Anatomy Flashcards
Urinary system is located in what cavity
abdomino-pelvic
Components of the urinary system (4)
Kidneys
Ureter
Urinary bladder
Urethra
Kidneys vertebral level
T12-L3
The kidneys lie in what space on either side of the posterior abdominal wall
paravertebral gutters
The hilum of the kidney lies at what vertebral level
transpyloric plane - L1
Which kidney is higher + why
Left - because liver pressing down on right kidney
4 layers covering the kidney from inner to outer
Fibrous renal capsule
Fatty renal capsule (perirenal fat)
Renal fascia - fibrofatty tissue
Pararenal fat
Posterior relations of the kidneys (5)
Diaphragm Psoas major Quadratus lumborum Transversus abdominis Ribs 11-12
Diaphragm lies where in relation to kidneys
posterior
Diaphragm lies posterior to kidneys so what effect does it have on the kidneys during inspiration and expiration
they move down during inspiration
What nerves are posterior to the kidneys so need to be careful of these when operating
Subcostal, iliohypogastric and ilioinguinal nerves
Anterior relations of the right (4) and left kidney (5)
Right
- liver
- adrenal gland
- duodenum
- ascending colon
Left
- adrenal gland
- stomach
- spleen
- pancreas
- jejunum
Retroperitoneal means peritoneum only covers what surface
anterior
Sympathetic and parasympathetic innervation of kidneys
Sympathetic
-T12-L1 thoracic splanchnic nerves which synapse at coeliac ganglion
Parasympathetic
-vagus
Lymphatic drainage of the kidneys
para-aortic lymph nodes around the origin of the renal arteries at L1
Name some congenital abnormalities of the kidneys (3)
Horseshoe kidney
Duplicated ureter
Pelvic kidney - kidney fails to ascend, remains in pelvis
Reason for horseshoe kidney embryologically
kidneys become too close together during their ascent from the pelvis to the abdomen and inferior poles fuse
Reason for duplicated ureter embryologically
Duplication of ureteric bud of of the mesonephric duct
Histology of renal cortex is characteristic because of presence of what circular structures
glomeruli
Renal cortex contains (3)
renal corpuscle - glomerulus + bowman’s capsule
PCT
DCT
Renal medulla contains (2)
loop of henle
collecting duct
Arterial supply of the kidneys
Renal artery (left and right)
- which divides into segmental branches once it enters hilum
- each segmental artery divides a further 4 times
Structures at renal hilum
renal vein
renal artery
renal pelvis
Length of left renal vein compared to right
left is longer because it has travel anterior to aorta to reach the IVC
Length of right renal artery compared to left
right is longer as it travels posterior to IVC to reach aorta