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OPP III > Renal DSA > Flashcards

Renal DSA Flashcards

1
Q

SD of the occiput and C spine can result in: (2)

A
  1. myofascial tension on CN X

2. inhibit parasympathetic tone to the kidneys, and proximal ureters

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2
Q

Decreased parasympathetic tone to the kidneys can result in (2)

A
  1. decreased GFR and urine volume –> UTI or stones

2. slow flushing of stones

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3
Q

Excess Sympathetic activity to the kidneys may result in: (3)
All of which contribute to:

A
  1. vasoconstriction of the afferent arterioles
  2. reduced GFR
  3. reduced urine volume
    - contribute to UTI formation and propagation
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4
Q

Insufficient sympathetic tone to the bladder can result in: (4) all are typical in ____

A
  1. excessive contraction of the detrusor mm
  2. increased urinary frequency
  3. hesitance
  4. urgency
    - typical in UTI
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5
Q

Excessive sympathetic tone to the urinary tract will contribute to the symptoms of urinary calculi by: (3)

A
  1. dec GFR
  2. dec ureter peristalsis
  3. inc sensitivity to pain
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6
Q

Excessive sympathetic tone can result in constriction of the _____ and _____ which slows the passage of _____.

A

internal urethral sphincter…urethra….stones

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7
Q

excessive sympathetic tone to the bladder can result in _______ dt inappropriate relaxation of the detrusor mm and contraction of the urethral sphincter

A

incomplete emptying and urinary retention

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8
Q

Treatment of SD in the ______ is intended to normalize sympathetic tone in the kidneys, bladder, detrusor mm, ureters, prostate and testes.

A

thoracolumnar area

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9
Q

______ tone to the bladder can result in the inappropriate contraction of the detrusor mm and relaxation of the internal sphincter leading to _____.

A

excessive parasympathetic tone….urinary incontinence

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10
Q

inhibited parasympathetic tone to the bladder can result in _____ leading to urinary retention, hypotonic bladder, overflow incontinence and increased risk of UTI.

A

decreased contraction of the detrusor mm and increased contraction of internal urethral sphincter

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11
Q

Inhibition of parasympathetic tone of in the distal ureters can interfere with _____

A

passing of urinary calculi

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12
Q

Inhibition of the ______ nerve can decrease control of the external urethral sphincter

A

pudendal n.

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13
Q

SD in the lumbo-sacral area can adversely effect the _____ nerve causing weakness of the pelvic diaphragm and inhibiting ______.

A

perineal n. …..venous/lymphatic circulation and drainage

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14
Q

Spinal region to normalize ANS tone to the Bladder and urethra:

A

T12-L2

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15
Q

Spinal region to normalize ANS tone to the kidneys and ureters

A

T10 - L1

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16
Q

The venous and lymph flow to all pelvic organs is dependent on the______.

A

active motion of the thoracic diaphragm and passive motion of the pelvic diaphragm

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17
Q

The kidneys move ____ during inhalation allowing for easier____

A

downward….palpation

18
Q

The _____ mm courses obliquely causing _____ of each kidney.

A

Psoas….lateral displacement of the lower poles

19
Q

Psoas contracture/SD can effect:

A

fascial restriction of the ureters and kidney

20
Q

Preganglionic sympathetic fibers for the kidney and upper ureter synapse in the ____

A

superior mesenteric collateral ganglion;

21
Q

Preganglionic sympathetic fibers for the bladder and lower ureter synapse in the ____

A

inferior mesenteric collateral ganglion

22
Q

Sympathetic spinal Cord Levels for kidneys, ureters, bladder?

A

Kidney and ureter - T10 - L1

Bladder - T12 - L2

23
Q

Sympathetic stimulation of the kidney, bladder and ureter causes..(3)…and is exaggerated by___

A
  • vasoconstriction of afferent arterioles
  • decreased GFR
  • decreased urine volume
    ….exaggerated with emotional stress
24
Q

Constant Sympathetic stimulation of kidneys (weeks) can cause ____ dt ______.

A

chronically elevated arterial pressure dt renal retention of fluid

25
Q

Parasympathetics to the kidneys and proximal portion of the ureters?

A

vagus n

26
Q

Parasympathetics to the distal part of the ureters and bladder?

A

pelvic splanchnic nn (S2-4)

27
Q

In the ureters, Parasympathetics effect _____.

A

peristaltic wave

28
Q

Visceral afferents in the bladder will transmit impulses to _____ to sense fullness; at the same time visceral afferents to _____ initiate a Parasympathetic reflex to increase bladder _____ and simultaneous relaxation of the _______.

A

L1-2….S2-4…..wall tone…..internal urethral sphincter

29
Q

Micturation takes place with the voluntary relaxation of the _____ via impulses from _____ and the simultaneous sympathetic relaxation of the ________.

A

external urethral sphincter…..pudendal n (S2-4)….external urinary sphincter.

30
Q

The ______ will cause increased tonus to the thoracolumbar junction and a positive Lloyd’s punch test.

A

renal viceromotor reflex

31
Q

The ______ is usually described as an ache, and my refer only to the thoracolumbar area, flank or both,

A

renal vicerosensory reflex

32
Q

The ______ usually extends from the lumbar region and the iliac fossa over the front of the abdomen and the scrotum/labia.

A

ureteral viscerosensory reflex

33
Q

The _____ also causes the abdominal, erector spinae and the cremasteric mm to become tense.

A

the ureteromotor reflex

34
Q

As a stone passes through the ureters, palpatory changes from visceromotor reflex will progress from _______.

A

T10 into the lumbar region

35
Q

Renal lymphatics draining the capsule and parenchyma flow into the _____ nodes before traveling up the thoracic duct and the subclavian vein.

A

pre-aortic

36
Q

The synchronous motion of_____ is vital to lymphatic drainage from the urinary system.

A

thoracic and pelvic diaphragms

37
Q

Postural disorders, particularly short leg syndrome and psoas spasm frequently cause ____ and when accompanied by _______ are often misconstrued as UTIs.

A

backache…..functionally induced urinary changes

38
Q

SD of the Pubic symphysis with tension in the urogenital diaphragm, or the puboprostatic/pubovesicular ligaments may cause (2):

A
  • dysuria

- urgency or frequency of urination

39
Q

Impaired lymphatic flow effects: (2)

A
  1. inc oncotic interstitial pressure –> disrupted countercurrent exchange–> dec ability to concentrate urine
  2. inc risk of kidney damage dt ureteral obstruction
40
Q

Pts with acute glomerulonephritis and pyelonephritis have SD in what spinal areas? Which is more responsive to treatment?

A
  • T11 - L1

- acute Glomerulonephritis

41
Q

Spinal area to treat for pts with azotemia and uremia?

A
  • T10 - L2

OPP III (12 decks)

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