Renal Flashcards

1
Q

Draw the anatomical relations of the left and right kidneys

A
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2
Q

What structures are found in the cortex of the kidneys?

A

Glomerulus and convoluted tubules

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3
Q

What structures are found in the medulla of the kidneys?

A

Loop of henle and collecting duct

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4
Q

Describe the structures that urine must pass through in order to drain

A

Collecting duct ➡️ papillary duct in renal pyramid ➡️ minor calyx ➡️ major calyx ➡️ renal pelvis ➡️ ureter

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5
Q

What artery supplies the kidneys?

A

Renal artery

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6
Q

At what vertebral level do the renal arteries leave the abdominal aorta?

A

L1

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7
Q

Which vein drains the kidneys?

A

Renal vein (drains into IVC)

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8
Q

Name the structures in the renal hilum from most anterior to posterior

A

Vein, artery, ureter

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9
Q

Which lymph nodes drain the kidneys?

A

Para-aortic lymph nodes

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10
Q

What is the nerve supply of the kidneys?

A

Sympathetic nerves T12-L1 and parasympathetic input from vagus nerve

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11
Q

What structures make up the renal corpuscle?

A

Glomerulus and bowman’s capsule

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12
Q

What is the unrineferous tubule?

A

The nephron & the collecting duct

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13
Q

Where would you find the visceral layer of Bowman’s capsule?

A

Inside the cup of bowmans capsule and is attached to the capillary inside the cup.

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14
Q

What is the visceral layer of Bowman’s capsule made from?

A

Podocytes

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15
Q

Where would you find Bowman’s space and what is it’s function?

A

Between the visceral and parietal layers - it allows filtrate to drain.

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16
Q

Where would you find the parietal layer in the kidney corpuscle?

A

Attached to the outside of the Bowman’s capsule

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17
Q

What is the parietal layer made from?

A

Simple squamous epithelium

18
Q

What is the function of the macula densa?

A

senses changes in blood pessure and electrolytes and then regulates the release of renin from juxtaglomerular cells

19
Q

What is the function of the juxtaglomerular cells?

A

RELEASE RENIN

20
Q

What is the function of mesangial cells?

A

macrophages of the kidney which cn also contract like smooth musle

21
Q

Name the three components of the juxtaglomerular apparatus

A

Macula densa, juxtaglomerular cells, mesangial cells

22
Q

Name the three narrowing in the ureters where stones can get stuck

A

Uretopelvic junction
Pelvic brim
Where the ureter enters the bladder

23
Q

Name the nerves which supply the ureters

24
Q

Where can referred pain from a ureteric calculus be felt?

A

Back, side, scrotum, labia major, scrotum and anterior thigh

25
What is the arterial supply of the ureters?
Renal arteries, ovarian/testicular arteries & abdominal aorta
26
What is the venous drainage of the ureters?
Renal veins & Ovarian/testicular veins
27
Name the smooth triangle in the bladder wall
Trigone
28
What type of epithelium does the visceral layer of bowman's capsule consist of?
Podocytes
29
What type of epithelium does the parietal layer of the juxtaglomerular apparatus (inc bowman's capsule) consist of?
Simple squamous
30
What type of epithelium does the bladder, ureter and urethra consist of?
Transitional cell epithelia
31
What type of epithelium does the loop of henle consist of?
Simple squamous epithelium
32
What type of epithelium do the convoluted tubules and collecting duct consist of?
Simple cuboidal
33
What is the arterial supply of the bladder?
internal iliac artery
34
What vein drains the bladder?
Internal iliac vein
35
Name the nerve supplies to the bladder
Sympathetic (T11-L2) constrict internal urethral sphincter Parasympathetic (S2-4) motor innervation of detrusor muscle Somatic pudental nerve (supplies external urethral sphincter) Afferent/sensory- pain/distension of the bladder goes via the pelvic and hypogastric (sympathetic) fibres
36
How long is th average male urethra?
18-20cm
37
name the 4 different parts of the male urethra
Pre-prostatic part (intramural) Prostatic part (contains ejaculatory duct made of vas defrens and seminal vesicle) Membranous part Spongy/penile part
38
Name the artery that flops over the top of the renal vein
SMA
39
What is the embryological origin of the kidneys
Intermediate plate mesoderm
40
What is the embryological origin of the collecting duct, calyx, renal pelvis and ureter?
Ureteric bud