Adrenal Glands Flashcards

1
Q

veinus drainage of the adrenal glands

A

Right and left adrenal veins drain the glands. The right adrenal vein drains into the inferior vena cava, whereas the left adrenal vein drains into the left renal vein.

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2
Q

arterial supply of the adrenal glands

A

Superior adrenal artery – arises from the inferior phrenic artery
Middle adrenal artery – arises from the abdominal aorta.
Inferior adrenal artery – arises from the renal arteries.

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3
Q

drenal glands

A

Lymph drainage is to the lumbar lymph nodes by adrenal lymphatic vessels. These vessels originate from two lymphatic plexuses – one deep to the capsule, and the other in the medulla.

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4
Q

neural innervation of the ;ympatic system

A

The adrenal glands are innervated by the coeliac plexus and abdominopelvic splanchnic nerves. Sympathetic innervation to the adrenal medulla is via myelinated pre-synaptic fibres, mainly from the T10 to L1 spinal cord segments.

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5
Q

qhat is anterior to the right renal gland

A

Inferior vena cava

Right lobe of the liver

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6
Q

qhat is psterior to the right renal gland

A

Right crus of the diaphragm

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7
Q

qhat is anterior to theleft renal gland

A

Stomach
Pancreas
Spleen

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8
Q

qhat is posterior to theleft renal gland

A

Left crus of the diaphragm

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9
Q

what lies in the centre of the adrenal glands? and what colour is it

A

the adrenal medulla

birown

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10
Q

what cells does the medulla contain? and what do these cells secrete

A

chromaffin cells, which secrete catecholamines (such as adrenaline) into the bloodstream in response to stress. These hormones produce a ‘flight-or-fight‘ response.

Chromaffin cells also secrete enkephalins which function in pain control.

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11
Q

what colour is the cortex

A

yellow

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12
Q

what does the cortex secrete

A

two cholesterol derived hormones – corticosteroids and androgens.

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13
Q

functionally the cortex can be divided into three regions. from superficial to deep whiat are these zones and what do they do

A

Zona glomerulosa – produces and secretes mineralocorticoids such as aldosterone.
Zona fasciculata – produces and secretes corticosteroids such as cortisol. It also secretes a small amount of androgens.
Zona reticularis – produces and secretes androgens such as dehydroepiandrosterone (DHES). It also secretes a small amount of corticosteroids.

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14
Q

what is the embryological origin of the cortex and medulla?

A

Cortex – derived from the embryonic mesoderm.

Medulla – derived from the ectodermal neural crest cells.

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15
Q

desribe the layers of the adren glands

A

consist of an outer connective tissue capsule, a cortex and a medulla

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16
Q

where do veins and arteries enter and leave the adrenal glands?

A

Veins and lymphatics leave each gland via the hilum, but arteries and nerves enter the glands at numerous sites.

17
Q

where does the andrenal gland lie

A

lie in the posterior abdomen, situated between the superomedial kidney and the diaphragm. They cover part of the anterior surface of each kidney.

18
Q

what is the difference in shape between left and right adreal glands

A

The right gland is pyramidal in shape, contrasting with the semi-lunar shape of the left gland.

19
Q

what encloses the adrenal glands and kidneys

A

Perinephric (or renal) fascia encloses the adrenal glands and the kidneys. This fascia attaches the glands to the crura of the diaphragm.

20
Q

wat separates the kidneys from the adrenal gladns?

A

perirenal fat.

21
Q

if retroperitoneal means lying posterior to the peritoneum ,are the adrenal glands retroperitoneal

A

they are,