Kidney Flashcards

1
Q

GROSS OF KIDNEY

  • ___-___ vertebrae
  • ____ cm in Length
  • ___ in W; ___ in T
  • ___________ in color
  • ____peritoneal
A

T12-L3

10; 5;5.5

reddish brown

retro

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2
Q

Kidney

-largely under ________

A

the coastal margin

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3
Q

Kidney is largely under the coastal margin (ribs ___ and ____ )

A

11 and 12

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4
Q

Which kidney is lower in position. And why?!!!

A

right is slightly lower than left due to large size of right lobe of liver

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5
Q

contraction of diaphragm = vertical ___cm movement of the kidney

A

2.5

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6
Q

hilum of kidney leads to renal ____

A

sinus

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7
Q

Arrangements of structures in the hilum

__________

A

VAUA

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8
Q

The adrenal gland is attached to the kidney

T/F

A

F

the adrenal gland isn’t actually attached to the kidney

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9
Q

Presence of a strong fascial septum between the kidney and adrenal gland
T/F

A

F

weak fascial septum

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10
Q

Gonadal arteries cross the ureter and provide ureteric branches to them
T/F

A

T

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11
Q

-renal arteries are at the (back or front?) of renal veins

A

Back

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12
Q

SMA goes (above or below?) and (behind or infront of?) the (left Or right?) renal vein so it compresses it against the ______

A

Above

Infront of

Left

aorta

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13
Q

right kidney is ___cm lower than left

-transpyloric plane passes _____ of right kidney and _____ of left kidney

A

5.5

superior pole

hilum

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14
Q

left kidney is ___cm from midline

A

5

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15
Q

COVERINGS

-________ that surround the kidney directly

A

Fibrous capsule

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16
Q

________ that surrounds the fibrous capsule and _____ the ____

A

perirenal fat

enters the sinuses

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17
Q

__________ that encloses kidney and suprarenal glands(except ____ ) and is continuous with ______

A

renal fascia

inferiorly

transversalis fascia

18
Q

pararenal fat: external to the ____ and forms part of the _____ fat

A

Renal fascia

retroperitoneal

19
Q

STRUCTURE

  • ____ cortex
  • _______ inner medulla
  • medulla is made up of ____
A

dark

light brown

pyramids

20
Q

cortex extends into the medulla between the pyramids as ______

A

renal column

21
Q

BLOOD SUPPLY of kidney

From

Renal artery- ______-____-_____-_____-_____- ____

A

segmental

lobar

interlobar

arcuate

interlobular

afferent

22
Q

Which vein is longer

Left or right

A

Left renal vein is longer than right

23
Q

Kidneys

———- lymph nodes

NERVES
-afferents enters the _____,___, and ____ thoracic nerves

A

Lateral aortic

10th,11th, and 12th

24
Q

URETERS

-___cm

A

25

25
Q

Ureters

-3 constrictions

one where the ureter _____ at the ___________

one where the ureter _________

one where the ureter ___________

-the constrictions are potential sites of ________ by ________

A

passes the pelvic brim ;
bifurcation of the common iliac artery

enters urinary bladder

renal pelvis joins the ureter

obstruction by ureteric stones (calculi)

26
Q

BLOOD SUPPLY of ureter

  • upper is by ____ artery
  • middle is by _____ artery
  • lower is by ______ artery
A

renal

gonadal

superior vesical

27
Q

URETERS

LYMPH
-drains to _____ and _____ nodes

NERVES
_______,________, and __________ plexus
-afferent enter in the _____ and ____ segments

A

lateral aortic and iliac

renal, gonadal, and hypogastric

first and second lumbar

28
Q

SUPRARENAL GLANDS

  • ________ in kidney
  • ____peritoneal
  • found at _____ of _____
  • shares a ____ with the kidney
  • ____ cortex
  • ______ medulla.
A

yellowish

retro

upper poles of kidney

renal fascia

yellow

dark brown

29
Q

Adrenal gland is seperated from kidney by perirenal fat

T/F

A

T

30
Q

Adrenal gland is attached to the crura of the diaphragm

T/F

A

F

It rests on it

31
Q

Adrenal gland

left to right (_____ cm)

A

4-5

32
Q

HORMONES SECRETED

CORTEX:

  • mineralcorticoids to control ______
  • glucocorticoids to control ______
  • sex hormones: important role in ______ development of sex organs

MEDULLA:
-embryonic origin= _______

A

electrolyte

protein,fat,carb

prepubertal

neural crest cells

33
Q

embryonic origin of adrenal cortex is ______

A

mesoderm

34
Q

LEFT Suprarenal gland

  • _______ shape
  • extends from ______ of left kidney to _____ of ____
  • lies behind ______,_____,_____

RIGHT

  • ________ shape
  • just ______
  • behind _____ of ____ and extends medially behind the ____
A

crescentic ; medial border ; upper pole of hilum

pancreas, lesser sac, stomach

pyramidal; upper pole

right lobe of liver ; IVC

35
Q

BLOOD SUPPLY of the adrenal gland
___________ suprarenal arteries

Right and left suprarenal vein into _____ and ________ respectively

A

Superior, middle, inferior

IVC and renal vein

36
Q

Who is bigger

Fetal or adult suprarenal gland

By how much??? And why???

A

fetal suprarenal glands are 10-20 times bigger than the adult glands

This is due to the large fetal cortex

37
Q

fetal suprarenal glands

are(small or large ?) compared to kidney

A

Large

38
Q

RELATIONS of ureter

LEFT

Anterior

  • __________ and ______
  • _______ vessels and ________ vessels

Posterior
______ muscle
_______ of _______ artery

A

sigmoid colon and mesocolon

left colic ; left gonadal

Left psoas

Bifurcation of left common iliac

39
Q

RELATIONS of ureter

RIGHT

Anterior 
\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_ and \_\_\_\_\_ vessels
\_\_\_\_\_\_ part of the \_\_\_\_\_; \_\_\_\_\_ vessels
A

Duodenum
Roots of mesentary

Right colic and gonadal

Terminal; ileum

ileocolic

40
Q

RELATIONS of kidney

ANTERIOR

Right kidney

Coils of \_\_\_\_\_
\_\_\_\_
\_\_\_\_\_\_\_ flexure
\_\_\_\_\_ gland 
\_\_\_\_\_\_\_\_ part of the duodenum 
Left
\_\_\_\_\_\_\_
\_\_\_\_\_\_
\_\_\_\_\_\_\_\_
\_\_\_\_\_\_ flexure
\_\_\_\_\_\_\_gland 
\_\_\_\_\_ of pancreas and \_\_\_\_?
A

small intestine

Liver

Right colic

Suprarenal

Second

Jejunum; spleen ; Stomach ;Left colic; Suprarenal

Body; tail

41
Q

Relations of kidney

POSTERIOR

Right
\_\_\_\_\_,\_\_\_\_, and \_\_\_\_\_ nerves
\_\_\_\_,\_\_\_\_\_, and \_\_\_\_\_ Muscles 
\_\_\_\_\_\_\_\_ bone
———- recess of the pleura 
\_\_\_\_\_\_

Left
Same as right
_______ bones

A

Ilioinguinal;iliohypogastric;subcoastal

Psoas; quadratus lumborum; T abdominus

12th rib

Costodiaphragmatic

Diaphragm

Reaches 11th rib