1What vertebral levels does the kidney extend from and to?
T12 to L3
2Which kidney is positioned slightly higher and why?
Left kidney because of the liver on the right-hand side
3What are the paravertebral gutters?
Longitudinal depressions on either side of the vertebral column
4What is the importance of the paravertebral gutters?
Sites for draining abscesses, paravertebral blocks and biopsies
5What are the contents of the paravertebral gutters?
Sympathetic chain; Aorta and para-aortic structures; Lymphatic vessels; Thoracic duct
6Where is the renal angle located?
Where the 12th rib meets the lateral border of the erector spinae muscle
7What is the importance of the renal angle?
Landmark for assessing renal tenderness and surgical access
8When are the kidneys palpable?
When they are enlarged
9What ribs of the posterior side surround the kidneys?
11th and 12th ribs
10What is the hepatorenal recess and what is its importance?
Pouch between the liver and the right kidney; A site where fluid can accumulate
11What are the coverings of the kidney from superficial to deep?
Pararenal fat; Renal fascia - Zuckerkandl's fascia and Gerota's fascia; Perirenal fat; Renal capsule
12What is the function of the fibrous capsule?
Protects the kidney from trauma and infection
13What is the function of perineal fat?
Cushions and insulates the kidneys
14What is the function of the renal fascia?
Anchors the kidney; Limits the spread of infection and haemorrhage
15What is the function of the fascia of gerota?
Compartmentalises the perirenal space
16What is the function of the fascia of Zuckerkandi?
Posterior renal fascia that fuses with the fascia covering the psoas and quadratus lumborum muscles
17What is the renal pelvis and what structure is it connected to?
Funnel-shaped structure that collects urine from the kidney's calyces before it drains into the ureter
18What is the hilum of the kidney?
Entry and exit point for renal blood vessels, nerves and the ureter
19What is the function of the hilum of the kidney?
Allows communication between the kidney and the rest of the body
20What is contained in the renal cortex?
Glomeruli; Renal tubules
21What is contained in the renal medulla?
Renal tubules; Renal pyramids
22What is the function of the glomerulus?
Filters blood
23Which renal artery is longer and why?
Right renal artery because the aorta is left of the midline
24What arteries and in order does the renal artery divide into?
Renal artery → segmental arteries → interlobar arteries → arcuate arteries → interlobular arteries
25Where does the renal vein drain into?
Inferior vena cava
26Which renal vein is shorter?
Right renal vein because the IVC is right of the midline
27Where does the left renal vein receive tributaries from?
Left gonadal vein; Left adrenal vein; Sometimes lumbar veins
28What are the five segments of the kidney?
Superior / Apical; Inferior / Caudal; Upper anterior; Middle anterior; Posterior
29What is nutcracker syndrome?
Compression of the left renal vein between the aorta and the superior mesenteric artery
30What spinal levels is the lesser splanchnic nerves?
T10-T11
31What spinal levels in the least splanchnic nerves?
T12
32What spinal level is the lumbar splanchnic nerve?
L1-L2
33What is the effect of the renal plexus?
Causes vasoconstriction of renal vessels, reducing blood flow during stress or shock
34What nerve is responsible for the parasympathetic innervation of the kidneys?
Vagus nerve
35Where is kidney pain referred to?
Flank; Lower back; Groin
36What causes flank pain?
Pressure from bleeding; Inflammation; Irritated nerves
37What can cause haematuria?
Trauma can cause bleeding into the urinary tract
38What are the three parts of the ureter?
Abdominal part; Pelvic part; Intramural part
39Describe the course of the ureter.
The ureter begins at the renal pelvis, descends retroperitoneally over the psoas major muscle, crosses the pelvic brim near the bifurcation of the common iliac artery, travels through the pelvis and enters the bladder.
40What is the uteroplevic junction?
Where the renal pelvis narrows to become the ureter
41What is the pelvic brim?
Where the ureter crosses the iliac vessels, usually near the bifurcation of the common iliac artery
42What is the vesicoureteric junction?
Where the ureter meets the bladder
43What structure does the ureter pass under in the pelvis in males and females?
Vas deferens in males; Uterine artery in females
44How does the ureter sense pain?
Through visceral sensory nerves that travel with autonomic nerves
45Where is pain of the ureter felt?
Referred to areas sharing the same spinal segments
46What artery supply the upper ureter?
Renal artery; Gonadal artery
47What nerves supply the upper ureter?
Renal plexus and associated sympathetic fibres
48Where is pain of the middle ureter felts?
Lower abdomen
49Where is pain of the upper ureter felt?
Flank or loin
50Where is pain of the lower ureter felt?
Groin, scrotum or labia majora
51What artery supplies the middle ureter?
Abdominal aorta; Common iliac artery
52What nerve supply the lower ureter?
Pelvic plexus and associated autonomic nerves
53What artery supplies the lower ureter?
Branches of the internal iliac artery
54What veins drain the upper, middle and lower ureter?
Upper ureter drains into renal veins; Middle ureter drains into gonadal and iliac veins; Lower ureter drains into internal iliac vein tributaries
55What is the function of the urinary bladder?
Stores urine before it is expelled from the body
56What is the capacity of the bladder?
400-600 ml of urine
57Where is the bladder located in males and females?
In the pelvis behind the pubic symphysis
58What ligaments hold the bladder in place?
Median and medial umbilical ligaments; Lateral and posterior ligaments; Pubovesical ligaments in females and puboprostatic ligaments in males
59What is the trigone?
Triangular area inside the bladder
60What forms the borders of the trigone?
Two ureteric orifices and one internal urethral orifice
61What is the bladder’s relationship to the ureters?
Ureters enter the bladder posteriorly
62What is the urethra?
Muscular tube that carries urine from the bladder to the outside of the body
63What is the function of the urethra?
Allows urine to exit the body during urination; Also carries semen in males
64Where is the urethra located?
Begins at the bladder neck and ends at the external urethral orifice
65What are the three parts of the male urethra?
Prostatic; Membranous; Spongy
66Is the urethra longer in males or females and how long?
Males about 16-20 cm; Females about 3-5 cm
67What type of muscle is the internal urethral sphincter?
Smooth involuntary muscle
68What is the function of the internal urethral sphincter?
Relaxes during urination to allow urine to pass through
69What type of muscle is the external urethral sphincter?
Skeletal voluntary muscle
70What is the function of the external urethral sphincter?
Consciously controlled to hold urine in
71What is the sympathetic nerve supply of the urethra?
Hypogastric nerves from the superior and inferior hypogastric plexuses
72What is the venous drainage of the urethra?
Drains into the vesical and prostatic venous plexuses, then into the internal iliac veins
73How does an enlarged prostrate lead to urinary incontinece?
Compresses the urethra, causing difficulty emptying the bladder and potentially overflow incontinence
74Are UTIs more common in females or males?
Women due to shorter urethras than males