Urinary Tract Flashcards
Cranial and caudal poles of right kidney
- Caudate process of liver and right adrenal
2. Ascending colon
Cranial and caudal poles of left kidney
- Left lobe of pancreas and left adrenal
2. Descending colon, mesovarium (in female)
Dorsal surface of kidneys
- Contact lumbar hypaxial mm.
2. Free of peritoneum
Ventral surface of kidneys
- Faces abdominal cavity
2. Covered by parietal peritoneum
Lateral border of kidneys
- Convex
2. Related to abdominal wall/spleen
Medial border of kidneys
- Concave
2. Related to caudal vena cava/abdominal aorta
Renal hilus location
Indented medial border of kidney
Renal hilus contains
Renal b.v., lymphatic, nerves and ureta
Renal pelvis shape
Funnel shaped dilation of ureter
Renal pelvis is located?
Inside renal sinus
Renal pelvis function
Receives urine from papillary ducts → passes it into ureter
Pelvic recess shape and location
Curved diverticula of renal pelvis → project into parenchyma between renal pyramids
Fibrous capsule
Covers surface of kidney
Fibrous capsule consists of?
- Mostly collagen
- Few elastic
→ cannot swell as well as other organs
How is fibrous capsule connected to kidney?
Loose CT, easily stripped from healthy kidney
hard to pull off in necrosopy → pathology
Renal cortex location
Directly inside fibrous capsule (outer layer)
Outer portion of renal parenchyma
Renal cortex
Renal cortex appearance
Granular - renal capsules
Renal corpuscles
Efferent and afferent vessels
Nephron
Structural and functional unit of kidney
Renal crest location
Free edge of medulla facing pelvis
Renal crest formed by?
Fusion of renal papillae
Papillary foramina are open where?
On border of renal crest facing pelvis
Openings of papillary ducts are called?
Papillary foramina
Renal papillae
Apex of renal pyramid → seen in paramedian sections
Renal pyramid
Pyramid shaped medullary substance → represents lobes of kidneys (only seen in paramedian sections)
How many pelvic recesses form each border of pelvis?
5-6
Renal sinus
Space led into by hilus
Renal sinus contains?
- Renal pelvis
- Fat
- Proximal branches of renal vv. and nn.
Renal a. branches into?
Interlobar aa.
Interlobar aa. anamastose into?
Arcuate aa.
______ branch off arcurate aa.
Interlobular aa.
Interlobular aa. form?
Afferent and efferent arterioles
Abdominal part of ureter
- Begins at renal pelvis
2. Runs caudally following sagittal course
Pelvic part of ureter
On reaching pelvic cavity
- Bends medially to enter genital fold (male) or broad ligament (female)
- Opens over dorsal surface of neck of bladder
2 parts of ureters
- Abdominal part
2. Pelvic part
How does ureter penetrate bladder wall?
Obliquely
Ureter penetrates bladder wall obliquely. Why?
- Prevents reflux or urine into ureter when intravesical pressure rises
- Doesn’t prevent further filling of bladder (resistance is overcome by peristaltic contractions of ureteric wall)
Urinary bladder
Distensible urine storage organ
3 parts of urinary bladder
- Apex
- Body
- Neck
Apex of bladder located?
Cranial blind end of bladder
Apex contains?
Scar tissue → remnant of urachus
Urachus
Connects primitive bladder to allantoic sac in fetus
Neck of bladder located?
Narrow caudal part leading into urethra
Urinary bladder is in contact with?
Direct contact with abdominal wall (not covered by greater omentum)
6 structures of the bladder
- Apex (scar tissue)
- Lumen of bladder
- Ureters
- Trigone of the bladder
- Urethral crest
- Urethra
3 ligaments of the bladder
2 lateral + 1 median
2 lateral ligaments of bladder connects?
Lateral surface of bladder to pelvic wall
Free edge of lateral ligaments of the bladder
Round ligament of the bladder
Round ligament of the bladder contains?
Remnant of umbilical aa.
Median ligament of the bladder connects?
Ventral surface of bladder to pelvic symphysis and linea alba
Medial ligament of the bladder contains? (in fetus)
- Urachus
- Umbilical aa.
- Umbilical v.
(Umbilical cord)
Female urethra conveys?
Urine only
Male urethra conveys?
- Urine
- Semen
- Seminal secretion
Male urethra
Extends from internal opening at bladder neck to external opening at end of penis
2 parts of male urethra
- Pelvic part (internal)
2. Penile part (external)
4 parts of urinary system
- Kidneys
- Ureters
- Bladder
- Urethra
Urinary system location
Lies in abdomina and pelvic cavities
Urinary and genital system share?
Uretrha
2 functions of kidneys
- Form urine
2. Endocrine gland
2 main hormones produced by kidneys
- Renin
2. Erythropoietin
Renin function
Regulates blood pressure
Erythropoietin function
Increases rate of production of RBCs in bone marrow
Kidney location
- Pressed against abdominal roof in lumbar region
- Right and left of median plane
- Retroperitoneal
Retroperitoneal means?
Behind peritoneum
Ventral surface of kidney is covered by?
Parietal peritoneum
Peritoneum is only covers which side of the kidney?
Ventral surface
Which kidney is more variable in position?
Let
Right kidney location
- More cranial
2. T13 or L1 → L3
Left kidney location
- More caudal
2. L2 → L4