Urinary System Flashcards
Are the kidneys, suprarenal glands and most of the ureters primarily retroperitoneal, secondarily retroperitoneal, or mesenteric?
primarily retroperitoneal
Are the lower parts of the ureters and urinary bladder, and urethra primarily retroperitoneal, subperitoneal, or mesenteric?
subperitoneal
Is the kidney primarily retroperitoneal or subperitoneal?
primarily retroperitoneal
Kidney contains 2 systems:
Vasculature (blood filtration) and collection ducts (waste excret)
What attaches the kidney in place?
the ureter and vessels (other than that it floats in fat)
Name the superior, inferior, lateral, and medial borders of the kidney
Suprarenal Gland, iliac creat, ….., reneal hilum (M)
What is the Renal Hilum and what is inside it Anterior to Posterior?
Conduit Space for vein, art, renal pelvis as becomes ureter
What does the Left kidney span? What rib is it protected by?
T11-L2 (protected by ribs 11 and 12)
What does the right kidney span? What rib is it protected by?
T12-L3 (protected by rib 12)
–limited by LIVER
Each kidney is found within the ____ space surrounded by ____ and filled with _____
Perinephric Space, renal fascia, and perinephric fat (found in paravertebral gutter)
External to the renal fascia is ___ within the paranephric space
paranephric/pararenal fat
Excretory (collection pathway)
Collecting ducts –> minor calices –> major calices –> renal pelvis –> ureter
Kidney supplied by _____ arteries that arise from ____ between L1 and L2 vertebrae
Left and right renal arteries that rise from aorta
Longer right renal artery passes ___ to IVC
posterior
Longer left renal vein passes ____ to abdominal aorta and ___ to SMA
anterior; deep
Both renal veins lie ___ to renal arteries and both renal veins drain into the ___
anterior; IVC
Which renal artery is longer?
Left is 3x right. runs between abdominal aorta and SMA
–often taken for kidney donation
Left renal vein receives the left suprarenal vein and left ____ vein
gonadal
T/F: Right renal vein drains directly into IVC
True
Which renal vein is more likely to be compressed during an aneurysm of an artery? Why?
Left–it sits in the narrow space between SMA and ab aorta
Pregang Sympathetis nerve fibers to the kidneys arise from the _____ and synapse at aorticorenal ganglia
lesser (T10-11) and least (12) spanchnic nerves
Pregang Sympathetis nerve fibers to the kidneys arise from the lesser (T10-11) and least (12) spanchnic nerves and synapse at ____
aorticorenal ganglia
Vagus nerve carrying ___- reaches the kidney but does not have apparent function
parasympathetics
Post ganglionic Sympathetic fibers and vagal fibers reach the kidney via the ____
renal nerve plexus
Nerves to the kidneys arise from the _____ and consist of sympathetic and parasympathetic fibers
renal nerves plexus
Nerves to the kidneys arise from the renal nerves plexus and consist of____fibers
sympathetic and parasympathetic
Urine production (Sympathetics)
Decrease in production through vasoconstriction of renal vessels
Urine Production (Parasympathetics)
No apparent function… seem to carry some visceral afferent information
The hilum of the right kidney is behind what organ?
2nd segment of duodenum
Visceral pain to kidney conveyed via ____ fibers
sympathetic
Visceral non-pain fibers (chemorec, mechanorec) conveyed to kidney via:
lower thoracic and upper lumbar sensory nerves (following sympathetics) and via sensory nerves o nodose ganglion (following parasympathetics)
Suprarenal glands located between ______ of the kidney and diaphragm
superomedial aspects
_____ produce hormones that help regulate several body functions including metabolism, blood pressure, and body’s response to stress
Suprarenal (adrenal galnds)
What is the right suprarenal gland in contact with? the left?
R: right crus, IVC, Liver
L: left cruc, spleen, stomach, pancreas
Suprarenal Glands are enclosed by _____ and attached to the ___ of the diaphragm
renal fascia; crura
Suprarenal glands are separated from the kidneys by ___
a thin septum
Blood supply to the suprarenal glands:
Superior, middle, and inferior suprarenal arteries
What supplies the superior pole of the suprarenal gland? what is it a branch of?
Superior Suprarenal Artery (from inferior phrenic artery)
What supplies the middle of the suprarenal gland? what is it a branch of?
Middle suprarenal artery (from abdominal aorta–near celiac trunk)
What supplies the inferior pole of the suprarenal gland? what is it a branch of?
Inferior suprarenal artery (branch from renal artery)