CPRS 38: Anatomy of Kidney Flashcards
Outer layer of Adrenal Gland is called
Inner layer of Adrenal Gland is called
Outer layer of Adrenal Gland is called cortex
Inner layer of Adrenal Gland is called medulla
The Urine will pass through C M P M C M C P U
The Urine will pass through Cortex Medulla Papilla Minor calyx Major calyx Pelvis Ureter
4 layers of stuff enclosing the kidney From inner to outer F C P F R F P F
4 layers of stuff enclosing the kidney From inner to outer Fibrous capsule Perirenal fat Renal fasciae Pararenal fat
Nerve supply of kidney
Sym:
Parasym:
Nerve supply of kidney
Sym: T12
Parasym: Vagus Nerve
Lymphatics of kidney drains to __________ nodes
Drains to lateral aortic nodes
Aorta is closer to the _____ kidney (left/right)
IVC is closer to the _______ kidney (left/right)
Therefore, which renal artery is longer?
Which renal vein is longer?
Aorta is closer to the left kidney (left/right)
IVC is closer to the right kidney (left/right)
(LV is oxygenated, RV is deoxygenated///)
Therefore, which renal artery is longer? Right renal artery
Which renal vein is longer? Left renal vein
Which kidney (left or right) is lower position and why?
Position of kidneys?
Right kidney at lower position
Liver pushes the right kidney downwards
Position: T12-L3
Consider Adrenal Glands
- Arteries (3)
- Veins (2, basically 1)
- Nerves (Sym and Parasym)
- Lymphatics : Drains to…
Consider Adrenal Glands
- Arteries: Inferior Phrenic Artery, Renal Artery, Branches from abdominal aorta
- Veins: Right Suprarenal vein and Left Suprarenal Vein
- Nerves: T5-T9 (Sym) and NONE (Parasym)
- Lymphatics : Drains to lateral aortic nodes
3 Physiological Narrowings in ureter
Name the arteries
What supplies the upper 1/3 of ureter (2)
What supplies the middle 1/3 of ureter (1)
What supplies the lower 1/3 of ureter (real 2)
Where does the lymphatics drain to?
3 Physiological Narrowings in ureter
- Ureteropelvic junction
- Pelvic inlet
- Entrance to urinary bladder
What supplies the upper 1/3 of ureter: Left and Right Renal Artery
What supplies the middle 1/3 of ureter: Gonadal Artery
What supplies the lower 1/3 of ureter: Iliac Artery and Vesical Artery
Where does the lymphatics drain to- Lateral Aortic nodes
Consider the pelvic inlet
- Where is the cross-section at?
- What is called at the very front region?
- Pelvic inlet has to be large enough for _____ during ________
Consider the pelvic inlet
- Where is the cross-section at? S1 of vertebrae
- What is called at the very front region? Pubic Symphysis
- Pelvic inlet has to be large enough for baby’s head to pass through during 1st stage of child delivery
Consider Pelvic Bone
There’s ilium, ischium, pubis. Mix and match
Upper bone
Lower back bone
Lower front bone
Consider Pelvic Bone
There’s ilium, ischium, pubis. Mix and match
Upper bone: Ilium
Lower back bone: Ischium
Lower front bone: Pubis
Refer to diagram on CPRS 38
Name 2 Rotatory muscle for the hip joint
- P
- O I
Also, what are the 2 holes in the Pelvic bone called?
Name 2 Rotatory muscle for the hip joint
- Piriformis muscle
- Obturator Internus muscle
2 Holes: Obturator Foramen
Consider the measurement of Anterior Posterior Diameter of the Pelvic Inlet
Measure of _________ conjugate is not clinically possible. Therefore, we switch to measure the _________ conjugate.
Consider the measurement of Anterior Posterior Diameter of the Pelvic Inlet
Measure of obstetrical conjugate is not clinically possible. Therefore, we switch to measure the diagonal conjugate.
Consider the Urinary Bladder
- Which type of muscle is it composed of?
- What type of epithelium?
- Region that is very sensitive to pain?
- Region at the end of ureter and entry to the epithelium- What is it called?
Consider the Urinary Bladder
- Which type of muscle is it composed of? Detrussor Muscle
- What type of epithelium? Transitional
- Region that is very sensitive to pain? Trigone
- Region at the end of ureter and entry to the epithelium- What is it called? Ureteric Orifice
Consider the Urinary Bladder
- What is anterior to the urinary bladder
- What is posterior to the urinary bladder: Both genders, male (real 2) and female
- Which plexus is the urinary bladder being supplied? Sym? Parasym?
- What nodes of lymph supply related to urinary bladder? (2)
- What arteries supply the urinary bladder? (2)
- What veins drain the urinary bladder? (real 2)
Consider the Urinary Bladder
- What is anterior to the urinary bladder
Pubic symphysis
- What is posterior to the urinary bladder:
Both genders: Rectum
Male (2): Vas deferans + Seminal Vesicle
Female: Uterus - Which plexus is the urinary bladder being supplied? Sym? Parasym?
Hypogastric Plexus
Sym: L1-L2; Parasym: S2-S4 - What nodes of lymph supply related to urinary bladder?
External and Internal Iliac Nodes - What arteries supply the urinary bladder?
Superior Vesical Artery
Inferior Vesical Artery - What veins drain the urinary bladder?
Vesical Venous Plexus
Internal Iliac Vein
