Development of urethra with male and female developmental difference .
The development of male & female urethra is different . The female urethra is short
&
its development is very simple .but male urethra is long
&
its development is complicated
The epithelium of entire female urethra
&
most of the male urethra is derived from urogenital sinus
Urogenital sinus is developed from cloaca
Cloaca : part of hindgut caudal to attachment of allantois, which is common chamber for hindgut & urinary system
Development of urethra with male and female developmental difference .
The development of male & female urethra is different . The female urethra is short
&
its development is very simple .but male urethra is long
&
its development is complicated
The epithelium of entire female urethra
&
most of the male urethra is derived from urogenital sinus
Urogenital sinus is developed from cloaca
Cloaca : part of hindgut caudal to attachment of allantois, which is common chamber for hindgut & urinary system
location, length, and relation of right an left ureter, raletion of male an female ureter, n physiological site of ureteric constriction, bloo supply an inerve supply of ureter, clinical sinificance of ureter with hysteriectpomy
Anatomy of urinary bladder. surfaces, border of urinary bladder its relation , ligament support, peritoneal relation in male and females, pouches, blood supply of bladder, nerve supply of bladder, true and false ligament of urinary bladder,
location, length, and relation of right an left ureter, raletion of male an female ureter, n physiological site of ureteric constriction, bloo supply an inerve supply of ureter, clinical sinificance of ureter with hysteriectpomy
Anatomy of urinary bladder. surfaces, border of urinary bladder its relation , ligament support, peritoneal relation in male and females, pouches, blood supply of bladder, nerve supply of bladder, true and false ligament of urinary bladder,
Embryology Course IX - Urogenital SystemRawa Muhsin
This session discusses the development of the urogenital system and includes:
1. Development of the kidneys and ureters
2. Development of the bladder and urethra
3. Development of the gonads and genital ducts
4. Development of the external genitalia
EMBRYOLOGY OF KUB AND ITS CINICAL SIGNIFICANY(1).pptxvinodkrish2
Indications
This view is useful in visualizing calcifications anywhere along the renal tract (i.e. kidneys, ureters, bladder, urethra). It is also used as baseline/interval images in contrast studies (i.e. intravenous urography).
Patient position
the patient is supine, lying on their back, either on the x-ray table (preferred) or a trolley
patients should be changed into a hospital gown, with radiopaque items removed (e.g. belts, zippers, buttons, ECG electrodes)
the patient should be free from rotation; both shoulders and hips equidistant from the table/trolley
the x-ray is taken on full inspiration
this causes the diaphragm to contract, hence compressing the abdominal organs, allowing all renal contents to be visualized on a single image
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Technical factors
AP projection
centering point
the midsagittal point (equidistant from each ASIS) at the level of the iliac crest
collimation
laterally to the lateral abdominal wall
superior to the upper kidney pole
inferior to the inferior pubic rami
orientation
portrait
detector size
35 cm x 43 cm
exposure
70-80 kVp
30-120 mAs; AEC should be used if available
SID
100 cm
grid
yes
Image technical evaluation
ensure visualization of the upper poles of both kidneys even if the diaphragm was not imaged
the abdomen should be free from rotation with symmetry of the:
ribs (superior)
iliac crests (middle)
obturator foramen (inferior)
Practical points
In male patients, it is acceptable to perform imaging with collimation extending inferior to the pubic symphysis as there may be renal calculi in the urethra too.
Exposure will need to be adjusted according to the imaging system (CR or DR) and patient size. Where possible, a higher kVp should be used in the evaluation of radiopaque objects.
References
Incoming Links
Related articles: Radiographs (adult)
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Cases and figures
Figure 1: location of kidneys (annotated image)
Case 1: normal KUB
Case 2: normal intravenous urogram
Case 3: right staghorn calculus
Case 4: urethral calculus
Case 5: left renal calculus
Case 6: medullary nephrocalcinosis with ureteric calculi
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ABOUTIndications
This view is useful in visualizing calcifications anywhere along the renal tract (i.e. kidneys, ureters, bladder, urethra). It is also used as baseline/interva
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Surgical Site Infections, pathophysiology, and prevention.pptx
Embryology of Urinary System by Dr. Majid Kakakhel
1. EMBRYOLOGY OF URINARY SYSTEM
Nephric System & Its Anomalies
Vesicourethra & Its Anomalies
By:
Dr.MajidJan Kakakhel
PGR-Team C
InstituteofKidneyDiseases, Peshawar.
majidjankakakhel@gmail.com
2. NEPHRIC SYSTEM
• The nephric system develops progressively as
3 distinct entities:
1. Pro-nephros
2. Meso-nephros
3. Meta-nephros
3. Pronephros
• Earliest nephric stage in
Humans.
• Extends from 4th to 14th
somites.
• Conists of 6-10 pairs of
tubules, opens into ducts.
• Disappears completely by 4th
week of embryonic life.
• Rudimentary & non-functional
4. Mesonephros
• Principal excretory organ
during early embryonic
life (4-8weeks)
• Mesonephric tubules
develop from
intermediate mesoderm
caudal to pronephros
shortly before pronephric
degeneration.
5. Mesonephros
• These tubules rapidly
lengthens and form S
shape loop, medial end
forms a cup shape
outgrowth ( Bowmans
capsule) to which tuft of
capillaries is pushed
making glomerulus
• Laterally, other end
connects mesonephric
duct.
6. Metanephros
The Definitive Kidney
• The Final phase of development
of nephric system, originates
from 2 sources:
1. Ureteric Bud
2. Metanephric Mesenchyme
(Blastema)
7. Metanephros
• The ureteric bud grows cephalad and collects
mesoderm from the intermediate mesoderm around
its tip.
