KIDNEY AND URETER Flashcards

1
Q

STATE THE FUNCTIONS OF KIDNEY.

A
  1. URINE PRODUCTION
    - Eliminate the toxic metabolites through urine
  2. BLOOD PRESSURE REGULATION
    - Regulate the amount of fluid in the body by increasing or decreasing urine production
  3. HORMONES PRODUCTION
    - Example: calcitriol and erythropoietin
  4. ACID- BASE BALANCE REGULATION
    - Maintaining the pH of blood at 7.4 by decreasing or increasing the excretion of hydrogen ions
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2
Q

STATE THE LOCATION OF THE KIDNEY.

A

KIDNEY LIES AT THE POSTERIOR ABDOMINAL REGION AT EACH SIDE OF THE VERTEBRAL COLUMN (LUMBAR AREA)

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3
Q

RIGHT KIDNEY IS SLIGHTLY ____ COMPARED TO THE LEFT KIDNEY D/T THE PRESENCE OF ___.

A

INFERIOR
D/T THE PRESENCE OF LIVER

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4
Q

THE SURFACE MARKING OF KIDNEY IS ___ TO ___.

A

T12 TO L3

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5
Q

RENAL ANGLE IS ALSO KNOWN AS ___.

A

VERTEBROCOSTAL ANGLE.

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6
Q

RENAL ANGLE IS BETWEEN THE ___.

A

INFERIOR BORDER OF THE 12TH RIB AND THE LATERAL BORDER OF THE ERECTOR SPINAE MUSCLES.

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7
Q

RENAL ANGLE IS USED IN ___.

A
  1. BEDSIDE EXAMINATION OF THE KIDNEY
  2. REFERRED PAIN
  3. INCISION SITE FOR RENAL BIOPSY
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8
Q

EXTERNAL FEATURES OF KIDNEY
1. SUPERIOR POLE
2. INFERIOR POLE
3. LATERAL BORDER
4. MEDIAL BORDER
5. ANTERIOR SURFACE
6. POSTERIOR SURFACE

A
  1. SUPERIOR POLE - ADRENAL GLAND (BROAD)
  2. INFERIOR POLE: ROUNDED
  3. LATERAL BORDER: MAJOR CONVEXITY
  4. MEDIAL BORDER: MINOR CONCAVITY
  5. ANTERIOR SURFACE: IRREGULAR
  6. POSTERIOR SURFACE: FLAT
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9
Q

STATE THE 5 SEGMENTS OF KIDNEY.

A
  1. SUPERIOR SEGMENT
  2. ANTERIOR SUPERIOR SEGMENT
  3. ANTERIOR INFERIOR SEGMENT
  4. INFERIOR SEGMENT
  5. POSTERIOR SEGMENT
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10
Q

STATE 2 RENAL LAYERS AND BRIEFLY DESC.

A

2 RENAL LAYERS:
1. RENAL CORTEX
- COVERED BY THE RENAL CAPSULE
- OUTERMOST LAYER
- CONSIST OF NEPHRONS
2. RENAL MEDULLA
- CONSIST OF RENAL PYRAMID
- INNERMOST LAYER

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11
Q

WHAT IS RENAL COLUMN?

A

RENAL COLUMN IS THE CORTICAL TISSUE IN BETWEEN THE RENAL PYRAMID

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12
Q

WHAT IS RENAL PYRAMID?

A

RENAL PYRAMID CAN BE FOUND IN THE RENAL MEDULLA. THE BASE OF THE RENAL PYRAMID IS THE CORTICOMEDULLARY JUNCTION. THE APEX OF THE RENAL PYRAMID IS THE RENAL PAPILLA.

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13
Q

RENAL PYRAMID + RENAL CORTEX =

A

RENAL LOBE

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14
Q

RENAL SINUS IS THE CAVITY WITHIN THE KIDNEY WHICH IS OCCUPIED BY (5) :

A
  1. RENAL PELVIS
  2. RENAL CALYCES
  3. BLOOD VESSELS
  4. NERVES
  5. FATS
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15
Q

RENAL HILUM IS AT THE ___ FISSURE AND LOCATED AT THE ___ WHICH IS AT THE LEVEL OF ___.

A

RENAL HILUM IS AT THE CENTRAL FISSURE AND LOCATED AT THE MEDIAL BORDER OF THE KIDNEY FACING ANTEROMEDIALLY WHICH IS AT THE LEVEL OF TRANSPYLORIC PLANE (BETWEEN L1 AND L2).

