URINARY Section I: Anatomy/Congenital

Question 1

Posterior Pararenal Space conatins

Answer 1

Only fat pads

Question 2

Perirenal Space contains

Answer 2

Kidneys, proximal ureters, adrenals

Question 3

Anterior Pararenal Space

Answer 3

Question 4

Answer 4

Posterior Parietal Peritoneum

Question 5

Answer 5

Lateroconal fascia

Question 6

Answer 6

Anterior renal fascia (Gerota’s)

Question 7

Answer 7

Posterior renal fascia (Zuckerkandl’s Fascia)

Question 8

Answer 8

Transversalis fascia

Question 9

between the anterior pararenal space and perirenal space

Answer 9

The Retromesenteric Plane (RMP)

Question 10

between the perirenal space and posterior pararenal space

Answer 10

The Retrorenal plane (RRP)

Question 11

Answer 11

Posterior Parietal Peritoneum

Question 12

Answer 12

Gerota’s fascia

Question 13

Answer 13

Posterior Renal Fascia (Zuckerkandl’s Fascia)

Question 14

Answer 14

Combined Interfascial Plane

Question 15

Perirenal Space pathologies

Answer 15

Renal mass
Renal hematoma
Renal abscess
Urine leaks (most are proximal)

Question 16

Anterior Pararenal Space pathologies

Answer 16

Panreatitis - fluid collections (pseudocysts and stuff)
Duodenal hematoma

Question 17

The kidney is surrounded by a thick capsule outlined by?

Answer 17

Echogenic perirenal fat

Question 18

The echogenic perirenal fat is congitguous with the?

Answer 18

renal sinus, filling the middle kidney, separated by medullar pyramids

Question 19

Focal bulge on the left kidney, which forms as the result o f adaptation to the adjacent spleen.

Answer 19

Dromedary Hump

Question 20

Answer 20

Prominent columns of bertin

Normal variant in which hypertrophied cortical tissue located between the pyramids results in splaying of the sinus.

Question 21

Answer 21

Junctional parenchymal defect

This is a “pseudo-scar” that looks like an echogenic line seen in the upper 1/3ofthekidney

Question 22

Fetal Lobulation vs Reflux Scarring

Lobulation =

Answer 22

Renal surface indentations overlie the space between the pyramids

Question 23

Fetal Lobulation vs Reflux Scarring

Scarring =

Answer 23

Renal surface indentations overlie the dilated / blunted calyces.

Tends to favor the upper and lower poles.

Question 24

When renal agenesis is bilateral

Answer 24

Potter Sequence

Question 25

Potter sequence

Answer 25

No Kidneys No Pee No Amniotic Fluid Hypoplastic Lungs

Question 26

70% of women with unilateral renal agenesis have associated genital anomalies

Answer 26

Unicornuate uterus

Question 27

20% of men with renal agenesis have =

Answer 27

Absent epididymis and vas deferens

Seminal vesicle cyst

IPSILATERAL

Question 28

Mullerian duct anomalies including absence or atresia of the uterus + unilateral renal agenesis

Answer 28

Mayer-Rokitansky- Kuster-Hauser:

Question 29

Answer 29

Lying Down Adrenal or “Pancake Adrenal” Sign

Elongated adrenal NOT molded by the adjacent kidney

Question 30

Sign of congenital absence of the kidney

Answer 30

Pancake adrenal