• The ureteric bud penetrates the metanephric
mesoderm (blastema)
8. Metanephros
• Here, the bud grows and repeatedly divides.
• The first 3 to 5 generation of branches fuse to form the renal
Pelvis,
• the next divisions become the major calyces,
• while further divisions forms the minor calyces and colleting
tubules.
9. Excretory System
• Each newly formed collecting tubule is
covered at its distal end by a metanephric
tissue cap.
10. • Cells of the tissue cap form small vesicles, the
renal vesicles
12. • One end of the S-shaped tubule becomes cup shape Bowman’s
Capsule , to which capillaries grow, and differentiates into glomeruli.
• These tubules, together with their glomeruli, forms nephrons or
excretory units.
• The other end fuses with the collecting tubules and forms an open
connection, establishing passageway from Bowman’s capsule to the
collecting unit.
13. • Continuous lengthening of the excretory
tubule results in formation of the proximal
convoluted tubule ( PCT), loop of Henle, and
distal convoluted tubule ( DCT).
15. Ectopic Kidney:
• Failure of metanephros
to ascend leads to an
ectopic kidney.
• An ectopic kidney may
be on the proper side
but low (simple ectopy)
or on the opposite side
(crossed ectopy) with or
without fusion.
16. Horse-shoe Kidney:
• Fusion of the paired metanephric masses.
• Lower poles fused in midline in front of L4
• Ascent is impeded by inferior mesenteric
artery
17. Renal Agenesis/ Solitary Kidney:
• When ureteric but fails to contact
Metanephric mesenchyme or when ureteric
bud fails to develop.
18. Duplicated Ureter:
• When An accessory ureteric bud develops
from mesonephric duct, meeting the same
metanephric mass, forms duplicated ureter.
• Rarely, each bud has a separate metanephric
mass, resulting in supernumerary kidneys.
19. URINARY BLADDER & URETHRA
• During the 4th to 7th weeks of development the
cloaca divides into:
1.Urogenital Sinus (Anteriorly)
2.Anal canal (Posteriorly)
20. Urogenital Sinus
Is divided into three
parts;
A cranial; vesical part;
forms most of the
bladder and continuous
with the allantois.
A middle; pelvic part;
forms main part of male
urethra and entire
female urethra.
A caudal; phallic part
grows towards genital
tubercle.
21. Urinary Bladder
It develops mainly from the
vesical part of the urogenital
sinus.
The trigone is derived from the
absorbed caudal ends of the
mesonephric ducts.
The epithelium is endodermal
in origin.
The other layers are derived
from the splanchinic
mesoderm
22. • At first, Urinary bladder
extends upto umbilicus,
where it is connected to the
allantois that extends into
the umbilical cord
• At 15th weeks, the allantois is
obiterated, becomes thick
fibrous cord Urachus
• Urachus extends from apex
of the bladder to the
umbilicus
• In adults it is represented by
median umbilical ligament
23. URETHRA:
The genital tubercle (mesenchymal
elevation) develops at the cranial
end of the cloacal membrane.
Two urethral folds, develop on
either side of the urogenital
membrane.
Laterally two labioscrotal folds
develop on either side of the
urethral folds.
Two urethral folds in male fuse
with each other to close the penile
urethra.
Two urethral folds in female remain
separate to form labia minora.
Labioscrotal folds)
24. The genital tubercle elongates forming the phallus,
which is the precursor of the penis.
Most of the male urethra : prostatic, membranous and
spongy parts is derived from endoderm of the pelvic
part of urogenital sinus.
The distal part of male urethra in glans penis starts as
ectodermal solid cord that grows towards the root of
penis to meet the spongy urethra , later it canalizes.
25. Anomalies:
Urachal anomalies
Extrophy of the bladder
(Ectopiae vesica); exposure
of the posterior wall of the
bladder due to a defect in the
anterior abdominal wall and
anterior wall of the bladder.
26. Urachal anomalies
A, Urachal cyst, persistence
or remnant of epithelial lining
of urachus.
B, Urachal sinus, discharge
serous fluid from the
umbilicus.
C, Urachal fistula, the entire
urachus remains patent and
allows urine to escape from
the umbilicus.
27. Urethral Anomalies
1-Hypospadius : is the
most common anomaly,
with incomplete fusion of
the urethral folds, and
abnormal openings of the
urethra occur along the
ventral (inferior) aspect of
the penis.
2-Epispadius : is a rare
abnormality, in which the
urethral meatus is found on
the dorsum of penis, it is
most often associated with
extrophy of the bladder.
Mesonephros degenerates by 2nd months except few caudal tubules and ducts which makes male genital system
POSITION OF THE KIDNEY • The kidney, initially in the pelvic region,
• later shifts to a more cranial position in the abdomen.
• This ascent of the kidney is caused by diminution of body curvature and by growth of the body in the lumbar and sacral regions.
• In the pelvis the metanephros receives its arterial supply from common iliac arteries.
• During its ascent to the abdominal level, it is vascularized by arteries that originate from the aorta at continuously higher levels.
• The lower vessels usually degenerate, but some may remain
FUNCTION OF THE KIDNEY • The definitive kidney formed from the metanephros becomes functional near the 12th week.
• Urine is passed into the amniotic cavity and mixes with the amniotic fluid.
• The fluid is swallowed by the fetus and recycled through the kidneys.
• During fetal life, the kidneys are not responsible for excretion of waste products,
• The placenta serves this function.
Mesodermal uro-rectal septum
In infants and children the bladder is an abdominal organ , it begins to enter the greater pelvis at about 6 years and becomes a pelvic organ until after puberty.