Diseases of Urinary System

The lower border of the pleura lies in between the 12th rib and the diaphragm The order of structule from anterior to posterior side heing diaphragm plaisal and rih when the 12th rib is ubrunt or is too short to be felt the 11th rih may be mistaken for hurt to be felt the change of opening the pleural cavity all greatly increased lithotripsy heral methere to some degree the un has replaced Courr ungle betecen the lowce border of the 12th sin and the outer hordes of the wctor ipinae is Known as the seral angle. It overlies the lower by applying prature over thei argyle with the thumb Blood from a ruptured Kidney or pur in apei rephoric abscess liest suitende the renal lascia then love its way within the renal faicia down words into the pelvic It cannot croll to opposite side because of the fascial suplum and midline attachment the unal facia Kidney is phrased bimanually with placed in Hank funt and the other hand perfined the hard when enlarged the lower pole & Kidney become palpable on deep inspiration A Mating Kidney can move up and down within the renal farcia but not/som side to side In wich condition the pesteries o Ican be sutured with diaphragm of renal fai and Kidh Kidney can be fired in position DAN the Commun Kidney all nephritis pyelone phootis tuberculous / Kidney xeral stores anal tumus common mainterlakon ja Kidney Lucas all semat oedema and hypertension Resin blood usta indica tel Kidney function and renal failure Kidney Hand nlarabon car be some in selities cares one common congerital condition y Kidney is pilyaye ic Kidney which leads to hurcilention In cares of chronic renal failure dialysis nearly to be done It con be sine as peritoneal Enfyes. or haeme The ladney all likely to be injured due to penetrating Injurid to lower thoracic cage-thele by Kicke in the seral 12th vib may also be in Kidney is likely to have stones as urine geti consents ard heu one lid on the body of verlehra hallioner Common congenital arumalia Lobulated Kency: the permiterice of joctal lobulation in the cacell Kidney It is of no Sinical significance h Aberiant Fallery: al kry: The permiterce fone of the local arteril common (30% individuals) especially to the lower pole of the Kidney un u allery from the aurk congenital polycystic kidney: It is formed if the luminal continuity between the nephront dood collecting whedle fail to establish the glomeruli continue to execrets urine which accumulaty in the tubules due to lock I outet As a recent tubules undergo cystic en fragments ( retention cyn 11.19) It occull duc I Horseline Kidney (1 in 800 Fig 11.19). to fecer of the lower kidneys the uncter pass anterior to the inthou the inferior mesenteric allary also pav anterior to the isthmen The in laior mesenteric allay alte passer interiorl the isthimes which limits the crunt. I of the horlahve kin Reral geneli (1 in 500l It veceral when creeteric but fail to develop unilateral renal идетели is relatively common A physician shouk react astume that & polient has the Kichrys. A sungen meal confirms His fort before considering nephrectomy Renal ane ureteric calculi (also called urinary tract stones) Hicy occur more they all usually frequent allociated with in men than in wome with a sedentary life style organic matrive when urine becomes saturated with there salts then small variation in PH caceres there sald the Hones or a leak our formed by the cagoreution of calcium photocurable and soluble salts within an organic matrie okalale urate and soluble salts within an to precipitate and form Mone thest Henes he and located bladder as renal calycer bureter or (c) urinciny bladder Renal/Ureteric wlic: It occcell due to some alone inki of ureter it is of sudden onset and felt in the loin ard allen radiates downwards and forward into the groin. The nature •y pain varies from dull ache to sud The poin is spasmodic pain The commonly refersid along the subcostal nerve to the Hank and anterior abdominal well and along the ilioinguinal nerve (11) into the groin. the renal angle lies ichween the lower horder I love te the senel angle diel between the lower border of 141 rib and the outer borice I auctor alpine Flooring Kidney (hypermobility of the Riciney the Kidney is kept ir position by the porncnal fat and renal fascia towers each Kidney moved up and down with respiration Renal trauma Although the Kidney ars well protected by the lower rih Lumiar mercle and vertebral column still a seves blunt injury I the abdomen may cruch the caused column the penetrating injuries are usuall caused by stab or acunshot wounds since about 25% off the cardiac can lead to rapid blood lost Transplantation & Kichcy: the renal transplant is now a common procedure It u dore in patients with end toge siral failure Hiscau (ESRD)"