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16
Q

RENAL HILUM CONSIST OF ___.

A

RENAL VEIN
RENAL ARTERY
URETER
LYMPH VESSELS
SYMPATHETIC NERVE FIBRES
FATS

17
Q

RENAL PAPILLA EXTEND BECOMING ___ RENAL CALYX THEN BECOME ___ RENAL CALYX THEN FURTHER EXTEND INTO ___ THEN FORMING THE URETER.

A

RENAL PAPILLA -> MINOR RENAL CALYX -> MAJOR RENAL CALYX -> RENAL PELVIS -> URETER

18
Q

STATE THE COVERINGS OF THE KIDNEY FROM INNER TO OUTER LAYER.

A
  1. RENAL CAPSULE
  2. PERIRENAL (PERINEPHRIC) FAT
  3. RENAL FASCIA
  4. PARARENAL (PARANEPHRIC) FATS
  5. PARIETAL PERITONEUM
19
Q

DESC RENAL FASCIA.

A
  • ANTERIOR PERIRENAL FASCIA = GEROTA FASCIA
  • GEROTA FASCIA IS A THIN LAMINA THAT PASSES AROUND THE FRONT OF THE KIDNEY AND VARIABLY INTERLEAVES WITH THE OPPOSITE ANTERIOR FASCIA
  • ZUCKERKANDL FASCIA = POSTERIOR PERIRENAL FASCIA
  • ZUCKERKANDL FASCIA IS A THICKER POSTERIOR FASCIA WHICH CONTINUES ANTEROLATERALLY AS THE LATEROCONAL FASCIA AND FUSES WITH THE PARIETAL PERITONEUM.
20
Q

DESC THE ANTERIOR PERIRENAL FASCIA.

A
  • ANTERIOR PERIRENAL FASCIA = GEROTA FASCIA
  • GEROTA FASCIA IS A THIN LAMINA THAT PASSES AROUND THE FRONT OF THE KIDNEY AND VARIABLY INTERLEAVES WITH THE OPPOSITE ANTERIOR FASCIA
21
Q

DESC THE POSTERIOR PERIRENAL FASCIA.

A
  • ZUCKERKANDL FASCIA = POSTERIOR PERIRENAL FASCIA
  • ZUCKERKANDL FASCIA IS A THICKER POSTERIOR FASCIA WHICH CONTINUES ANTEROLATERALLY AS THE LATEROCONAL FASCIA AND FUSES WITH THE PARIETAL PERITONEUM.
22
Q

RENAL FASCIA ATTACHMENT:
- MEDIALLY

A
  • ANTERIOR TO THE KIDNEY -> RENAL VESSELS -> INFERIOR VENA CAVA -> ABDOMINAL AORTA -> ANT. LAYER OF THE RENAL FASCIA OF THE OPPOSITE KIDNEY
23
Q

RENAL FASCIA ATTACHMENT:
- LATERRALLY

A
  • FUSE WITH THE PSOAS MAJOR -> VERTEBRAL BODIES -> TRANVERSALIS FASCIA
24
Q

RENAL FASCIA ATTACHMENT:
- SUPERIORLY.

A
  • ANT. AND POST. LAYERS FUSE AT THE UPPER POLE OF THE KIDNEY -> SPLIT -> ENCLOSE THE ADRENAL GLAND -> FUSE WITH THE DIAPHRAGMATIC FASCIA
25
Q

RENAL FASCIA ATTACHMENT:
- INFERIORLY

A
  • DOES NOT FUSE -> POSTERIOR LAYERS DESCENDS DOWNWARDS -> FUSE WITH ILIAC FASCIA -> ANT. LAYER BLENDS WITH THE CT OF THE ILIAC FASCIA
26
Q

KIDNEYS RELATIONS

A

REFER TO NOTES!!!

27
Q

LOCATIONS OF THE BRODEL’S LINE.

A
  • BETWEEN THE ANTERIOR SEGMENTAL ARTERY AND POSTERIOR SEGMENTAL ARTERY
  • THE SECTION OF RENAL PARENCHYMA BETWEEN 2/3 ANTERIOR AND 1/3 POSTERIOR KIDNEY ON THE CROSS SECTION
28
Q

THE CLINICAL IMPORTANCE OF BRODEL’S LINE.

A
  • NEPHROSTOMY INSERTION
  • NEPHROLITHOTOMU
  • PARTIAL NEPHRECTOMY