Ureters Flashcards Preview

P An T > Ureters > Flashcards

Flashcards in Ureters Deck (10):
1

URETERS
- muscular tube from kidney to ____________ surface of the bladder
- enter pelvis crossing bifurcation of ____________ arteries
- runs down lateral wall of pelvis
- enters lateral angle of bladder
- In males - crossed by ___________
- In females - turns forward medially beneath ______ ligament where it is crossed by ________ artery

URETERS
- muscular tube from kidney to posterior surface of the bladder
- enter pelvis crossing bifurcation of common iliac arteries
- runs down lateral wall of pelvis
- enters lateral angle of bladder
- In males - crossed by vas deferens
- In females - turns forward medially beneath broad ligament where it is crossed by uterine artery

2

In relation to the uterine artery, the ureter is _________ and _________ the artery.

below
behind

"Water under the bridge"

3

The ureters are surgically at risk at three pelvic sites:
If oophorectomy is performed with hysterectomy, each ureter...
- lies just _________ to ovarian vessels within the suspensory ligament of the ovary
- passes _________ly to the uterine vessels or adjacent to the __________ cervical ligament
- _________ to uterine cervix

MUST-KNOW
The ureters are surgically at risk at three pelvic sites:
If oophorectomy is performed with hysterectomy, each ureter...
- lies just medial to ovarian vessels within the suspensory ligament of the ovary
- passes inferiorly to the uterine vessels or adjacent to the transverse/lateral/cardinal/Mackenrodt's cervical ligament
- lateral to uterine cervix

4

URETERIC CONSTRICTIONS (where stones may lodge)
- where the renal ______ joins the ureter
- where it crosses the _____________ and _________ artery
- where it pierces the __________ wall

URETERIC CONSTRICTIONS (where stones may lodge)
- where the renal pelvis joins the ureter (ureteropelvic junction)
- where it crosses the pelvic brim and external iliac artery
- where it pierces the bladder wall (vesico-ureteric junction)

5

BLOOD SUPPLY of the URETERS (must-know)
Upper - __________ artery
Middle - _________ artery
Lower - _________ artery

BLOOD SUPPLY of the URETERS (must-know)
Upper - renal artery
Middle - gonadal artery
Lower - superior vesical artery

6

URETERS
- ___ cm or ___ in
- retroperitoneal along their entire length
- ___ of total length is abdominal
- ___ of total length is pelvic

URETERS
- 25 cm or 10 in
- retroperitoneal along their entire length
- 1/2 of total length is abdominal
- 1/2 of total length is pelvic

7

LYMPHATIC DRAINAGE of the URETERS
Upper ureter - to _________ lymphatics or to __________ nodes
Middle ureter - to _______________ lymph nodes
Lower ureter - to ___________, __________, and __________ lymph nodes
Pelvic ureter and bladder - to ___________ lymph nodes

LYMPHATIC DRAINAGE of the URETERS
Upper ureter - to kidney lymphatics or to lumbar lymph nodes
Middle ureter - to common iliac lymph nodes
Lower ureter - to common, external, and internal iliac lymph nodes
Pelvic ureter and bladder - to internal iliac lymph nodes

8

NERVE SUPPLY of the URETERS
Upper - _________ plexus
Middle - _________ plexus
Lower - _________ plexus

NERVE SUPPLY of the URETERS
Upper - renal plexus
Middle - testicular/ovarian plexus
Lower - hypogastric plexus

9

RENAL COLIC
- severe type of colicky pain that results from distention of a ureter by a calculus and is referred over the _______ dermatomes;
may radiate from the back above the __________, through the inguinal region and into the __________ or __________

RENAL COLIC
- severe type of colicky pain that results from distention of a ureter by a calculus and is referred over the T11-L2 dermatomes;
may radiate from the back above the iliac crest, through the inguinal region and into the scrotum or labia majora

10

Muscle posterior to the ureters

Psoas