Kidney(Page 210)

Dr. Sherif Fahmy

Site, Size & Shape

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Dr. Sherif Fahmy

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External Features

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Dr. Sherif Fahmy

Relations

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Diaphragm

Medial arcuate lig.

Lateral arcuate lig.

Psoas major m.

Quadratus lumborum m.

Transversus abdominis m.

Subcostal vessels & nerve

Ilio-hypogastric n.Ilio-inguinal n.

Posterior Relations

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Dr. Sherif Fahmy

Anterior Relations

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Dr. Sherif Fahmy

Anterior relations of left kidney

Body of pancreas

Splenic artery

Left suprarenal gland

Descending colon

Ascending branch of superior left colic artery

Coils of jejunum

Area for spleen

Area for stomach & lesser sac

Dr. Sherif Fahmy

Anterior relations of right kidneyRight supra-renal gland

2nd part of duodenum

Right colic flexure

Ascending colon

Ascending branch of right colic artery

Coils of jejunum

Area for Rt lobe of liver

Dr. Sherif Fahmy

Coverings of Kidney

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AnateriorPosterior

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Segmentation of Kidney

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Dr. Sherif Fahmy

Blood Supply of Kidney(Page 216)

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Arterial (Renal & Accessory Renal

Arteries)

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Dr. Sherif Fahmy

Dr. Sherif Fahmy

Venous Drainage

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Lymphatic Drainage

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Surface Anatomy

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Dr. Sherif Fahmy

Dr. Sherif Fahmy

Stability of Kidney:1- Its position in paravertebral gutter.2- Coverings of the kidney.3- Intra-abdominal pressure.4- Apposition of surrounding organs.

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Ureter(Page 219)

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Relations of Ureter

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A- Abdominal Part

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Dr. Sherif Fahmy

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B- Pelvic Part(Page 62- Pelvis book)

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Dr. Sherif Fahmy

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Dr. Sherif Fahmy

Constrictions of Ureter

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Blood Supply of Ureter

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Dr. Sherif Fahmy

Nerve Supply of Ureter

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Dr. Sherif Fahmy

Surface Anatomy of Ureter

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Dr. Sherif Fahmy

Applied Anatomy- Stone ureter is usually impacted at

site of constrictions.- Ureteric pain from loin to groin (due

to sympathetic supply comes from T11 – L2 Nerves).

- Identification of stone ureter in X-ray.

Dr. Sherif Fahmy

X-Ray of Stone Ureter

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Dr. Sherif Fahmy

Suprarenal Gland

(Page 218)

Dr. Sherif Fahmy

Dr. Sherif Fahmy

Relations of Suprarenal Glands

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Anterior relations of left suprarenal

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Anterior relations of right suprarenal gland

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Posterior relations

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Blood Supply

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Superior suprarenal artery

Middle suprarenal artery

Inferior suprarenal artery

Dr. Sherif Fahmy