T3 L1: Retroperitoneal organs of the posterior abdominal wall Flashcards

1
Q

What is the difference between the primary and secondary peritoneal structures?

A

Primary have always been there, secondary moved there during development

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2
Q

What is the mnemonic to remember the peritoneal structures and what does each letter stand for?

A
Pancreas
Esophagus
Aorta and IVC 
Rectum
Duodenum
Ureter
Colon
Kidneys
Suprarenal glands
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3
Q

Which portions of the colon are retroperitoneal?

A

The ascending and descending colon

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4
Q

Which part of the colon is intraperitoneal?

A

The transverse colon

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5
Q

At what vertebral level are the kidneys found?

A

T12-L3

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6
Q

What % of cardiac output do the kidneys receive?

A

20%

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7
Q

What is the renal sinus normally filled with?

A

Fat

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8
Q

Which structure collects urine from the renal pyramids?

A

The minor calyx

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9
Q

What forms the major calyx?

A

The coming together of minor calices, there are normally 2-3 per kidney

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10
Q

What forms the renal pelvis?

A

The coming together of major calices

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11
Q

Why is one of the right kidney lower than the left one?

A

The liver is bigger of the right so the kidney is pushed down

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12
Q

What are the 2 main reasons behind renal pain?

A
  1. Stretching of the capsule, due to increased internal pressure
  2. Spasm of the smooth muscle on the renal pelvis
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13
Q

Where is renal pain referred to?

A

T12

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14
Q

Where is an implanted kidney put?

A

Into the iliac fossa

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15
Q

Which vessels are anastomosed during a renal transplant?

A

Renal vein and artery to the external iliac vein and artery

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16
Q

What is an ureterocystostomy?

A

When the ureter is put straight into the bladder. It’s done during a kidney transplant

17
Q

What is bilateral/unilateral renal agenesis?

A

When the kidneys don’t form

18
Q

What are supernumerary kidneys?

A

More kidneys than is needed

19
Q

What is an ectopic kidney?

A

When the kidney is in the wrong place

20
Q

What are the 2 types of renal fusion?

A

Horse shoe kidney and pelvic cake / lump kidney

21
Q

What blood vessel will prevent a horseshoe kidney from ascending to its anatomical position and why?

A

The inferior mesenteric artery because it’s the lowest down (The kidneys start in the pelvis and then ascend)

22
Q

Describe the shape of the right kidney

A

Pyramidal (pointed)

23
Q

Describe the shape of the left kidney

A

Semilunar (rounded)

24
Q

What types of hormones are produced in the adrenal cortex?

A

Corticosteroids (eg. cortisol), and sex hormones (eg. progesterone)

25
Q

What hormone is produced in the medulla of adrenal glands?

A

Adrenaline

26
Q

What arteries supply the adrenal glands?

A

Superior, middle, and inferior suprarenal arteries

27
Q

What veins supply the adrenal glands?

A

Suprarenal veins

28
Q

What nerve supplies the adrenal glands?

A

The abdominopelvic nerve (greater, lesser, and least splanchnic)

29
Q

Why is the extensive blood supply to adrenal glands functionally significant?

A

Its an endocrine gland so a great blood supply helps with hormone circulation

30
Q

What are the 3 narrowest points of the ureters?

A
  1. The pelviureteric junction (coming out of the kidney)
  2. Crossing the iliac vessels/pelvic brim (middle of ureter)
  3. Entering bladder (because theres a kink)
31
Q

What are calculi?

A

Kidney stones

32
Q

What machine is used to view kidney stones and why?

A

Plain x-ray because the soft tissue won’t show up so it’s all clear, or CT

33
Q

What causes renal colic?

A

The peristaltic movement of ureters

34
Q

What is the standard treatment for large kidney stones?

A

Shock wave lithotripsy

35
Q

What are the 3 portions of a male urethra?

A

pre-prostatic, prostatic, and membranous