Anatomy Flashcards

(28 cards)

1
Q

urinary tract

A

kidneys produce urine / filter blood > ureters carry urine to bladder > bladder stores urine > urethra carries to excretatory organ

upper tract= kidneys & ureters
lower= bladder & urethra

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2
Q

anatomy of the kidneys

A

location: retroperitoneal- upper quadrants/ lumbar region, right lies at L1-L3, left lies T12-L2. ribs 11& 12 posterior to kidneys

lateral musculature: transverses abdominis, internal and external obliques

posterior musculature: quadratus lumborum, psoas major

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3
Q

hilum of kidney anatomy

A

hilum of kidney: renal vein (anteriorly), renal artery, ureter (inferiorly)

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4
Q

layers of kidney

A

renal capsule > perinephric fat > renal deep fascia > paranephric fat > visceral peritoneum

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5
Q

some blood supply of the ureters

A

many- renal artery, abdominal aorta, common iliac artery

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6
Q

what are 2 areas of LNs kidneys drain to

A

iliac nodes and lumbar nodes

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7
Q

inside of kidney is composed of ______ and _______

A

cortex and medulla- medulla contains pyramids which contain nephrons creating the sun ray appearance

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8
Q

how does urine drain

A

nephrons > minor calyx > major calyx > real pelvis > ureter

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9
Q

what are 3 ureteric constrictions susceptible to pathology

A

pelviureteric junction, ureter passing over anterior aspect of common iliac artery and ureteric orifice

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10
Q

what muscle creates the pelvic floor

A

the levator ani muscle

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11
Q

what direction do ureters enter bladder preventing urinary reflux

A

inferomedial direction

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12
Q

name the male and female pouches formed

A

male-rectovesicle pouch

female- rectouterine, vesico-uterine

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13
Q

bladder anatomy

A

location: true pelvis (empty), superior part in contact with peritoneum
anatomy: has 2 ureteric orifices and 1 urethral creating the trigone. wall of bladder is the detrusor muscle (encircles orifices)

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14
Q

T/F: females have longer urethras

A

F: males have 20cm long, females 4cm

males have internal & external sphincters, females only have external

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15
Q

the external sphincter is under _____ control

A

voluntary- at level of levator ani muscle

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16
Q

what is the male reproductive tract

A

sperm produced in testes > epidydimis > vas deferans >spermatic cord > seminal gland > ejaculatory duct > prosthetic urethra > spongy urethra > external urethral orifice

17
Q

where do testes sit and their drainage

A

tunica vaginalis
right testicular vein > inferior vena cava
left > renal vein

18
Q

which area of the prostate is more susceptible to cancer

A

posterior zone

19
Q

penis anaotomy

A

root is attached to ischium > body of penis > glans > external urethral orifice

skin > superficial fascia > deep fascia

arteries: internal pudendal artery, branch of external iliac artery (scrotum)

20
Q

deep fascia has 3 cylinders which engorge during ejaculation- these are called…

A

corpus spongiosum, corpus cavernosum x2

21
Q

visceral afferents supply the majority of sensory innervation of urinary tract- how does this occur?

A

afferents run along sympathetic fibres

kidneys: > enter T11 and L1 = pain in loins
ureters: > T11 and L2= pain in groin/loins

bladder: upper part (peritoneum contact) is sympathetic > T11-L2 = suprapubic pain
rest of bladder is PS > S2,3,4

22
Q

3 types of efferent fibres are

A

sympathetic, parasympathetic, somatic motor

23
Q

how do sympathetic efferent fibres work

A

leave CNS (T10-L2) > sympathetic chain> abdominopelvic splanchnic nerves > abdominal sympathetic ganglia > postsynaptic nerves leave ganglia > surface of arteries > organs

24
Q

how do parasympathetic efferent fibres work

A

Kidneys: vagus nerve enters abdominal cavity (via diaphragm) > periarterial plexus

bladder: pelvic splanchnic nerves leave S2,3,4

25
how do somatic motor fibres work
only go to body wall structures! | perineum structures innervated by somatic motor efferents- urethra, external urethral sphincter, pelvic floor muscles
26
why is pain felt more sharp in urethra?
because only place in tract with visceral and somatic pain afferents (somatic as part of urethra in perineum- localised sharp pain)
27
how does micturition occur
visceral afferents detect stretch > detrusor muscle contracts > & internal urethral sphincter, external sphincter, levator ani relax > anterolateral muscles contract to inc pressure > urine out
28
T/F: micturition is mainly under sympathetic control
F: mainly under PS control + somatic control for anterolateral muscle contraction