The Kidneys And Adrenals Flashcards
Purpose of kidneys
Maintain chemical balance(water.electrolytes BP regulation, pH balance)
Excretes liquid waste prodcuts
In relation to spine, where are the kidneys located (what spine number)
T12-L4
Length of kidneys
9-12 cm
Kidneys in respect to peritoneum
Retroperitoneal
Are R/ L kidneys always same size
No
Kidneys are ____ to spine aorta and ivc
Lateral
Kidneys are ______ to psoas muscle
Anterolateral
Kidneys are _____ to quadratus lumborum muscle
Anterior
Poles of kidneys position
Upper pole is post/medial to lower pole
Renal parenchyma
Contains cortex and medulla (no capsule/sinus)
Renal cortex
Outer parenchyma
Has renal column
Contains functional units
What are the functional units of the kidney/ whet are they located
Nephrons in cortex
Renal columns AKA/location
Columns of Bertin
Cortex extending between pyramids
Medulla AKA
Pyramids, medullary pyramids
Medulla appearance on ultrasound
Hypoechoic
Medulla shape/how many
Triangular (base:towards cortex, apex: towards sinus)
8-18
Renal sinus includes (4)
Minor calyces
Major calyces
Renal pelvis
Vessels
Renal pelvis appearance on ultrasound
Hyperechoic
How many minor/major calyces and where do they receive from
8-18 from apex of pyramids
2-3 from minor calyces
Renal pelvis is what
Flared portion of upper ureter
Renal pelvis is ___ to renal vessels
Posterior
Renal vein is ____ to renal artery
Anterior
Ant to post for ureter vein artery in renal sinus
Vaginas are ugly
Vein artery ureter
4 coverings of kidneys from deep to superficial
Renal capsule
Perirenal fat
Renal fascia
Pararenal fat
Renal capsule
Outer layer of kidney
Renal fascia AKA/location/ attached to
Gerota’s fascia
Between perirenal and pararenal fat
Help attach to post abdominal wall
Perirenal fat location/continuos fat
Between capsule and renal fascia
Continuous with sinus fat
Pararenal fat where
Superficial to renal fascia
Localized bulge on the lateral border of the LEFT kidney
Dromedary hump
Often indents the renal sinus and occurs in varying degree
Hypertrophied Column of Bertin
Defect locate at the junction of the upper and middle third of the kidney
Parenchyma junctional defect
Congenital fusion of the lower poles of the right and left kidneys
Horseshoe kidney
a kidney located outside of the normal renal fossa
ectopic kidney
ureters in respect to peritoneum
retroperitoneal
do ureters increase or decrease in diameter as they travel to the bladder
decrease
ureters are located ____ to the internal iliac arteries
anterior
ureters are located ____ to the ovaries in the female pelvis
posterior
UP junction (full name and what)
ureteropelvic junction
between renal pelvis and ureter
UV junction (full name and what)
ureterovesicular junction
between lower ureters and bladder
where do the ureters enter the bladder
posterior inferior aspect of the bladder
what makes up the trigone of the bladder
bladder inlets (2): right and left UVJ
bladder outlets: urethra
superior portion of bladder covered by
peritoneum
adrenal glands in respect to peritoneum
retroperitoneal
adrenal glands in respect to kidneys
sit on superior pole
slightly medial
adrenal glands separated from kidneys by _____
perirenal fat and renal capsule
3 parts of adrenal glands
capsule
cortex
medulla
right adrenal is ______ to IVC and _____ to right liver
post and lat
post and med
left adrenal is ___ to pancreatic tail, _____ to splenic vessels, _____ to stomach, _____ to aorta
post
post
post
lateral