Kidney, Diaph, and Post Ab Wall Flashcards

1
Q

Where does the superior pole of the left kidney lie?

A

Level of 11th rib

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2
Q

Where does the superior pole of the right kidney lie?

A

12th rib

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3
Q

What is an ectopic pelvic kidney?

A

Kidney may remain ant. to sacrum

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4
Q

What is a horseshoe kidney?

A

Kidney may be found below inferior mesenteric artery

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5
Q

Where is a transplanted kidney usually placed? How is it supplied?

A

In lower abdomen supplied by iliac vessels

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6
Q

What is the external covering of the kidney?

A

External capsule

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7
Q

What is the outer 1/3 of the kidney?

A

Renal cortex

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8
Q

What is the inner 2/3 of the kidney

A

Renal Medulla (consists of renal pyramids containing urine)

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9
Q

What receives tips of renal pyramids?

A

Renal papillae

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10
Q

Where do renal papillae empty?

A

Minor calyces

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11
Q

Where do minor calyces empty?

A

Major calyces

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12
Q

Where do major calyces drain?

A

Renal pelvis

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13
Q

Where does the renal pelvis drain?

A

Ureter

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14
Q

What is the ureter’s position relative to the gonadal vessels when they cross?

A

The ureter is posterior to the gonadal vessels

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15
Q

What is the shape of the right adrenal gland?

A

triangular (lies superior to right kidney and posterior to ivc)

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16
Q

What is the shape of the left adrenal gland?

A

Semilunar (Lies superior/medial to left kidney near hilum)

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17
Q

What part of the adrenal glands produce adrenal steroids?

A

Adrenal cortex (external part)

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18
Q

What part of the adrenal glands act as sympathetic ganglion?

A

Adrenal medulla (inner part)

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19
Q

What provides motor innervation to the diaphragm?

A

Phrenic nn. supplies right and left hemidiaphragms

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20
Q

What provides sensory fibers to the diaphragm?

A

Intercostal nn.

21
Q

What is the opening of the diaphragm for IVC? Where does this occur?

A

Vena caval foramen @ T8

22
Q

What is theopening of the diaphragm for the esophagus? Where does this occur?

A

Esophageal hiatus @ T10

23
Q

What is the opening of the diaphragm for the aorta? Where does this occur?

A

Aortic hiatus @ T12

24
Q

Where is the median arcuate ligament found?

A

Arches over the aorta

25
Q

Where are the medial arcuate ligaments found?

A

Arch over psoas major mm.

26
Q

Where are the lateral arcuate ligaments found?

A

Arch over quadratus lumborum mm.

27
Q

What vessels supply the superior surface of the diaphragm?

A

Pericardiacophrenic and superior phrenic aa.

28
Q

What vessels supply the inferior surface of the diaphragm?

A

Inferior phrenic aa. (from abdominal aorta)

29
Q

What vessels supply the periphery of the diaphragm?

A

Musculophrenic aa. (from internal thoracic aa.)

30
Q

What are the 4 pairs of branches from the aorta (before it splits) taht supply the posterior abdominal mm.?

A

Lumbar aa.

31
Q

Which lumbar plexus nerve is T12?

A

Subcostal Nerve

32
Q

Where does the subcostal nerve run?

A

1 cm inferior to rib 12

33
Q

What does the subcostal nerve supply?

A

Sensory to ant./lat. abdominal wall and motor to abdominal mm.

34
Q

What is L1?

A

Iliohypogastric and Ilioinguinal nerves

35
Q

What does iliohypogastric n. supply?

A

Skin of suprapubic region

36
Q

What nerve pierces psoas major m. and descends along its anterior surface?

A

Genitofemoral nerve

37
Q

What cord levels make up the genitofemoral nerve?

A

L1-L2

38
Q

What are the branches and their relationship of the genitofemoral nerve?

A

Genital branch (medial) and femoral branch (lateral)

39
Q

What nerve descends anterior to iliacus m.?

A

Lateral femoral cutaneous nerve

40
Q

From what cord level does lateral femoral cutaneous nerve arise?

A

L2-L3

41
Q

What does lateral femoral cutaneous nerve supply?

A

Anterior/Lateral skin of thigh

42
Q

What nerve runs between iliacus and psoas major mm.?

A

Femoral Nerve

43
Q

From what cord level does the femoral nerve arise?

A

L2-L4

44
Q

What does the femoral nerve supply?

A

Sensory and motor to anterior thigh

45
Q

What muscle runs medial to psoas major m.?

A

Obturator nerve

46
Q

From what cord level does obturator nerve arise?

A

L2-L4

47
Q

What does obturator nerve supply?

A

Sensory and motor innervation to medial thigh

48
Q

What large nerve crosses over the ala of sacrum?

A

Lumbosacral trunk

49
Q

From what cord level does the lumbosacral trunk arise?

A

L4-L5