Endocrine + renal anatomy Flashcards
Where is the pituitary gland located?
Pituitary fossa in the sphenoid bone
How is the optic chiasm related to the pituitary gland?
The optic chiasm is immediately superior
Which lobe of the pituitary is bigger?
Anterior
Which pituitary lobe manufactures hormones?
Anterior
How does the pituiary gland stain?
Anterior stains dark
Posterior light
How can you distinguish between the anterior pituitary cells?
Acidophilic - stain pink
Basophilic - stain purple
Chromophobic - appear pale
What are the 2 Classes of Acidophils?
- Somatotrophs
2. Mammotrophs
What are the 3 Classes of Basophils?
- Corticotrophs
- Thyrotrophs
- Gonadotrophs
What do somatotrophs produce?
somatotrophin
What do mammotrophs produce?
Prolactin
What do corticotrophs produce?
ACTH
MSH - Melanocyte Stimulating Hormone
What do thyrotophs produce?
TSH
What do conadotophs produce?
FSH
LH
What is the Arterial Blood Supply to the Pituitary Gland?
- The Superior Hypophysial Artery (anterior)
2. The Inferior Hypophysial Artery (posterior)
What are the main secretory bodies of the Posterior Pituitary?
Neurosecretory Bodies (Herring Bodies)
Where do the hypophysial arteries arise from?
Internal carotid artery
What is the course of the superior hypophysial artery?
Enters hypothalmus
Breaks into capillaries (hypophysial portal system)
These then supply anterior pituitary gland
How does the hypoathalmus communicate with the Anterior Pituitary?
The Hypothalamo-Hypophysial Portal System
How does the Hypothalmus communicate with the Posterior Pituitary?
Through the Neurosecretory Cells, via the Infundibulum
How is the pituitary gland drained?
Hypophysial veins -> cavernous sinus
Where is the thyroid gland found?
C5-T1
Between thyroid cartilage and 6th tracheal ring
Where is theisthmus related to?
2nd to 4th tracheal rings
What strap muscles overlie the thyroid gland?
Sternohyoid
Omohyoid
Sternothyroid
What nerves supply the vocal cords?
Recurrent laryngeal
Superior laryngeal
What Arteries supply the Thyroid?
- The Superior Thyroid Artery
2. The Inferior Thyroid Artery
Where does the Superior Thyroid Artery arise from?
The External Carotid Artery
Where does the Inferior Thyroid Artery arise from?
Subclavian Artery
What Veins drain the Thyroid?
- The Superior Thyroid Vein
- The Middle Thyroid Vein
- The Inferior Thyroid Vein
Into which veins do the Thyroid Veins drain?
Superior + middle - The Internal Jugular Vein
Inferior - left brachiocephalic
What cells line follicles?
Follicular cells
What colour does the colloid stain?
Pink
Where are the parathyroid glands located?
The Medial part of the Posterior Surface of Each Thyroid Lobe
Superior by cricoid cartilage
Inferior by inferior poles of thyroid
What is the blood supply of the adrenal glands?
Suprarenal arteries
>Arise from inferior phrenic artery
>Aorta and
>Renal arteries
Where do the suprarenal veins drain? (left and right)
Left - L. renal vein
Right - IVC
What are the 4 Layers which enclose the Kidney?
superficial to deep
- The Pararenal Fatty Tissue
- The Renal Fascia
- The Fatty Renal Capsule
- The Fibrous Renal Fascia
What are the 3 posterior relations of the Kidney?
- The Diaphragm
- The Psoas Major
- The Quadratus Lumborum
What are the anterior relations of the right kidney?
Adrenal gland Liver Duodenum Right colic flexure Small bowels
What are the anterior relations of the left kidney?
Adrenal glands Stomach Spleen Pancreas Small bowel Left colonic flexure
What is the nerve supply of the kidneys?
Sympathetic - T12/L1 (coeliac ganglia)
Parasympathetic - vagus
What is the lymphatic drainage of the kidney?
Para-aortic nodes
Embryologically, what happens to cause:
1) horseshoe kidney?
2) Duplex ureter?
1) inferior pole fusion
2) Duplication of uteric bud
What are the arteries of the kidneys?
Apical Anterosuperior Anteroinferior Inferior Posterior
How does the Left Renal Vein travel to get to the Inferior Vena Cava?
Anterior to the Abdominal Aorta, and so is relatively long
How does the Right Renal Artery travel to get to the Right Kidney?
Posterior to the IVC, and so is relatively long
What Vein travels up from the Pelvis into the Left Renal Vein?
The Left Gonadal Vein:
- The Left Testicular Vein if Male
- The Left Ovarian Vein if Female
What muscle does the ureter lie on as it descends?
Psoas major
What artery does the ureter cross, where?
Bifurication of the common iliac artery
What crosses the ureter in males/females?
Males - vas deferens
Females - Uterine artery
What are the three constrictions of the ureter?
Origin
Pelvic brim
Vesicoureteric junction
Where do the ureters enter the bladder?
Trigone
Where does the urethra leave the bladder?
Neck
Where does the median umbilical ligament ascend to the umbilicus?
From the apex of the bladder
What is the median umbilical ligament a remnant of?
The Urachus of the Hindgut
What is the Pelvic Brim?
The area of Bifurcation of the Common Iliac Artery
What tissue makes up the ballder?
Transitional
Lined with Stratified Transitional Epithelium
What joint is immediately anterior to the bladder?
pubic symphysis
What is the advantage of having transitional epithelium?
It can stretch to accommodate fluctuations in Urinary Fluid Volume