Urinary System www.vastaccess.com
2 Urinary Tract Kidney Ureter Urinary Bladder Urethra Prostate (male) Membranous (male) Spongy (male)
3 Kidney Relations Suprarenal (Adrenal) Glands Liver Duodenum Transverse Colon Spleen Stomach Pancreas Jejunum
4 Kidney & Related Retroperitoneal Structures Kidney Ureter Urinary Bladder Aorta & Branches Celiac Artery & Branches Suprarenal Suprarenal Mesenteric Renal Testicular Inferior Mesenteric Common Iliac Artery Internal Iliac Artery External Iliac Artery
5 Kidney & Related Retroperitoneal Structures Inferior Vena Cava & Tributaries Internal Iliac Vein External Iliac Vein Common Iliac Vein Testicular Vein Renal Vein Suprarenal Vein Hepatic Vein Organs & Ducts Esophagus Suprarenal Gland Rectum Ductus (Vas) Deferens
6 Kidney & Ureter Kidney Renal Capsule Renal Cortex Renal Medulla (Pyramid) Renal Papilla Renal Hilum Minor Calyx Major Calyx Renal Pelvis Renal Sinus
7 Kidney & Ureter (cont d) Renal Artery Oxygen-Rich Blood Renal vein Oxygen-Poor Blood Ureter Mucosa ; Transitional Epithelia Mucosa: Lamina Propia Muscularis: Circular/Longitudinal Adventitia Urine
8 Renal Tubule Nephron Cortical Nephron Juxtamedullary Nephron Renal Corpuscle Afferent Arteriole Glomerulus Glomerular Capsule Parietal Layer Visceral Layer Capsular Space Efferent Arteriole Proximal Convoluted Tubule Loop of Henle Distal Convoluted Tubule
9 Renal Tubule Collecting Tubules Collecting Duct Papillary Duct Urine
10 Tubular Function & Renal Circulation Juxtamedullary Nephrons Arteries Renal Segmental Interlobar Arcuate Interlobular Veins Interlobular Arcuate Interlobar Segmental Renal
11 Tubular Function & Renal Circulation Juxtamedullary Nephrons Afferent Arteriole Glomerulus Efferent Arteriole Peritubular Capilary Plexus Vasa Recta
12 Questions: 1. Homeostasis is the body s attempt to maintain a constant interval environment. a) True b) False 2. Each nephron is equipped with two structures. a) True b) False 3. Osmosis is the process through which homeostasis is achieved. a) True b) False
13 Questions: 4. Ureters transport urine from kidneys to the loop of Henle. a) True b) False 5. The majority of filtered water, sodium, chloride and glucose are reabsorbed in the proximal tubule. a) True b) False 6. Where would you find the golmerulus?
14 Questions: 7. is the sac that holds urine. 8. The urethra is described in three parts in the male. They are, and. 9. About 1300 ml of blood flow through both kidneys per minute. a) True b) False 10. Renin, secreted by the kidneys, is important in regulating.
15 Clinical Scenario An examination revealed that a patient had a horseshoe kidney. What anatomical structure prevents a horseshoe kidney from ascending to a level above umbilicus? An intravenous pyelogram revealed that calyces and pelvis of patient s right kidney were grossly dilated (hydronepphrosis). What embryological anomaly may be responsible for this condition?
16 Clinical Scenario An inebriated 40 year old man was admitted after he received a severe blow in his hypogastrium. Patient was in shock and complaining of pain in lower abdominal region. He was not able to pass urine for several hours. Even with considerable volume of liquor consumed, there was no dullness on percussion of anterior abdominal wall above symphysis pubis. Rectal exam revealed bulging backward of rectovesical pouch. Which pelvic viscus is likely to have been damaged by blow?
17 Clinical Scenario 35 year old man went to physician complaining of pain on micturition. Found pain was aggravated by jolting movements and relieved by lying down. Occasionally, he would pass a few drops of blood. At end of micturition. Which pelvic organ is likely diseased? Why is pain relieved by lying down?
18 Clinical Scenario Anatomical arrangements of terminal part of common bile duct and main pancreatic duct is subject to considerable variation. Which variations are likely to be associated with a pancreatitis should a gallstone become impacted at lower end od common bile duct?
19 Coding Scenario