kidneys, suprarenal glands and posterior abdominal wall Flashcards

1
Q

Which kideny lies at a higher level

A

left

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2
Q

what is perinephric fat

A

a layer of fat that surrounds the kidney

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3
Q

what is paranephric fat

A

a layer of fat lateral to kidneys

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4
Q

what separates the peri/paranephric fat?

A

renal fascia

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5
Q

What ribs do kidneys lie on

A

11+12

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6
Q

which organs lie on the anterior surface of the right kidney

A

2nd part of duodenum
ascending colon
right colic flexure

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7
Q

which organs lie on the anterior surface of the left kidney

A

Left: spleen, splenic flexure, stomach

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8
Q

what are the important posterior relations of each kidney

A

rib 11-12, quadratus lumborum

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9
Q

in which region of the kidneys are renal corpuscles found

A

cortex

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10
Q

what is the relation of the structures to each other in the hilum

A

renal vein-most anterior
renal artery-posterior to vein
ureter-most posterior

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11
Q

what is the renal sinus

A

space which allows for structures to pass into and away from kidney
filled with fat

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12
Q

How many arteries supply the adrenal gland

A

3 main trunk, with each giving rise to many.

Sup suprarenal – 6-8
Mid suprarenal -1
Inf suprarenal - 1

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13
Q

why do the adrenals have such a rich blood supply?

A

Very important gland; enabling rapid movement of hormones in to the circulatory system

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14
Q

which veins drain into the left renal vein

A

left gonadal and suprarenal

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15
Q

what bony landmarks to the ureters cross

A

transverse processes of lumbar vertebrae
sacroiliac joint
pelvic brim
ischial spine

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16
Q

what crosses the ureter in the man/woman

A

vas deferens/uterine artety

17
Q

what is the blood supply to the ureters

A

descending branches from renal arteries

ascending branches from common iliac

18
Q

how can the ureters be identified during an operation

A

small tap sends wave of peristalsis towards and away from kidneys

19
Q

What are the three narrowest parts of the ureter and why is this clinically significant

A

when it crosses iliac vessels, when it crosses the pelvic brim when it enters the bladder
these parts are most likely to be blcoked