Posterior abdominal wall Flashcards

1
Q

What layers cover the outside of the kidney

A
Paranephric fat (outermost), renal fascia, perinephric fat (innermost). 
Kidney and adrenal glands directly covered by renal capsule
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2
Q

what are the borders of the kidney

A

superior pole, inferior pole, lateral border, medial border

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3
Q

What is the renal hilum

A

Opening in the medial borer where renal vein, artery, and pelvis run

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4
Q

What is the inner structure of the kidney

A

renal cortex, renal medulla

In the renal medulla: renal pyramids, renal papillae, minor calices, major chalices, renal pelvis

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5
Q

Where does lymph from kidneys and adrenal glands drain

A

directly into the lumber lymph nodes along the abdominal aorta

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6
Q

What arteries supply the kidneys

A
Paired branches. 
Renal arteries (R longer than left, and posterior to IVC)
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7
Q

What spinal level are the kidneys at

A

T12-L3
The right kidney is slightly lower due to liver
(transpyloric plane is at L1, umbilicus at L4)

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8
Q

In a horseshoe kidney, what is ascension stopped by

A

Fused inferior poles make the kidney stop ascending at the IMA

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9
Q

What arteries supply the adrenal glands

A

Superior suprarenal arteries
Middle suprarenal arteries
Inferior suprarenal arteries

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10
Q

What supplies venous drainage for the kidneys AND adrenal glands

A

IVC (union of L/R common iliac veins

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11
Q

How do IVC tributaries run

A
All parallel paired branches of the aorta except the: 
Left Gonadal vein (drains into L renal vein)
Hepatic veins (3 veins with no complement)
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12
Q

What kind of innervation do the kidneys receive

A
  • Parasympathetic via vagus nerve to kidney walls
  • Sympathetic to wall of kidney
  • Visceral sensory (follows sympathetic path to dorsal root)
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13
Q

What are the ureters made up of

A

fibromuscular tubes capable of peristalsis.

Primary retroperitoneal

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14
Q

Where do the ureters run

A

renal pelvis–>calicies–> ureters–>bladder

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15
Q

What innervation do the adrenal glands receive

A

Sympathetic to adrenal medulla

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16
Q

What are the muscles of the posterior abdominal wall

A
Iliopsoas (iliac fossa-->lesser trochanter)
Quadratus Lumborum (12th rib-->iliac crest)
17
Q

What are the branches of the lumbar plexus

A
Lumbar plexus (L1-L5)
Iliohypogastric (L1)
Ilioinguinal (L1)
Genitofemoral (L1-L2) 
Lateral cutaneous of thigh (L2-L3)
Femoral (L2-L4)
Obturator (L2-L4)