Term
Are the kidneys intraperitoneal, secondarily or primarily retroperitoneal? |
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Definition
primarily retroperitoneal |
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Term
what are the layers around the kidney from superficial to deep? |
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Definition
paraneohric/pararenal fat
renal fascia
perinephric/perirenal fat |
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Term
what is the role of the renal fascia during infection? |
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Definition
helps prevent spread of pus/blood, but can act as a conduit between kidneys and pelvis |
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Term
describe the location of the kidneys |
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Definition
T12-L3
right kidney slightly lower than left
in upper right and left quandrants |
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Term
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Definition
green- superior pole
blue-lateral border
yellow- inferior pole
purple- medial border w/ renal hilum
white- renal capsule |
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Term
what is entering/exiting the renal hilum most anteriorly? |
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Definition
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Term
what is entering/exiting the renal hilum most posteriorly? |
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Definition
renal pelvis which turns to the ureter |
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Term
what enters and exits the renal hilum? |
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Definition
renal vein- exiting
renal artery- entering
renal pelvis- exiting |
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Term
what is the outer part of the inside of the kidney? |
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Definition
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Term
what is the middle part of the kidney? |
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Definition
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Term
what part of the kidney has pyrimids and renal collumns? |
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Definition
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Term
trace the path of urine towards the ureter |
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Definition
renal papillae
minor calyx
major calyx
renal pelvis
ureter |
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Term
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Definition
a kidney that doesnt ascend like normal during development, can be unilateral or bilateral |
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Term
what is a horseshoe kidney? |
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Definition
right and left kidney united at inferior pole, ascent stopped by IMA |
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Term
are ureters intraperitoneal, primarily or secondarily retroperitoneal? |
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Definition
primarily retroperitoneal |
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Term
how does urine move down the ureter? |
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Definition
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Term
where are the adrenal glands? |
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Definition
primarily retroperitoneal, on supermedial aspect of kidney
inside the renal fascia
in right and left upper quadrant |
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Term
trace the route of lymph from the kidneys/adrenal glands |
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Definition
to the lumbar lymph nodes along the aorta
chyle cistern
thoracic duct |
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Term
map the route of the prasympathetic innervation of the kidney |
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Definition
preganglioionc cell bodies- brain
preganglionic fibers- vagus nerve C X
post ganglionic cell bodies and fibers on kidneys |
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Term
map the route of the sympathetic innervation of the kidney |
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Definition
preganglionic cell bodies- lateral horn
ventral root
spinal nerve
ventral ramus
white ramus comunicans
sympathetic trunk
splanchnic (thoracic and lumbar) nerve
post ganglionic bodies: renal gangleion post ganglionic fibers:follow arterial branches |
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Term
map the route of sympathetic innervation of the adrenal glands |
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Definition
preganglionic cell bodies- lateral horn
preganglionic cell fibers- ventral root
spinal nerve
ventral ramus
white ramus comunicans
sypathetic trunk
spanchnic nerve
post ganglionic cell bodies- secretory cells of arenal glands |
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Term
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Definition
purple- celiac trunk
orange- SMA
black- IMA
green- middle suprarenal arteries
yellow-renal arteries
pink-gonadal arteries
light blue-lumbar arteries |
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Term
what arteries branch first off the abdominal aorta? |
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Definition
inferior phrenic to diaphragm and superior suprarenal |
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Term
why do some kidneys have extra arteries attached? |
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Definition
accessory renal arteries are due to failure of embryonic arteries to degenerate |
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Term
where do people run the risk of getting an aortic aneurysm? |
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Definition
right above where it bifurcates to the common illiac arteries at L4. if not detected and ruptures it is fatal in 90% |
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Term
where do the common illiac veins join to form the IVC |
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Definition
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Term
in what ways do the tributaries to the IVC not match the branches of the abdominal aorta? |
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Definition
left gonadal vein drains into left renal vein
hepatic veins have not arterial equivalent |
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Term
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Definition
purple-cuadratus lumborum
origination- 12th rib insertion- iliac crest
grey-psoas major
origination- lumbar vertebrae insertion with iliacus
yellow- iliacus
origination- iliac fossa insertion with psoas major on lesser trochanter of the femur |
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Term
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Definition
green- subcostal
blue- illiohypogastric
pink- illioinguinal
yellow- genitofemoral
white- femoral nerve
purple- obturator nerve |
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Term
what goes through the caval opening of the diaphragm? |
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Definition
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Term
what goes through the esophageal hiatus in the diaphragm? |
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Definition
esophagus and CN X at T10 |
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Term
what goes through the aortic hiatus in the diaphragm? |
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Definition
aorta thoracic duct and azygos vein at T12 |
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