Suprarenal Gland Structure and Function
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Questions and Answers

What forms the main mass of the suprarenal gland?

  • Apex
  • Medulla
  • Adrenal capsule
  • Cortex (correct)
  • How does the shape of the right suprarenal gland differ from the left?

  • Both are circular
  • Right is pyramidal; left is semilunar (correct)
  • Right is oval; left is round
  • Both are triangular
  • Which organ is located anteriorly to the left suprarenal gland?

  • Stomach (correct)
  • Liver
  • Spleen
  • Pancreas
  • What structure is located at the posterior surface of the right suprarenal gland?

    <p>Right crus of diaphragm</p> Signup and view all the answers

    What part of the suprarenal gland presents a hilum on its anterior border?

    <p>Right suprarenal gland</p> Signup and view all the answers

    Which structure is located at the medial border of both suprarenal glands?

    <p>Coeliac ganglion</p> Signup and view all the answers

    Which surface of the left suprarenal gland is adjacent to the left kidney?

    <p>Posterior surface</p> Signup and view all the answers

    What organ is located laterally to the right suprarenal gland?

    <p>Liver</p> Signup and view all the answers

    How many minor calyces can each major calyx divide into?

    <p>7 to 13</p> Signup and view all the answers

    What is the primary function of the nephron within the uriniferous tubule?

    <p>To elaborate urine</p> Signup and view all the answers

    What structures comprise the renal corpuscle?

    <p>Glomerulus and Bowman's capsule</p> Signup and view all the answers

    Which part of the nephron is responsible for selective resorption?

    <p>Proximal convoluted tubule</p> Signup and view all the answers

    What is the juxtaglomerular apparatus primarily associated with?

    <p>Monitoring blood pressure</p> Signup and view all the answers

    Where does the lymphatic drainage of the kidney primarily lead to?

    <p>Lateral aortic nodes</p> Signup and view all the answers

    What type of fibers from the renal plexus are predominantly involved in vasomotor functions?

    <p>Sympathetic fibers</p> Signup and view all the answers

    What anatomical feature is known as the renal angle?

    <p>Angle between the 12th rib and erector spinae</p> Signup and view all the answers

    At which location does the ureter experience the first normal constriction?

    <p>At the pelviureteric junction</p> Signup and view all the answers

    What are the two layers of the perirenal fascia originally called?

    <p>Fascia of Zukerkandal and fascia of Gerota</p> Signup and view all the answers

    Which of the following is NOT a site of ureter constriction?

    <p>Point of crossing by the ovarian ligament</p> Signup and view all the answers

    Where does the anterior layer of the perirenal fascia blend on the right side?

    <p>With the bare area of the liver</p> Signup and view all the answers

    Which structure is located anteriorly to the ureter in the right abdomen?

    <p>Renal vessels</p> Signup and view all the answers

    What is the primary function of the pararenal or paranephric body?

    <p>To provide support and cushion for the kidney</p> Signup and view all the answers

    In males, which structure crosses the ureter superiorly?

    <p>Ductus deferens</p> Signup and view all the answers

    Which is a feature of the renal medulla?

    <p>It contains renal pyramids that form papillae</p> Signup and view all the answers

    What does the renal sinus contain?

    <p>Branches of the renal artery and tributaries of the renal vein</p> Signup and view all the answers

    Which structure is located posteriorly to the ureter in the pelvic part?

    <p>Sacroiliac joint</p> Signup and view all the answers

    Which artery is associated with the relations of the ureter in the female pelvis?

    <p>Superior vesical artery</p> Signup and view all the answers

    What constitutes the outer layer of the kidney structure?

    <p>Reddish brown cortex</p> Signup and view all the answers

    Which describes the renal column?

    <p>It dips between the renal pyramids</p> Signup and view all the answers

    What does the ureter cross at its terminal point in the pelvis?

    <p>Termination of the common iliac artery</p> Signup and view all the answers

    What is the continuity of the superior aspect of the perirenal space?

    <p>Continuous with the bare area of liver and subphrenic space</p> Signup and view all the answers

    What is the role of the psoas major muscle concerning the ureter?

    <p>It serves as a posterior support structure for the ureter.</p> Signup and view all the answers

    What is the primary function of the oblique course of the ureter within the bladder?

    <p>Preventing regurgitation of urine</p> Signup and view all the answers

    Which part of the ureter receives its blood supply primarily from renal arteries?

