Ureter Flashcards

1
Q

The ureter crosses…..to enter the pelvic cavity

A

Common iliac or external iliac artery

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2
Q

Describe the posterior relations of the abdomimal part of ureter.

A
  1. Psoas major muscle at tips of transverse processes of L2-5, and psoas minor if present.
  2. Gentifemoral n
  3. Termination of common iliac or beginning of external iliac.
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3
Q

Describe ant relations of abdominal part of right ureter

A
  1. 3rd part of duodenum
  2. Right gonadal vessels
  3. Right colic and ileocolic vessels
  4. Root of mesentry (SMA)
  5. Terminal part of ileum
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4
Q

Describe ant relations of abdominal part of left ureter

A

Left gonadal vessels
Left colic and sigmod vessels
Pelvic colon and mesocolon

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5
Q

Describe structures by which the pelvic ureter passes

A
  1. Fascia covering obturator internus m
  2. External iliac v
  3. Obliterated umbilical art
  4. Obturator n&v
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6
Q

In male, the ureter is crossed by…..while is crossed by…..

A

Vas deferens
Uterine vessels

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7
Q

Describe func of oblique passage of the ureter in the bladder wall.

A

Prevents back flow of urine into the ureter when the bladder is distended.

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8
Q

The ureter joins the bladder at…….and opens into……

A

Posterolateral angles
Superlateral angles of trigone

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9
Q

Describe arterial supply of ureter

A

Abdominal part: supplied by longitudinal arterial chain by branches from renal, abdominal aorta, gondal, common iliac arteries.
The pelvic part is supplied by branches of: inferior vesical in male, uterine and vaginal in female.

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10
Q

List the constrictions of the ureter

A
  1. At pelvi-ureteric junction
  2. At the pelvic brim where it crosses termination of common iliac artery (at sacro-iliac joint)
  3. Through wall of urinary bladder (just medial to ischial spine)
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11
Q

Describe the nerve supply of ureter

A

Sympathetic fiber from T10-L1, sensory fibers from ureter enter at same segments

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12
Q

Describe transmission of ureteric colic

A

Pain begins in loin or lumabr region (T10) then radiate to groin and inguinal region (T12 & L1) and to scrotum and labia majus (L1)

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13
Q

Describe surface projection of ureter

A

From transpyloric plane 5 cm from midline to the pubic tubercle.

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