Anatomy pg. 355-361 one liners _____ kidney is lower than the _____kidney Kidneys extend from ___ superiorly to ____inferiorly Kidneys are ____ organs Right kidney superior pole has what structure covering it Anterior surface of right kidney has what structure Inferior pole of right kidney laterally is__ Inferior pole of right kidney medially is__ Medially to right kidney Left kidney superior pole medially small portion covered by Left kidney rest of Superior pole is covered by What contacts left kidney Inferiorly Superiorly kidneys are in front of Inferiorly kidneys are in front of Superior pole of right kidney is anterior to rib__ Left kidney is anterior to rib __ __must be incised to get to the kidney Fats and fascia associated with kidney Renal artery is a branch off of the ___ Which renal artery originates higher Which renal artery is longer Order of the kidney from out to in Where is the left renal vein and why is location important? Lymphatic drainage of kidneys Three points along which ureters are constricted Stones can log in these locations Blood supply of upper end of ureter Right; left (because of the liver) T12; L3 retroperitoneal Suprarenal gland Liver separated by peritoneum Right colic flexure Intraperitoneal small intestine Duodenum (retroperitoneal) Suprarenal gland Intraperiotoneal stomach and spleen Pancreas on medial side and laterally left colic flexure and descending colon and (intraperitoneal) jejunum Diaphragm Psoas major, quadratus lumborum, transversus abdominis [Medial to Lateral] Rib 12 Rib 11 and 12 Renal fascia Perinephric fat, renal fascia (encloses perinephritic fat and kidney), paranephric fat (behind renal fascia) Abdominal aorta just inferior to the origin or the superior mesenteric between L1 and L2 Left renal artery Right renal artery and passes posterior to inferior vena cava Cortex, renal pyramids, renal papilla (on renal pyramid), minor calyx, major calyx, renal pelvis, ureter Longer left renal vein crossed midline anterior to abdominal aorta and posterior to superior mesenteric artery and can be compressed by an aneurysm Lateral aortic (lumbar) nodes around the origin of the renal arteries 1. Ureteropelvic junction 2. where ureters cross common iliac arteries or the beginning of the external iliac arteries at pelvic brim 3. where ureters enter the bladder Renal arteries Middle part of ureter receives supplies from Pelvic cavity ureters are supplied by Upper part of ureter drains to what lymph nodes Middle part “” Inferior part “” Visceral efferent fibers come from Visceral afferent return to Uretric pain refers to cutaneous regions supplied by Uretric pain is usually caused by Ureters descend from kidneys ___ on the ____ aspect of the psoas major muscle Kidneys are usually ___cms from the skin situated on the posterior abdominal wall. Ideal location for a transplanted kidney Costodiaphragmatic recesses extend ___ to kidney Passing posteriorly to the kidneys are The fibrous capsule surrounding the kidney is ___ except in disease states At the lateral margins of the kidneys the anterior and posterior layers of renal fascia This layer of fasica lateral to the kidneys is continuous with the ___ fascia on the lateral abdominal wall ___ vessels usually are used to supply and drain a transplanted kidney The funnel-shaped superior end of the ureters is called Abdominal aorta, testicular or ovarian arteries, common iliac arteries Branches off of the internal iliac arteries Lateral aortic (lumbar) nodes Lymph nodes assoc with common iliac vessels Assoc with external and internal iliac vessels Both sympathetic and parasympathetic T11 to L2 T11 to L2 distention Retroperitoneally/ medial 2-3 Left or right iliac fossa Posterior The subcostal vessels and nerves and the illiohypogastric n. and ilioinguinal n. Easily removable fuse transversalis Internal iliac vessels The renal pelvis