Anatomy: upper renal tract Flashcards

(28 cards)

1
Q

what defines the urinary tract

A

anatomical structures urine passes through from production to excretion

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2
Q

what is the pathway of urine

A

kidney: produces, ureter: drains from kidney to bladder, bladder: stores/ empties urine, urethra: excretes urine

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3
Q

what is in upper and lower urinary tract

A

upper = kidneys and ureters, lower = bladder and urethra

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4
Q

what parts of the urinary tract lie in the abdomen

A

kidneys and proximal ureters (retroperitoneum)

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5
Q

what parts of the urinary tract lie in the pelvis

A

distal ureters, bladder, proximal urethra

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6
Q

what parts of the urinary tract lie in the perineum

A

distal urethra

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7
Q

what layers protect the kidneys (outside in)

A

visceral peritoneum, paranephric fat, renal (deep) fascia, renal capsule

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8
Q

the kidneys lie anteriorly to what

A

quadrutus lumborum (muscles running from ribs to posterior iliac crest)

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9
Q

the kidneys lie laterally to what

A

psoas major and vertebral bodies

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10
Q

the kidneys lie posteriorly to what

A

floating ribs 11 and 12

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11
Q

at what vertebral levels do kidneys lie and why are they different

A

left = T12-L2, right = L1-L3

liver pushes down right kidney

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12
Q

what regions/ quadrants are the kidneys in

A

R/L upper quadrant, R/L lumbar region

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13
Q

when we breath in what direction do kidneys move

A

down

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14
Q

what is anterior/ posterior in renal veins and arteries

A

veins ant and arteries post

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15
Q

what is anterior/ posterior in iliac veins and arteries

A

arteries ant and veins post

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16
Q

where does lymph from kidneys drain

17
Q

at what level does the aorta bifurcate into the common iliacs

A

level of umbilicus

18
Q

where does the lymph from the ureters drain

A

lumbar and iliac nodes

19
Q

where do the renal pyramids lie

A

in the renal medulla

20
Q

what do pyramids contain

A

50,000 nephrons

21
Q

how does urine drain from collecting nephrons to the ureter

A

nephron collecting duct –> minor calyx –> major calyx –> renal pelvis –> ureter

22
Q

where are the anatomical sites of ureteric constriction (3)

A

pelviureteric junction, ureter crossing common iliac artery, ureteric orifice (into bladder)

23
Q

what are renal calculi

A

stones from urine calcium salts, obstructing the urinary tract

24
Q

how can ureteric obstruction occur

A

internal obstruction (renal calculus or blood clot), external compression (expanding mass)

25
how does the urinary tract try to pass obstructions and what pain does it cause
peristalsis as smooth muscle - colicky pain x
26
at what point does urine production stop
pressure within urinary tract exceeds pressure favouring filtration at glomerulus
27
what is renal failure
failure to adequately filter blood to produce urine
28
what does each nephron contain
glomerulus, proximal tubule, loop of Henle, distal tubule and collecting duct.