    <p>Upper part</p> Signup and view all the answers

    What type of nerve supply primarily innervates the ureter?

    <p>Both sympathetic and parasympathetic fibers</p> Signup and view all the answers

    Which histological feature is NOT part of the ureter's structure?

    <p>Ciliated columnar epithelium</p> Signup and view all the answers

    What is the term for severe pain caused by a ureteric stone?

    <p>Ureteric colic</p> Signup and view all the answers

    Which statement about the relationship between the uterine artery and ureter is true?

    <p>The uterine artery lies in front and above the ureter for a certain distance</p> Signup and view all the answers

    Where does the terminal portion of the ureter lie in relation to the vagina?

    <p>Anterior to the vagina</p> Signup and view all the answers

    What is the main component of the ureter's outer layer?

    <p>Connective tissue</p> Signup and view all the answers

    Study Notes

    Suprarenal Glands

    • The suprarenal gland consists of two distinct parts: the cortex and the medulla.
    • The cortex forms the main mass of the gland, while the medulla constitutes about one-tenth of its structure.
    • Right suprarenal gland is pyramidal in shape; the left is semilunar.
    • Anterior relations differ: right side is adjacent to the inferior vena cava and liver, while the left is near the cardiac end of the stomach and pancreas.
    • Posterior surfaces relate to the diaphragm and kidneys, with the right crus for the right and the left crus for the left.
    • The medial border of both glands is associated with the coeliac ganglion; the lateral border has different relations, liver on the right and stomach on the left.

    Cortex Structure

    • The cortex is composed of three zones contributing to different hormone secretions.
    • Renal fascia has two layers: the anterior (Gerota's fascia) and posterior layers (Zuckerkandl's fascia), forming a multilaminated structure.
    • Pararrenal fat acts as a cushion and is more abundant posteriorly and at the lower pole of the kidneys.

    Kidney Anatomy

    • Kidney features an outer reddish-brown cortex and an inner pale medulla.
    • The renal sinus contains branches of the renal artery, tributaries of the renal vein, and the renal pelvis.
    • Renal pyramids, about 10 in number, dictate the structure of the medulla, with apices forming renal papillae.

    Uriniferous Tubule Structure

    • Each kidney has 1-3 million uriniferous tubules, including nephron and collecting parts.
    • Nephrons comprise a renal corpuscle with glomerulus and Bowman's capsule, plus a renal tubule for substance reabsorption.
    • The juxtaglomerular apparatus regulates blood pressure and kidney function, comprising the macula densa and juxtaglomerular cells.

    Lymphatic and Nerve Drainage

    • Kidney drains lymph to lateral aortic nodes at the level of renal artery origins (L2).
    • Supplied by renal plexus (sympathetic fibers from T10-L1) with afferent nerves from T10 to T12.

    Histology of the Kidney

    • Cortex includes glomeruli and sections of proximal and distal convoluted tubules.
    • Medullary sections show collecting ducts and loop of Henle.

    Clinical Anatomy and Relations

    • Renal angle is the space at the lower border of the 12th rib.
    • Ureter has five normal points of constriction: pelviureteric junction, lesser pelvis, crosses ductus deferens/broad ligament, through the bladder wall, and the trigone's opening.

    Renal Pelvis and Ureter Relations

    • Anterior relations of renal pelvis vary by side; right side has duodenum, while the left includes pancreas and jejunum.
    • Ureter has distinct pathways and relations dependent on whether it's anterior or posterior to structures like the psoas major and various blood vessels.

    Blood Supply and Nerve Distribution

    • Ureter receives blood supply from renal, gonadal, iliac, vesical, middle rectal, or uterine arteries, ensuring vascular support in different sections.
    • Nerve supply includes sympathetic input from T10 to L1 and parasympathetic from S2 to S4.

    Histology of the Ureter

    • Ureter consists of mucous membrane, smooth muscle layer, and outer tunica adventitia with transitional epithelium.
    • Muscle coat structure varies along the ureter's length, with specific fibrous layers aiding in function.

    Clinical Condition: Ureteric Colic

    • Ureteric colic refers to severe pain from kidney stones causing spasm, radiating from the loin to the groin, scrotum/labium majus, and inner thigh.

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    Description

    This quiz explores the anatomy of the suprarenal glands, focusing on their distinctive structures: the cortex and medulla. Examine their basic functions and compare the anatomical differences between the right and left glands. Test your understanding of these essential endocrine organs.

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