A NATOMY L AB 1

W E WILL TAKE ABOUT : Kidney Ureter Urinary Bladder Urethra 2

K IDNEY 3 Renal vein, renal artery and ureter are found in the sinus in anterior to posterior order

I NTERNAL STRUCTURE OF THE K IDNEY 4 Each kidney consists of: Outer cortex convex Inner medulla concave formed of renal pyramids with apex forming renal papilla it’s open to the Minor calyces Major calyces Renal pelvis fills most of the sinus Cortex extends into medulla as renal columns

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A NTERIOR RELATION 6 Right kidney: Suprarenal gland Liver Duodenum Right colic flexure Ileum Left kidney: Suprarenal gland Stomach Spleen Splenic artery Pancreas Jejunum Left colic flexure

A NTERIOR RELATION 7 Left Kidney Right Kidney

P OSTERIOR R ELATION OF THE K IDNEY 8 Diaphragm separates the kidney from the pleural cavity and 11 th and 12 th ribs Psoas major medially Quadratus lumborum in the middle transversus abdominis laterally NOTE The right and lift kidney are similar except the right kidney does not have 11 th rib

9 Artery Vein Ureter

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U RETER 13 It shows three constriction along its course: 1.Between ureter and pelvis 2.At crossing the external iliac artery 3.At entrance to urinary bladder

B LOOD S UPPLY OF THE URETER Uretric branches of common iliac Uretric branches of internal iliac gonadal arteries 14

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U RINARY B LADDER IN M ALE 16

P ARTS AND S URFACES 17 Parts: It is divided into apex, body fundus and neck Surfaces: It has superior, posterior and two inferiolateral Apex Body Fundus Neck

R ELATION 18 Posterior relation: Vas deferens Seminal vesicle Rectum Rectovesical fascia Peritoneum Superior relation: Peritoneum Coils of ileum Sigmoid colon Lateral relation: Obturator internus muscle Levator ani muscle

R ELATION 19 Anterior relation Symphysis pubis Retropubic fat Inferior relation: Prostate gland

B LOOD S UPPLY OF THE U RINARY B LADDER 20 Urinary bladder Superior vesical artery Inferior vesical artery

U RINARY B LADDER IN F EMALE 21

P ARTS AND S URFACES 22 Parts: It is divided into apex, body, fundus and neck Surfaces: It has superior, posterior and two inferiolateral

R ELATION 23 Posterior relation: Uterus Vagina Superior relation: Peritoneum Uterus Lateral relation Obturator internus muscle Levator ani muscle

R ELATION 24 Anterior relation Symphysis pubis Retropubic fat

B LOOD S UPPLY OF THE U RINARY B LADDER 25 Urinary bladder Superior vesical artery Vaginal artery

U RETHRA OF M ALE 26

P ARTS 27 Parts of urethra: 1. Prostatic part 2. Membranous part 3. Penile part

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U RETHRA OF F EMALE 29

30 Urethra

31 The openings Rectum Posterior Vagina Intermediate Urethra Anterior

T HINK ABOUT IT !!! 32

NOTE In the Ureter you should be identify then write the three construction “if it come in the exam” Slid 32 Not include in the exam 33 نسأل الله التوفيق للجميع دعواتكم