Lecture 9: Renal Anatomy Flashcards

1
Q

What organs make up the urinary system?

A

Kidneys
Ureters
Urinary Bladder
Urethra

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2
Q

Simply put, what is the physiological role of kidneys?

A
  • Filter metabolic waste products and toxins
  • Convert filtrate to urine
  • Blood pressure regulation
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3
Q

Where are kidneys found?

A

Retroperitoneal: T12-L3

*right kidney slightly lower

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4
Q

What enters the renal hilum?

A

Blood vessels
Nerves
Ureter

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5
Q

In the poster aspect, what is found at the transpyloric plane?

A

Left kidney: hilum

Right kidney: superior pole

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6
Q

From outward to the kidney itself, describe the layers of renal fat.

A

Superficial: Paranephric Fat
Middle: Renal fascia
Deep: Perinephric fat

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7
Q

What is renal fascia continuous with?

A

Inferior diaphragmatic fascia

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8
Q

The renal cortex makes what?

A

Erythropoietin

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9
Q

The renal medulla is a collection of what?

A

Renal pyramids and column

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10
Q

The renal calyxes are out-pocketings that eventually become what?

A

Ureter

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11
Q

Where do renal arteries branch of’?

A

Descending aorta

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12
Q

What do renal arteries branch into?

A

Segmental Artery –> Interlobar Artery –> Arcuate Artery –> Interlobular Artery –> Afferent Arteriole

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13
Q

What is the role of the afferent arteriole?

A

Brings blood to glomerulus

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14
Q

What does the term “water under the bridge” mean?

A

If blood vessels on top of the ureter are damaged, the ureter itself can be damaged as well.

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15
Q

Describe nutcracker syndrome.

A

Compression of the left renal vein between the superior mesenteric artery (SMA) and aorta

  • hematuria
  • proteinuria
  • flank pain
  • nausea
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16
Q

What is the sympathetic innervation to the kidney?

A

1) Lesser and least splanchnic nerves synapsing in aorticorenal ganglia
2) Lumbar splanchnic nerve

17
Q

What is the parasympathetic innervation to the kidney?

A

Vagus Nerve

18
Q

What are the two type of nephrons?

A

Juxtamedullary nephron

Cortical nephron

19
Q

How do kidneys drain blood?

A

Efferent arteriole –> peritubular capillaries/vasa recta –> cortical radiate vein –> arcuate vein –> interlobar vein –> renal vein –> Inferior Vena Cava