbocostal arches form?

A

the quadratus lumborum and psoas thicken around the top 1/3 of the kidney

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11
Q

What structure do the lumbocostal arches create?

A

the paravertebral gutters

this shows the superior 1/3 of the kidney is behind the diaphragm

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12
Q

At what vertebral level do the left and right renal arteris form?

A

L2-L2

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13
Q

Why is the left renal vein longer than the right renal vein?

A

Because the IVC lies to the right of the vertebral column

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14
Q

What does the left renal vein drain?

A

left kidney
left gonadal vein
portion of the left ascending lumbar vein

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15
Q

What caps the superomedial surfaces of the each kidney?

A

suprarenal glands

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16
Q

What is the relationship of the duodenum to the right kidney?

A

second portion of the duodenum is anterior to the medial border of the right kidney

17
Q

How much of the right kidney is in contact with the liver?

A

the superior 2/3

18
Q

What is the inferior right kidney covered by?

A

inferior 1/3 covered by right colic flexure anteriorly and jejunum coils medially

19
Q

What is the relationship between the pancreas and the left kidney?

A

the pancreas lies across the hilar region of the left kidney

20
Q

How does the stomach contact the left lidney?

A

in the triangular zone, the stomach makes contact with the upper left kidney

21
Q

What are the other names for horseshoe kidney?

A

Ren Arcuatus
Renal Fusion
Super Kidney

22
Q

What is the pathway of the ureter?

A

they descend along the psoas before crossing the bifurcation of the common iliac arteries, where they enter the pelvis

23
Q

What is the relationship between the ureter and the gonadal vessels?

A

the gonadal vessels cross the ureter obliquely

24
Q

Which kidney is lower than the other?

A

the right kidney is lower