Kidney Flashcards
vesicoureteral reflux affects what structure? where at in the kidney? what do you see?
compound papillae in the upper and lower poles of the kidney; you will see dilated calyces with overlying renal cortical scarring
Horseshoe kidneys get stuck during ascent on what?
IMA
Ureteric bud fails to develop and induce differentiation of metanephric mesenchyme –> complete absence of kidney and ureter
Unilateral renal agenesis
Ureteric bud fails to induce differentiation of metanephric mesenchyme–> nonfunctional kidney consisting of cysts and connective tissue.
multi cystic dysplastic kidney
Bifurcation of ureteric bud before it enters the metanephric blastema creates a Y-shaped bifid
ureter.
Duplex collecting system
Condition of being born with only one functioning kidney
Congenital solitary functioning kidney
Potter Sequence
POTTER sequence associated with: Pulmonary hypoplasia Oligohydramnios (trigger) Twisted face Twisted skin Extremity defects Renal failure (in utero)
Underlying problem in potter sequence?
Oligohydraminos
found at week 4; then degenerates.
pronephros
functions as interim kidney for
1st trimester; later contributes to male genital
system.
mesonephros
permanent; first appears in 5th
week of gestation; nephrogenesis continues
through 32–36 weeks of gestation.
metanephros
ureteric bud gives rise to:
gives rise to ureter,
pelvises, calyces, collecting ducts; fully
canalized by 10th week
Metanephric mesenchyme
Metanephric mesenchyme interacting with ureteric bud induces:
induces differentiation
and formation of glomerulus through to
distal convoluted tubule (DCT)
last to canalize most
common site of obstruction (hydronephrosis)
in fetus
Ureteropelvic junction