Ministry of higher Education and Scientific Researches UNIVERSITY

Ministry of higher Education and Scientific Researches UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE URINARY SYSTEM MODULE The module: Session 1 Lecture 1 GROSS ANATOMY MODULE STAFF: Prof. Mahmood Shakir Dr. Khaldoon Sdek Dr. Adnan Othafa Ass. Prof. Firas Shakir Dr. Safaa Almatook Clinically Orientated Anatomy Moore KL , Dalley. AF&Agur AMR Publisher: Lippincott Williams and Wilkins: Seventh Edition: ISBN: 9781451184471 For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches Learning out come 1 -the overall functions of the urinary system LO 1. 2 -the gross structure of the urinary system in both the male and female. LO 2. 3 -the anatomical position of the kidneys, the bladder and the prostate. LO 3. 4 -the course of the ureters and the relationships in the pelvis to the iliac vessels and uterine vessels, ovary/vas and the urethra in both males and females. LO 4. 5 -the medulla, cortex, renal pyramids and associated structures within a human kidney. LO 5. 6 -the renal blood supply. LO 6. For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE • Ministry of higher Education and Scientific Researches LO 1 Kidney functions waste products disposal regulation of fluid volume, electrolytes and acid base regulation blood pressure control Vitamine D regulation erythropoetin control For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE • Ministry of higher Education and Scientific Researches For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE LO 2 Gross structure §Paired organs, intra-abdominal, retroperitoneal, paravertibral situation. §Between T 12 and L 3 vertibra level, the right kidney lower than left because of the liver size §Size 11 -12 cm, 5 -7. 5, 2. 5 -3 cm, both kidneys move with respiration §The kidney is covered by three layers , fibrous capsule, perirenal fat and perirenal fascia (Gerota) For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches LO 3 For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches LO 3 For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches LO 3 For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE • Ministry of higher Education and Scientific Researches LO 4 §Kidney relations posterior: superiorly the diaphragm and lungs behind it middle the quadratus abdominus muscle inferiorly psoa muscle anterior left: tail of pancreas and spleen, dudenojeujinal and descending colon anterior right: ascending colon, second part of duedenum and common bile duct For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE • Ministry of higher Education and Scientific Researches LO 5 Kidney structure the kidney is divided into cortex and medulla the pelvis drain 2 -3 major calices, draining 2 -3 minor calices, each is indented by renal papila of a pyramid For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches LO 5 For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE • Ministry of higher Education and Scientific Researches LO 6 Blood supply renal artery—segmental---lobar----intrlobar---arcuate---interlobular---afferant For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches LO 6 For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE • Ministry of higher Education and Scientific Researches LO 4 The ureter tube structure start at the pelviureteric junction , end at the bladder transport urine length 22 -30 cm, diameter approx. 3 mm has three sites were it get narrower, PUJ, UV, and as it enter the pelvice crossing the iliac vessel it pass over the psoas muscle behind the colon in the female pelvice it passes under the uterine arteries water under the bridge For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches LO 4 For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches LO 4 For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE • Ministry of higher Education and Scientific Researches LO 3 The urinary bladder site : in the true pelvice behind the pubic bone, retroperitoneal size 350 can accommodate up to 1000 cc Denonvillier fascia separate the bladder and prostate from the rectum in male the bladder sits on the prstate and below it leviator anai muscle in female it sits on the anterior vaginal wall blood supply from internal iliac artery main branch superior vesical artery For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches LO 3 For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE Ministry of higher Education and Scientific Researches LO 3 For more detailed instruction, any question, cases need help please post to the group of session.

UNIVERSITY OF BASRAH AL-ZAHRAA MEDICAL COLLEGE • Ministry of higher Education and Scientific Researches The urethra in female 4 cm lomg start at the base of the bladder pas down through the pelvic floor next deep perineal pouch next perineal membrane and open in the vesitibule in the male 20 cm long divide into preprostatic , membranous , bulbous and penile For more detailed instruction, any question, cases need help please post to the group of session.