SUGER 2 - Kidneys Flashcards
Is the kidney a retroperitoneal or intraperitoneal organ? Why?
retroperitoneal - sits behind the peitoneum with only one layer of peritoneum on its anterior surface
At what level do the kidneys lie? What is the difference between the two?
T12-L3 - right is lower than left due to liver
Name the layers the kidneys are covered by
What is their purpose?
- renal capsule
- perirenal fat
- renal fascia
- pararenal fat
- purpose = anchor the kidney onto the posterior abdominal wall
What is the transversalis fascia? When its splits, what does it form?
Fascia in between the parietal peritoneum and the inner surface of the transversus abdominis
splits forming the renal fascia - enclosing the kidneys
What lies in front of the right kidney?
liver, duodenum, small intestines
What lies in front of the left kidney?
stomach, pancreas, spleen
Blood supply and venous drainage of the kidneys
- renal arteries (come off aorta at L1)
- renal veins
Where do the right suprarenal vein and right gonadal vein drain into?
IVC
Where do the left suprarenal vein and the left gonadal vein drain into?
left renal vein - (this then drains into IVC)
Outline the drainage of the medullary pyramids into the ureters
- medullary pyramids
- renal papilla (apex of pyramids)
- minor calyx
- major calyx
- renal pelvis
- ureter
What collects urine from the renal pyramids?
minor calyx
What do the ureters do?
transport urine from the kidneys/renal pelvis to the bladder
The glomerulus and the convoluted tubules are parts of the nephrons found in the..
renal cortex
What structures are found in the renal medulla?
- loop of henle
- collecting ducts
- collecting tubules
Where is the hilum of the kidneys and what does it contain?
- L1
- renal artery, renal vein, renal pelvis, nerves and lymphs
From anterior to posterior, name the structures at the hilum of the kidneys
- renal artery
- renal vein
- renal pelvis (retroperitoneal)
What are the 2 muscles that the kidney lies on?
- psoas major
2. quadratus lumborus
Outline the pathway of the ureters down to the bladder
- renal pelvis (lies on psoas)
- travels under gonadal veins
- travels medial to sacroilial joint
- curves into pelvis
- crosses anteriorly to bifurcation of common iliac artery
- travels UNDER vas deferens and uterine arteries