Urinary Workbook Flashcards
What is the function of the kidneys?
Maintains homeostasis by blood filtration
What is the function of the ureter?
Carries urine from kidneys to bladder
What is the function of the bladder?
Temporally stores urine
What is the function of the urethra?
Conducts urine from bladder to exterior
What vertebral levels do the kidneys lie?
T12-L3
Where does the hilum of the kidney lie?
Level of the transpyloric plane
Which of the kidneys is lower and why?
Right is lower as liver pushes it down
What are the 4 layers of the kidney?
Fibrous renal capsule
Fatty renal capsule
Renal fascia - fibro-fatty tissue
Pararenal fatty tissue - mainly posterior aspect of the kidney
What is the significance of having fatty tissue surrounding the kidneys?
Cushioning and protection of kidneys
Also helps stabilise position
What muscles are posteriorly related to the kidney?
Diaphragm, psoas major and quadratus lumborum
How are the kidneys peritonised?
Retro peritonised
What is 1 - relation of the right kidney?
Suprarenal gland
What is 2 - relation of the right kidney?
Liver
What is 3 - relation of the right kidney?
Duodenum
What is 4 - relation of the right kidney?
Right colic flexure
What is 5 - relation of the right kidney?
Jejunum
What is 1 - relation of the left kidney?
Suprarenal gland
What is 2 - relation of the left kidney?
Stomach
What is 3 - relation of the left kidney?
Spleen
What is 4 - relation of the left kidney?
Pancreas
What is 5 - relation of the left kidney?
Left colic flexure
What is 6 - relation of the left kidney?
Jejunum
Describe the nerve supply of the kidneys
Sympathetic nerves originate in T12 and L1 spinal segments - pass through coeliac ganglia and along renal artery
Parasympathetic nerves are derived from the vagus nerve
Describe the lymphatic drainage of the kidneys
Lymph from the kidneys drain to para-aortic lymph nodes around the origin of the renal arteries
What embryological structure does the definitive kidney develop from?
Metanephric mesoderm
What embryological structure does the ureter develop from?
Ureteric bud
What is 1?
Renal pyramid
What is 5?
Hilum of kidney
What is 6?
Renal pelvis
What is 7?
Ureter
What is 8?
Minor calyx
What is 9?
Fibrous capsule
What is 15?
Major calyx
What is 17?
Renal column
What is included in the outer cortex of the kidney?
Bowman’s capsule, distal and proximal convoluted tubule, interlobular artery, peritubular capillaries and glomerulus
What is included in the inner medulla of the kidney?
Loop of Henle and collecting duct
What is A?
Proximal convoluted tubule
What is B?
Glomerulus
What is C?
Distal convoluted tubule
What is D?
Descending limb of loop of Henle
What is E?
Ascending limb of loop of Henle
What is AB?
Collecting duct
What vertebral level does the renal arteries come off the abdominal aorta?
L1-L2
What happens to the renal arteries at the hilum of the kidney?
Divides into 5 segmental arteries which are end arteries
Describe the relationship of the renal veins to the aorta
Left renal vein travels anterior to aorta and is relatively long
Right renal vein travels direct and relatively short
Describe the relationship of the renal arteries to the IVC
Right renal artery travels posterior to the IVC and is relatively long
Left renal artery travels direct and is relatively short
How is the ureter peritonised?
Retroperitoneal
Where does the proximal and distal part of the ureter lie?
Proximal in abdominal cavity
Distal in pelvic cavity
What muscle does the ureter lie on?
Psoas major
Describe the course of the ureter
Dilatation called renal pelvis which is posterior to renal vessels
Descends and lies of psoas major
Crosses anteriorly to bifurcation of common iliac artery, then along lateral wall of pelvis and turns medially to reach bladder
What artery crosses the ureter superiorly in females?
Uterine artery
What crosses the ureter superiorly in males?
Vas deferens
What are the 3 constrictions of the ureter where calculi may lodge?
Junction of ureter and renal pelvis
Ureter crosses brim of the pelvic inlet
During passing through wall of urinary bladder
What is the trigone of the urinary bladder?
Is triangular area located in fundus
Where left and right ureters enter bladder - ureteric orifice
Urethral opening
Trigone has smooth walls
What are the 4 tissue layers of the urinary bladder?
Mucosa
Submucosa
Muscularis Propria
Serosa
What are the peritoneal relations of the urinary bladder?
Parietal peritoneum from inferior part of anterior abdominal wall drapes over superior surface of bladder and dips behind posterior surface to form peritoneal pouches
What kind of epithelium is the urinary bladder and ureter?
Transitional epithelium
What is the advantage of having transitional epithelium on urinary bladder and ureter?
Can stretch and contract as bladder fills and empties