Sunday, February 21, 2010

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MORAN CARMEN VARGAS HELENA
CODE: 1094906126
MEDICINE - V SEMESTER GENERAL


KIDNEY
· ; Organ secreting urine.
· Located on the top of the lateral retroperitoneal region.
• Each kidney is supplied from the ureter (the tube Excretory) vertically descending first through the lateral retroperitoneal region and then by the lower pelvis to go to lead to the bladder. EXTERNAL MORPHOLOGY

Form
· It compares with a bean.
• Your hilum is located in the middle of inner margin, cut by the renal sinus.
• It is vertically elongated and flattened anterior to posterior.
· Has:
or Faces:
§ Previous: Convex.
§    Posterior: Plana.
o    Bordes:
§    Interno: Cóncavo.
§    Externo: Muy convexo.
o    Polos:
§    Superior.
§    Inferior.
·    Es de color rojizo y de consistencia firme.
Dimensiones:
·    Cada riñón mide aproximadamente:
o    12 cm in length.
or 6 cm wide.
or 3 cm thick.
• Weight:
or Female: 150 grs.
or Female: 130 grs.
or On the left is a bit bulkier than the right. Current and Projected


° is at the top of the lateral retroperitoneal region.
· It is projected just lateral to the processes transverse T-11 and T-12 and the first two lumbar vertebrae.
• The upper pole rises to the level of the 11 th rib.
• The middle of the back of the kidney is crossed by the 12 th rib. Polo
· below:
or Left Kidney: The projected onto the top of the 3rd lumbar transverse process. Or Kidney
Law: Between the 3rd and 4th lumbar transverse process. Structure


· The kidney parenchyma consists of a capsule coated with a kidney.
• The renal parenchyma presents two distinct zones or
Bark: Yellow
§. §
dense appearance.
or Bone:
§ Dark red. § Divided into pyramids
: Your base is oriented toward the cortex and the apex into the renal sinus.
§ The vertices of the pyramids are the renal papillae.
or cribrosa area of \u200b\u200bthe renal papillae are pominencia in the renal sinus, the lumen of the minor calices. O
minor calyces converge to form the major calyces, which in turn lead to the urine formed in the kidney tissue (Pyramids) to the renal pelvis. O
renal pelvis is enlarged and the proximal ureter. Renal pedicle

· It is made by
or renal artery.
or renal vein.
or nerves.
or renal pelvis: Part widened and proximal ureter. (Initial segment of the excretory tract.)
· initial segment of the excretory tract:
or Source:
§ In the inner edge in the renal sinus.
or Consisting of:
§ Major and minor calyces. §
renal pelvis. Chalices
or younger: §
cover the tips of the renal papillae. §
are 10 to 15. §
Meets in 2 to 3 groups to form major calyces. Chalices
or older: They are generally
§ 3:
· Superior: inferomedial oblique.
· Middle: Horizontal.
° under: Oblique superomedially. §
converge to form the renal pelvis.
or Renal Pelvis:
§ membranous funnel:
· Base superolateral.
· Vertex inferointerno. §
Located slightly above the lower pole of kidney.
§ Represents the back of the plane renal pedicle. RELATIONS

