Chapter 8 - Renal Flashcards
The three kidney sytems:
1 pronephros
2 mesonephros
3 metanephros
Paired organ that connects the primitive mesonephros to cloaca?
Wolffian duct
Outgrowth from the caudal Wolffian duct where the renal collecting system is derived from?
Ureteric bud
Nephron is derived from
Metanephric mesoderm
Failure of obliteration of allantois (patent urachus)
Urachal fistula (baby draining urine from the umbilicus)
Allantois > urachus >
Median umbilical ligament
Urogenital sinus
1 urinary bladder
2 urethra
Babies can’t go potty in utero
Potter sequence
Malformation of ureteric bud results in bilateral agenesis
Potter sequence
Potter sequence presentation
1 limb deformities
2 facial deformities
3 pulmonary hypoplasia (oligohydramnios)
T/F Potter is incompatible with neonatal life
True
Unascended kidneys (can’t pass umbilical arteries)
Renal ectopy
Presentation renal ectopy
1 pyelonephritis
2 renal stones
Horseshoe kidney is trapped under inferior mesenteric artery, rare in females, if found usually associated with
Turner syndrome (in 7%)
Most common presentation horseshoe kidney
UTI
Followed by: obstruction, hematuria, or abdominal pain»_space; nephrolithiasis
Renal fusion can occur as clinical feature of VACTERL syndrome
Vertebral Anal Cardiac Tracheal Esophageal Renal Limb
Urinary system is derived from?
Intermediate mesoderm
Retroperitoneal structures - SAD PUCKER
Suprarenal glands (adrenal glands) Aorta/IVC Duodenum (2,3,4 segments)
Pancrease (except tail) Ureters Colon (ascending and descending) Kidneys Esophagus Rectum
Muscles of posterior abdominal wall
- Psoas major
- Psoas minor
- Iliacus
- Quadratus lumborum
Kidneys are located at the level of
i. Left kidney: T12-L3
ii. Right kidney: lower due to liver
Kidneys are embedded in loose connective tissue called
Gerotas fascia
Kidneys lymphatic drainage
Lumbar nodes
Kidneys nerve supply
Thoracic splanchnic nerves
Right gonadal vein drains into
IVC
Left gonadal vein drains into
Left renal vein
Water under the bridge - ureters pass under
- Gonadal artery
- Uterine artery or
- Vas deferens