anatomy Flashcards
what structures found in cortex and medulla?
cortex - glomeruli, PCT/DCT,
medulla - loops of H, collecting ducts
uniferous tubule equals ?
nephron and collecting duct
what lines visceral and parietal layers of glomeruli?
parietal - epithelium -squamous simple
visceral - podocytes
most common renal cancer?
clear cell renal cell carcinoma
metastases of renal cancer to? 3
bone
lung
liver
epithelium of ureter?
stratified transitional epithelium
muscle of ureter?
upper 2/3 - 2 layers of smooth muscle
lower 1/3 - 3 layers of smooth muscle
how is urine moved in ureter?
peristalsis
lining of bladder?
transitional epithelium lining
folded mucosa
4 layers to kidney?
renal capsule
perirenal fat
renal fascia - fibro/fatty tissue
pararenal fat - posterior
kidney lie at what level?
T12-L3
hila of kidney lie where?
L1
order of hilum?
renal vein - superior and infront
renal artery - under
renal ureter - under - posterior
lymph nodes of kidneys?
drain to para-aortic nodes
visceral layer of bowman capsule lined by?
podocytes
renal arteries arise where?
L1-2
LEFT AND RIGHT testicular veins drain into where?
left testicular vein - drains into LRV
right testicular vein - drains into IVC
URETER & posts major relationship?
ureter lies over posts major muscle
ureter and external iliac artery relationship?
ureter crosses over the external iliac artery
ureter and testicular artery relationship?
testicular artery runs over ureter
ureter intra/retro peritoneal ?
ureter is retroperitoneal
ovarian and uterine artery and ureter relationship?
ovarian artery runs over and superiorly to ureter
uterine artery - runs anterior in female
3 constrictions of ureter?
PUJ - OF RENAL PELVIS and ureter
ureters enter pelvis & crosses iliac artery bifurcation
VUJ - ureter enters bladder
how does ureters enter bladder?
posterior - openings in back
muscle type of internal and external urethral sphincter?
internal - smooth
external - skeletal
muscle of bladder?
detrusor - smooth muscle
urachus remnant meaning?
where is it?
embryo remnant of allantois and cloaca
called as ureteric bud
connects apex of bladder to umbilicus by median umbilical ligament
4 layers of tissue of bladder?
mucosa
submucosa
muscularis
serosa/adventitia
when do bladder enlarge?
when there is an obstruction to urine - in ureter/urethra
where do urethra enter/go through?
goes through pelvic diaphragm
layers of ureter wall? 3
fibrous coat - connective tissue
muscular coat - 2 layers of smooth muscle- peristalsis
muscosa - transitional epithelium
transitional epithelium lines what?
inside kidneys, ureters, bladder, urethra
what is smooth muscle function in ureter?
for peristalsis and propel urine
relationship between ureter and vas deferens?
in males vas deferens crosses ureters anteriorly
aorta and ivc on which side?
aorta on left
vas defers run where in relation to bladder?
vas deferns crosses with ureter and enters with it at back of bladder
ureteric bud lead to what?
ureter, renal pelvis, major/minor calyces and CD
metenephric blastema leads to what?
excretory system - tubules, glomeruli and bowman capsule, loop of H
what stuff covers over left and right kidney in front?
left - suprarenal gland, stomach, spleen, pancreas, colon, jejunum
right - suprarenal gland, liver, duodenum, colon, jejunum
posterior surface of kidneys?
diaphragm, psoas major, quadratus lomborum, transversus abdominis
poles, surfaces and borders of kidney?
2 poles - superior/inferior
2 surfaces - anterior/posterior
2 borders - convex/concave
what 2 nerves run behind kidneys?
iliohypogastric nerve
ilioinguinal nerve
on posterior surface of kidney
renal columns and pyramids explain and where?
renal columns run between pyramids in medulla
renal lobe includes?
cortex + medulla segment
renal arteries branches? 3
segmental branches - 5
interlobular branches
acuate branches
nerve supply to kidney?
renal plexus
sympathetic - T10-L1
sensory afferent - T11-L5
RENAL VEIN DRAIN INTO WHERE?
ivc
peritoneum of bladder? and creates what?
covers over superior surface of bladder - creates Douglas pouch
umbilical folds 2 types - explain how formed?
two medial umbilical folds - occluded umbilical artery
two lateral umbilical folds - inferior epigastric vessels
parts of urethra? 4 IN MEN
- pre-prostatic part
- prostatic
- membranous
- spongy - penile
widest/longest/narrowest part of urethra?
WIDEST - prostatic
NARROWEST - membranous
LONGEST - spongy - penile
length of male urethra?
18-20cm
nerves for bladder? roots AND FUNCTION?
sympathetic - T10-L2 - constrict internal sphincter
parasympathetic - S2-S4 - constrict detrusor muscle and relax internal sphincter
somatic - S2-S4 - pudenal nerve - external sphincter
ejaculatory duct enters where?
enters and joins urethra and carries semen in
renal corpuscles is what?
glomerulus + bowmen capsule
nephron includes what?
renal corpuscles + renal tubules(PT,DT AND LOOP)
JUXTAGLOMERULAR apparatus function?
includes what?
regulates BP and gfr via the renin angiotensin system
-macula densa + jux cells
ureter histology see what?
transitional epihtelium
star shaped
inner and outer smooth muscle(c + l)
bladder layers? on histology
transitional epithelium
inner L
middle circ
outer L
nerves to kindeys?
sympathetic
parasympatethic
by renal plexus
sympathetic nerves in t12 and L1 spinal segments - sphlanic nerves
parasympathetic from vagus
renal arteries arise where?
L1/2
branches of renal arteries? 3
segmental branches
interlobular
arcuate branches
what does adrenal medulla layer contain? 2
loops of hence
deep collection ducts
cortex adrenal layer contain? 2
glomeruli
convoluted tubules
3 cells in glomeruli?
podocytes
capillary cells
mozyniel cells
epithelium lining of ureter?
stratified transitional epithelium
muscle of ureter tube??
smooth muscle
upper 2/3 - 2 layers = inner L & outer C
lower 1/3 - 3 layers = inner L & middle circle & outer long
how is urine squeezed out?
peristalsis
3 muscles related to posterior kidney surface?
posts major
quadrates lomborum
trasnverus abdominus
2 nerves run on posterior surface of kidney?
iliohypogastric nerve
ilioinguinal nerve
renal lobe includes?
cortex and medulla
regions of male urethra? 4
intramural - pre-prostatic
prostatic
membranous
spongy
widest and narrowest part of male urethera?
widest - prostatic
narrowest - membranous
muscle of bladder?
detrusor
nerve supply to bladder?
sympathetic
parasympathetic
somatic
sympathetic - t11-l2 - constrict IUS
parasympathetic - S2-4 - motor to detrusor muscle/relax IUS
somatic - pudenal nerve - EUS - VOLUNTARY CONTROL
ARTERY of bladder?
internal iliac artery
epithelium of TUBULES?
cuboidal
bladder 3 layers?
inner longitudinal
middle circular
outer longitudinal
3 constrictions of ureter?
pelvicureteric junction
pelvic brim - enters over bifurcation
vesicoureteric junction
median umbilical ligament is remnant of?
urachus of hindgut
why transitional epithelium good?
cells stretch to accommodate the fluctuation of urine flow