· The kidneys are located above the posterior abdominal wall, covered by the posterior parietal peritoneum.
° is enclosed by a unit of the fascia subperitoneal forming renal fascia.
or both anterior and posterior leaflets are attached to the renal pedicle and the connective tissue surrounding the cava and aorta.
or leaves extend from above, get together and look at the underside of the diaphragm, and lower still in the pod ureter.
or renal fascia forms a solitary confinement cell on each side, containing the kidney and adrenal gland.
· Kidney
law or Previous: §
liver bare area. §
right adrenal gland. § Part
descending duodenum.
or Bottom:
§ Colon ascending or flexure right colic.
or Side: §
posterior parietal peritoneum. Cara §
visceral liver. §
diaphragm.
or Medial:
§ adrenal gland. §
renal pedicle. §
ureter. Inferior Vena Cava §
.
· Left kidney
or Previous: §
adrenal gland, near the upper limb. §
Body of the pancreas: The horizontally across the middle. Superior to the body of the pancreas is related to: Stomach
· through the omental bursa. Cara renal
· spleen. Lower
Pancreatic
· transverse mesocolon.
· Flexura Izquierda colic.
· descending mesocolon.
medial ·: Adrenal gland §
.
§ Renal Pedicle. §
ureter. §
Flexura duodenoyeyunal. §
abdominal aorta.
· Side:
§ spleen.
§ Descending colon. §
diaphragm. §
transverse muscle. Further
· Relations
or portion Diaphragmatic
§ Diaphragm. §
arcuate ligaments. §
subpleural Fabric: Through the trigone vertebrocostal. § Break pleural
costodiaframático, posterior to the diaphragm. §
Last two ribs.
or lumbar portion:
§ psoas muscle and transversus abdominis. §
Erector spine. §
internal oblique. §
latissimus dorsi. §
external oblique.
or Side:
§ The kidney is projected onto the surface of lumbocostoabdominal square. VASCULAR AND NERVOUS


Renal artery
· Source:
or sides of the abdominal aorta at L1-L2 disc.
or Divided:
§ Superior: Superior mesenteric artery. §
Bottom: Gonadal arteries.
· Irrigation:
or Kidney
or initial segment of the excretory tract.
o part of G. Adrenal.
· Completion: 2 Branches
or Previous: azotemia:
§ 3-4 branches: the anterior kidney.
§ 1 branch: Polo bottom.
or Rear: Retrorrenal:
§ 3-4 branches: posterior half of the kidney.
§ 1 branch: Polo top.
· Side:
or Ganglionic branches.
or A. Capsuloadiposa: Fat prerenal. It helps to form the arterial circle exorrenal. Capsular
o interior: Adrenal. O
Renouretéricas: Pelvis, Initial part of the ureter.
or Anastomosis:
or between the collateral arteries or arteries Capsular
lower capsuloadiposa renouretéricas and anastomose with branches of the inferior phrenic, gonadal and lumbar A, for thus form Arterial Circle Exorrenal.
or distribution within the parenchyma, or blood flow
:
or A. Renal Branches
pre and retrorrenales §: § Branches
rete (Taste):
· A. Interpiramidales (Forman vascular basket at the pyramids) or A.
Radiated:
§ A. Glomerular.




Renal Vein
· Drena:
or kidney. Middle
perirenal fat or the pelvis.
or upper ureter. Adrenal
or left.
· Source:
or in the inner edge of the renal sinus.
or drainage flow:
or V. Peripiramidales. §
V. Rete.
· V. Pericaliciales.
or V. Renal.
· Side:
or V. celuloadiposo middle of the kidney.
or V. renouretéricas.
or V. Incidental adrenal.
or V. Ganglion.
or V. Capsular ppal.
or V. Left gonad.
· Anastomosis anastomotic plexus Rico:
or venous arch Exorrenal: It is between:
§ Institutions: V. Capsular. Later §
V. Ureters and gonads. §
convexity of the kidney: V. Accessory kidney.
or V. Renoacigoslumbar:
§ Right: It anastomoses V. V. renal azygos to form the inner root V. azygos more. §
Left: It anastomoses V. V. renal hemiazygos to form the inner root V. hemiazygos lower left. Lymphatic Vessels
:
• Right:
or trunks:
§ Previous: Preventing
· Drena to lymph yuxtaaórticos rights. §
Post: Retrovenosos
· Drena to lymph retrocaval
· Left: These nodes will drain to the lymph yuxtaórticos left.

Innervation:
· To proceed celiac plexus.
· We are on two levels:
or Previous: node comes aorticorenal.
or Rear: Splanchnic N comes from the major and minor.
§ It is in the back of the abdominal aorta. §
sometimes occurs a thickening of nerve ganglion: Ganglion later.

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