Chapter 6 Urinary System Flashcards
What is a horseshoe kidney?
A condition in which both kidneys are joined at their lower poles across the midline of the body
What structures are affected with a horseshoe kidney?
Because the lower poles are pulled together, the upper pole and hilum of each kidney is anatomically affected
How is the renal pelvis located with a horseshoe kidney?
More anteriorly located causing a more horizontal angle, allowing urine to sit for longer periods of time
What happens when urine sits?
It stagnates and collects the heavier potassium and calcium waste products
What are more common in horseshoe kidneys because of the change in anatomical positioning?
Renal Calculi
What is renal ectopia?
The condition of a misplaced kidney and present in several different manner
Where are the kidneys usually found with renal ectopia?
Usually the kidneys are found in the pelvis and are associated with a congenitally short ureter
What is crossed ectopy?
When one kidney (usually the lower one) lies either partially or completely across the midline and is fused with the upper kidneys at its lower pole
What do both of the kidneys demonstrate with renal ectopia?
Both kidneys demonstrate various anomalies of position, shape, fusion, and rotation
What is more likely to be present with renal ectopia?
Stone formation and reflux
What is a floating kidney termed?
Nephroptosis
How are the kidneys situated?
The kidneys are retroperitoneal and only the anterior surface is attached to the peritoneum
How much will the kidneys normally be displaced on inspiration?
Inferiorly about 1 inch upon deep inspiration
When a person assumes the upright position how much can the kidneys move?
The kidneys can descend as much as 2 inches
What occurs with nephroptosis?
The anterior surface of the kidney is not attached to the peritoneum
When a person with nephroptosis stands upright, what happens to the kidneys?
The kidneys will fall quite a distance, sometimes into the pelvic region
What is the determining factor of nephroptosis?
The length of the ureter
What is Polycystic renal disease?
An inherited renal cystic condition
What is another name for polycystic renal disease?
polycystic kidney disease
What is the exact cause of the formation of polycystic renal disease?
The cause is unknown
What is associated with polycystic renal disease?
Brain aneurisms and diverticula of the colon
What happens in the early stages of polycystic renal disease?
The cysts multiply and enlarge, causing enlarged kidneys
What happens in the end stages of polycystic renal disease?
The kidneys are small and scarred, preventing normal function
Who does polycystic renal disease affect?
Both infants and adults (more common in adults)
What happens as the cysts continue to grow with polycystic renal disease?
As the cysts continue to grow and compress the cortex, they will push outward on the capsule of the kidney which causes the kidney to lose its smooth border as it becomes lumpy and lobulated
What is the cause of death with polycystic renal diseasE?
Renal failure
What modalities will demonstrate polycystic renal disease?
CT, MRI, and ultrasonography
for radiographer, IVU
How will the kidneys appear in the early stages of polycystic renal disease when viewing with various modalities?
The kidneys will appear larger than normal with lobulated borders, elongated renal pelvis, and distortion of calyces
Is the normal filling time when imaging polycystic renal disease longer or shorter?
The normal filling time will be longer as the nephrons are compromised and unable to process the contrast as well as a normal kidney
How long may the “nephron blush” continue for someone with polycystic renal disease?
Many not occur for more than 3 to 5 minutes or longer
What is glomerulonephritis?
An inflammatory disease of the capillary loops of the renal glomeruli, located within in the nephrons
What is a more common term for glomerulonephritis?
Brights disease
What is brights disease the most common cause of?
Underdeveloped kidneys (hypoplasia) in young adults
What might Brights disease develop after?
A streptococcal infection as a result of antigen-antibody complex being deposited in the glomerulus
What is Brights disease characterized by?
Hypertension caused by the stimulation of the juxtaglomerular apparatus and edema of the face and ankles due to loss of protein
What are symptoms of Brights disease?
nausea, malaise, and arthralgia
What will laboratory tests indicate in someone with Brights disease?
A increase in albumin, BUN, and creatinine levels
What happens to the majority of patients with brights disease?
Majority will recover spontaneously but a small number of patients develop progressive renal failure and death may be cause by uremia
What happens to other patients with brights disease?
They experience chronic inflammation
What is prostatic hypertrophy?
It describes prostate gland enlargement and subsequent obstruction of urinary output
Who experience prostatic hypertrophy?
Almost all men over 55 years of age experience some enlargement of the prostate gland
What are the early symptoms of prostatic hypertrophy?
Reduced urine output but the feeling of a full bladder
What happens are the prostate gland enlarges?
It closes the lumen of the urethra, thus causing diminished urine output. The residual urine retained in the bladder tends to undergo decomposition and becomes infected
What is a common complaint of prostatic hypertrophy?
Cystitis associated with hypertrophy of the prostate gland
What is cystitis?
inflammation of the bladder
What does pyelonephritis mean?
Inflammation of the kidney and renal pelvis
What is the most common single type of renal disease?
Pyelonephritis
Who is most commonly affected by pyelonephritis?
women because of higher incidence of UTIs
What are the symptoms of pyelonephritis?
flank pain, bacteriuria, pyuria, dysuria, nocturia and increased frequency of urination
If pyelonephritis is quickly treated with antibiotics what happens to the kidney?
the kidney should heal with no scarring
What happens when treatment is delayed within the first several years of having pyelonephritis?
the kidneys will be damaged so as to affect renal function causing hypertension and even end-stage renal disease
What are renal calculi?
Solid masses that consists of a collection of tiny crystals containing calcium, calcium salts, and oxalates
What is the most common substance combined with calcium to form stones?
Oxalate
What do minerals form in regards to renal calculi?
Minerals form minute crystals that are passed out of the body along with urine flow
What can often happen to the minerals in regards to renal calculi?
Sometimes the minerals clump together and cling to the tissue lining the inside of the kidney. There they continue to grow as new crystals are added.
What does the urine show with renal calculi?
The urine shows elevated crystalline salts, pus, and blood upon examination and testing
What forms in the urinary tract with renal calculi?
Stones form, usually in the renal pelvis, but they are sometimes found in the bladder
What are common manifestation of renal calculi?
Hematuria and severe flank pain radiating to the groin or genitals
What are common in premature infants with renal calculi?
Kidney stones due to high concentration of their urine
What are the most common stones with renal calculi?
Calcium stones in men