The Kidneys and suprarenal glands Flashcards

1
Q

functions of kidneys

A
  • excrete most of the waste products of metabolism
  • Control the water and electrolyte balance of the body
  • Secrete hormones and renin into the blood stream
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2
Q

two kidneys filter

A

about 113 to 144 pints of blood a day

Filters all blood 400 times a day

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3
Q

kidneys lie

A

behind the peritoneum of the posterior abdominal wall

R kidney lower bc of large R lobe of liver

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4
Q

With contraction of the diaphragm

during respiration…

A

both kidneys move down 2.5cm

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5
Q

Medulla is composed of

A

up to a dozen renal pyramids

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6
Q

the renal papilla projects medially to

A

renal sinus which is surrounded by minor calyx which recieves urine

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7
Q

minor calyx merges to form

A

major calyx – merge to renal pelvis

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8
Q

The renal artery arises from the aorta at

A

L1 OR L2

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9
Q

Each renal artery divides into

A

anterior and posterior branches

accessory renal/extrahilar arteries common

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10
Q

how many segmental arteries enter the hilum of the kidney?

A

5 ..four

infront and one behind the renal pelvis

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11
Q

what arises from segmental arteries

A

2or 3 Interlobar arteries , one for each renal pyramid

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12
Q

The interlobar arteries run toward

A

cortex on each side of renal pyramid

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13
Q

Interlobar arteries form into

where

A

arcuate arteries

at the junction of cortex and medulla

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14
Q

what supplies each nephron

A

Afferent glomerular arterioles and

their efferent arterioles

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15
Q

what veins exit kidney

A

Peritubular venule, interlobar veins and renal vein

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16
Q

Renal veins emerges from

drains into

A
  • hilum infront of renal artery

- IVC

17
Q

coverings of kidney

A

renal capsule
Perirenal adipose fat
Renal fascia

18
Q

renal capsule

A

surrounds kidney
filled with nociceptors
Continuous with outer coat of ureter

19
Q

Perirenal adipose fat

A

Covers the capsule,

protective

20
Q

Renal fascia functions

A

-connective tissue that encloses the kidneys and suprarenal glands
-Continuous with the fascia of transversalis ,diaphragm
above supra-renal gland ,IVC, psoas and aorta (med)
-Anchors kidney to abdominal wall

21
Q

The ureters enter the pelvis by

A

crossing the bifurcation of the common iliac artery in front of the sacroiliac joint

22
Q

The two ureters are

A

muscular tubes that extend from the
kidneys to post surface of urinary bladder.
Retroperitoneal.

23
Q

urine travels down ureter by

A

peristaltic contractions

24
Q

ureter measures about

A

25cm long

25
Q

Each ureter has three constrictions along its course –

A
  1. uretropelvic junction
  2. As it crosses the pelvic brim / crossing common iliac or internal iliac
  3. Where it pierces the bladder wall ( intra-mural part)
26
Q

Right ureter relations … anterior

A

1.Duodenum,
2.Terminal part of the ileum
3.Right colic vessels
4.Iliocolic vessels
5. Right testicular or ovarian
vessels
6. Root of the mesentery

27
Q

Right ureter relations… posterior

A

R psoas muscle,

R common iliac artery Bifurcation

28
Q

Left ureter relations… anterior

A

1.Sigmoid colon
2.Sigmoid mesocolon
3. Left colic vessels
4.Left testicular or ovarian
vessels

29
Q

Left ureter relation… posterior

A

L psoas muscle,

L common iliac artery Bifurcation

30
Q

middle portion of ureter blood supply

A

testicular or ovarian artery

31
Q

In the pelvis, the ureter is supplied by the

A

superior vesical artery from

internal iliac