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19 Cards in this Set

  • Front
  • Back
Kidney:

Location: ... abdominal wall (?-?)

... (covered by parietal peritoneum)

Right kidney slightly ... to left because the liver takes up space

3 Tissue layers surrounding kidney:
1. ... (perinephric) fat: on kidney
2. ... fascia: external to fat
3. ... (paranephric) fat: external to renal fascia
posterior
T12-L3
Retroperitoneal
inferior
Perirenal
Renal
Pararenal
Kidney: External

Dimensions: 4” x 2” x 1”

Renal ... (a cleft; “doorway”)

Renal ... (deeper: past the hilum)
= the space around the renal pelvis
= filled with fat and ...
hilum
sinus
vessels
Kidney (external):

Structures entering or leaving hilum/sinus:

1. Renal ... (most anterior)

2. Renal ... (in middle)

3. Renal ... (most posterior; urine)
- ... calyces (many) --> ... calyces (3-4) --> pelvis --> ... --> urinary bladder
vein
artery
pelvis
minor
major
ureter
how many segmental branches of the renal artery are there?
5
renal arteries and veins:

Arteries: from aorta at ?/?
1. ... is longer because aorta sits to the ...
2. Segmental aa: usually #
3. Right renal a: posterior to ...

Veins:
1. Left renal vein: (shorter or longer?)
- unusual tributary: ... gonadal v. (... side comes up to IVC)
L1/L2
right
left
5
IVC
longer
left
right
pyramids are in the ...

... is at the tips of the pyramids
medulla
papilla
Kidney: Internal

...: outer layer

...: inner layer
1. Pyramids
a. ... at apex
b. ... covers papilla
2. ...: space between pyramids
Cortex
Medulla
Papilla
Minor calyx
Renal columns
what is the functional unit of the kidney?
-producing urine
-ion exchange
nephron
Ureter:

1. 10-12 inches long; ...

2. ... - smooth muscle contraction to move urine along

3. Points of constriction:
a. renal ...-... junction
b. ... - as it crosses over bone
c. ... of urinary bladder
retroperitoneal
Peristalsis
pelvis
ureter
pelvic brim
wall
... (most anterior organ in gut):

1. Position: ... to pelvic organs; ... to pubic symphysis; primarily ... and consists of a bag that stores urine in produced in the kidneys.

2. ...muscle: smooth m. of wall
a. “flap valve” for ureter: passive
b. detrusor contraction --> active sphincter on ureter
c. Contracts to aid in the passage of urine from the bladder into the ... during micturition
Bladder
anterior
posterior
retroperitoneal
Detrusor
urethra
Superior aspect of bladder covered by peritoneum, which reflects onto the anterior aspect of the ... in females (... pouch), and onto the anterior aspect of the ... in males (... pouch).
uterus
vesicouterine
rectum
rectovesicular
When empty, the bladder lies ... and ... to the pubic bone. When full, it may expand ... above the pubic bone.
below
posterior
superiorly
Inner posterior wall of the bladder = ...

-the ... open into the bladder at the lateral angles
-the ... opens inferiorly at the apex
trigone
ureters
urethra
Trigone: triangle: openings for the 2 ureters and the urethra

Urethral sphincters:
1. Internal urethral sphincter (sph. vesicae): = involuntary, ... muscle that encircles the urethra at the junction of the bladder and urethra

2. External urethral sphincter (sph. urethrae) = voluntary, ... muscle that encircles the urethra in the urogenital diaphragm
smooth
skeletal
Urinary bladder:

Innervation:
1. Sympathetic spinal cord levels (?-?): sphincter vesicae

2. Parasympathetic (S2-S4):
a. Sensory: bladder distension
b. Motor: detrusor muscle

3. Somatic: skeletal muscle of the ...
T11-L2
sphincter urethrae
adrenal (suprarenal glands)

Located between ... and ...

Enclosed by renal ... & perinephric fat

... for veins and lymphatics, but arteries and nerves enter at multiple sites

Embryologically and functionally: 2 different glands
kidney
diaphragm
fascia
Hilum
adrenal glands:

1. Cortex:
a. derived from ...
b. function: 3 classes of steroid hormones
(1) glucocorticoids (e.g. cortisol)
(2) mineralcorticoids (e.g. aldosterone)
(3) androgens (e.g. testosterone)

2. Medulla:
a. derived from ... cells
b. part of the nervous system but functions as an endocrine gland
c. ... cells: similar to postsynaptic, sympathetic neurons; secrete epinephrine & norepinephrine
mesoderm
neural crest
chromaffin
adrenal gland: arteries and veins

Arteries (3):
1. Superior: from ... a.
2. Middle: from ...
3. Inferior: from renal... a.

Veins:
1. Right: short; into ...
2. Left: longer; into ...
inferior phrenic
aorta
aorta

IVC
left renal vein
Control of adrenal gland:

Cortex: ...
- ACTH (adrenocorticotropic hormone) from pituitary gland

Medulla: ...
- presynaptic fibers from greater splanchnic nerve pass through celiac ganglia & synapse directly on cells of ...
hormonal
neural
adrenal medulla