Flashcards in Anatomy Deck (129)
Where are the kidneys located?
Retriperitoneal in the posterior abdominal wall
What organs are retroperitoneal?
DOCTORS AND DENTISTS ALWAYS PREFER KISSING A VOLUPTUOUS REDHEAD
-Duodenum (except part 1)
-Vena Cava (IVC)
What plane are the kidneys located in?
Transpyloric (superior right renal hilum and inferior left renal hilum....the left kidneys is a little higher than the right)
What vertebral level are the kidneys at?
What ribs are behind the kidneys?
11 and 12
What do the ureters travel in front of?
What 3 nerves are posterior to the kidneys?
-Subcostal (below T12)
-Iliohypogastric (By L1, above ilioinguinal)
-Ilioinguinal (By L1)
What other big structure sits behind the kidneys on either side?
What part of the kidney is at risk if an ulcer in the descending duodenum perforates posterior?
The hilum of the right kidney
What 2 structures sit in front of the superior pole of the left kidney?
Stomach and spleen
What structure sits in front of the superior pole of the right kidney?
What is a psoas abscess associated with?
TB or osteomyelitis in the spione (discitus)
What is the type of spread that would happen between the spine and psoas major?
What can a psoas abscess do to the renal system?
It can compress the ureters and cause hydronephrosis
What is the function of perirenal fat?
It is good for absorption and helps to support the kidney
What is another name for renal fascia?>
Gerota's (anterior and posterior)
What connects the renal fascia to the capsule?
Do the kidneys have ligaments to keep them in place?
NOPE...vasculature and fat help to do this (not much keeping the kidneys stable)
What else does the renal fascia extend to cover?
Aorta, IVC, and ureters
Is there usually a continuous connection of renal fascia across the midline?
If you have a perinephric abscess, what is the typical treatment?
Antibiotics and percutaenous drainage
What keeps a perinephric abscess localized?
The capsule as well as fat and fascia
What is the order of structures in the renal hilum from anterior to posterior?
Vein, artery, pelvis
What structures are in the internal aspect of the kidney?
Cortex, medulla, pyramid, renal columns, papillae, minor calyces, major calyces, renal pelvis, ureter, renal sinus
If you had to pick a kidney to transplant, which would it be?
The left one because it has longer vasculature (vein)
Where is a new kidney transplanted?
In the pelvis (so it is supposed and doesn't fall)
Where do you attach a transplanted kidney in terms of vasculature?
To one of the common iliac vessels
How many branches does the renal artery divide into?
5 (these are essentially end arteries)
What are the 4 branches in the anterior division of the renal artery?
2. Anterior superior
3. Anterior inferior