<div id="pf1" class="pf w0 h0" data-page-no="1"><div class="pc pc1 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0179b39e-f65f-431d-81a5-fceb25d3c25f/bg1.png"><div class="c x1 y1 w2 h2"><div class="t m0 x2 h3 y2 ff1 fs0 fc0 sc0 lsa ws0"><span class="fc2 sc0">@JES</span>SICALECRIM</div></div><div class="c x3 y3 w3 h4"><div class="t m0 x4 h5 y4 ff2 fs1 fc1 sc0 lsa ws2">An<span class="blank _0"></span>atomia do S. R<span class="blank _1"></span>en<span class="blank _0"></span>al<span class="ff3 fs2"> </span></div><div class="t m0 x5 h6 y5 ff4 fs2 fc1 sc0 lsb ws1">\u2800\u2800\u2800\u2800\u2800\u2800\u2800<span class="ff5 lsa ws2"> </span>\u2800\u2800\u2800\u2800\u2800\u2800\u2800<span class="ff5 lsa ws2"> RINS</span>\u2800\u2800\u2800\u2800\u2800\u2800\u2800<span class="ff5 lsa ws2"> </span>\u2800\u2800\u2800\u2800\u2800\u2800\u2800<span class="ff5 lsa ws2"> </span></div><div class="t m0 x5 h6 y6 ff1 fs2 fc1 sc0 lsa ws2">1.<span class="blank _0"></span> <span class="blank _0"></span>Anatomia topogr<span class="blank _0"></span>á\ufb01ca </div><div class="t m0 x5 h6 y7 ff3 fs2 fc1 sc0 ls0 ws2">A<span class="blank _2"></span> <span class="blank _3"> </span>visualização<span class="blank _2"></span> <span class="blank _3"> </span>das<span class="blank _0"></span> <span class="blank _3"> </span>vísceras<span class="blank _2"></span> <span class="blank _3"> </span>abdominais<span class="blank _2"></span> <span class="blank _3"> </span>é<span class="blank _0"></span> <span class="blank _2"></span></div><div class="t m0 x5 h6 y8 ff3 fs2 fc1 sc0 lsa ws2">fundamental <span class="blank _3"> </span>par<span class="blank _0"></span>a <span class="blank _4"> </span>um <span class="blank _4"> </span>exame <span class="blank _4"> </span>físico.<span class="blank _0"></span> <span class="blank _5"> </span>Algumas </div><div class="t m0 x5 h6 y9 ff3 fs2 fc1 sc0 ls1 ws2">dessas <span class="blank _4"> </span>vísceras <span class="blank _3"> </span>ou <span class="blank _3"> </span>suas <span class="blank _3"> </span>partes<span class="blank _0"></span> <span class="blank _3"> </span>podem <span class="blank _3"> </span>ser <span class="blank _0"></span></div><div class="t m0 x5 h6 ya ff3 fs2 fc1 sc0 ls2 ws2">sentidas<span class="blank _0"></span> <span class="blank _3"> </span>pela<span class="blank _0"></span> <span class="blank _3"> </span>palpação<span class="blank _0"></span> <span class="blank _3"> </span>através<span class="blank _2"></span> <span class="blank _3"> </span>da <span class="blank _4"> </span>parede<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x5 h6 yb ff3 fs2 fc1 sc0 ls3 ws2">abdominal.<span class="blank _2"></span> <span class="blank _4"> </span>As <span class="blank _4"> </span>características<span class="blank _0"></span> <span class="blank _3"> </span>da<span class="blank _0"></span> <span class="blank _3"> </span>superfície<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x5 h6 yc ff3 fs2 fc1 sc0 lsa ws2">podem <span class="blank"> </span>ser <span class="blank"> </span>usadas <span class="blank _6"> </span>para <span class="blank"> </span>estabelecer <span class="blank"> </span>a <span class="blank"> </span>posição </div><div class="t m0 x5 h6 yd ff3 fs2 fc1 sc0 lsa ws2">das estruturas pr<span class="blank _0"></span>ofundas.<span class="blank _0"></span> </div><div class="t m0 x5 h6 ye ff3 fs2 fc1 sc0 lsa ws2">Os <span class="blank _7"> </span>rins <span class="blank _7"> </span>\ufb01cam <span class="blank _7"> </span>localizados <span class="blank _7"> </span>na <span class="blank _7"> </span>região <span class="blank _7"> </span>de <span class="blank _7"> </span>\ufb02ancos,<span class="blank _2"></span> </div><div class="t m0 x5 h6 yf ff3 fs2 fc1 sc0 ls4 ws2">direito<span class="blank _8"></span> <span class="blank _5"> </span>e<span class="blank _9"></span> <span class="blank _5"> </span>esquerdo<span class="blank _0"></span>,<span class="blank _8"></span> <span class="blank _5"> </span>em<span class="blank _8"></span> <span class="blank _5"> </span>uma<span class="blank _9"></span> <span class="blank _5"> </span>posição<span class="blank _9"></span> <span class="blank _9"></span></div><div class="t m0 x5 h6 y10 ff3 fs2 fc1 sc0 lsa ws2">retr<span class="blank _0"></span>operitoneal <span class="blank _a"> </span>(não <span class="blank _a"> </span>recoberto <span class="blank _a"> </span>pelo <span class="blank _b"> </span>peritônio),<span class="blank _0"></span> </div><div class="t m0 x5 h6 y11 ff3 fs2 fc1 sc0 ls5 ws2">paralelamente<span class="blank _2"></span> <span class="blank _c"> </span>à<span class="blank _0"></span> <span class="blank _3"> </span>coluna<span class="blank _0"></span> <span class="blank _4"> </span>vertebral<span class="blank _0"></span> <span class="blank _4"> </span>entre<span class="blank _0"></span> <span class="blank _4"> </span>as <span class="blank _2"></span></div><div class="t m0 x5 h6 y12 ff3 fs2 fc1 sc0 lsa ws2">vértebr<span class="blank _0"></span>as <span class="blank _0"></span>T12 e L3.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y13 ff3 fs2 fc1 sc0 lsa ws2">Quadrado <span class="blank _d"> </span>lombar<span class="blank _2"></span>, <span class="blank _d"> </span>psoas <span class="blank _d"> </span>maior <span class="blank _e"> </span>e <span class="blank _d"> </span>transverso <span class="blank _d"> </span>do </div><div class="t m0 x5 h6 y14 ff3 fs2 fc1 sc0 ls6 ws2">abdômen <span class="blank _3"> </span>são <span class="blank _3"> </span>músculos <span class="blank _3"> </span>que <span class="blank _3"> </span>possuem <span class="blank _3"> </span>uma </div><div class="t m0 x5 h6 y15 ff3 fs2 fc1 sc0 lsa ws2">relação dir<span class="blank _0"></span>eta com os rins.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y16 ff1 fs2 fc1 sc0 lsa ws2">2.<span class="blank _0"></span> <span class="blank _0"></span>Anatomia e<span class="blank _0"></span>xterna </div><div class="t m0 x5 h6 y17 ff3 fs2 fc1 sc0 lsa ws2">O <span class="blank _d"> </span>sistema <span class="blank _f"> </span>urinário <span class="blank _f"> </span>é <span class="blank _d"> </span>formado <span class="blank _f"> </span>por <span class="blank _d"> </span>rins,<span class="blank _0"></span> <span class="blank _f"> </span>ureter<span class="blank _0"></span>es,<span class="blank _0"></span> </div><div class="t m0 x5 h6 y18 ff3 fs2 fc1 sc0 ls7 ws2">bexiga<span class="blank _0"></span> <span class="blank _3"> </span>urinária<span class="blank _0"></span> <span class="blank _3"> </span>e <span class="blank _3"> </span>uretr<span class="blank _0"></span>a.<span class="blank _2"></span> <span class="blank _3"> </span>Os <span class="blank _4"> </span>rins <span class="blank _3"> </span>possuem <span class="blank _2"></span></div><div class="t m0 x6 h6 y5 ff3 fs2 fc1 sc0 lsa ws2">coloração <span class="blank _7"> </span>vermelha <span class="blank"> </span>amarronzada,<span class="blank _2"></span> <span class="blank"> </span>pesam <span class="blank"> </span>cer<span class="blank _0"></span>ca </div><div class="t m0 x6 h6 y19 ff3 fs2 fc1 sc0 lsa ws2">de <span class="blank _10"> </span>150g <span class="blank _10"> </span>no <span class="blank _10"> </span>homem <span class="blank _10"> </span>e <span class="blank _10"> </span>135g <span class="blank _10"> </span>na <span class="blank _10"> </span>mulher <span class="blank _10"> </span>medindo </div><div class="t m0 x6 h6 y1a ff3 fs2 fc1 sc0 lsa ws2">11cm <span class="blank _f"> </span>de <span class="blank _10"> </span>comprimento,<span class="blank _0"></span> <span class="blank _10"> </span>6cm <span class="blank _f"> </span>de <span class="blank _f"> </span>lar<span class="blank _0"></span>gura <span class="blank _10"> </span>e <span class="blank _f"> </span>1,5cm </div><div class="t m0 x6 h6 y1b ff3 fs2 fc1 sc0 lsa ws2">de espessura.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y1c ff3 fs2 fc1 sc0 ls8 ws2">Seus <span class="blank _c"> </span>polos <span class="blank _3"> </span>superiores <span class="blank _c"> </span>são <span class="blank _c"> </span>pr<span class="blank _0"></span>otegidos <span class="blank _c"> </span>pelos </div><div class="t m0 x6 h6 y1d ff3 fs2 fc1 sc0 lsa ws2">pares <span class="blank _3"> </span>de <span class="blank _c"> </span>costelas <span class="blank _c"> </span>\ufb02utuantes <span class="blank _3"> </span>11ª <span class="blank _c"> </span>e <span class="blank _c"> </span>12ª. <span class="blank _3"> </span>Em </div><div class="t m0 x6 h6 y1e ff3 fs2 fc1 sc0 ls9 ws2">relação<span class="blank _2"></span> <span class="blank _3"> </span>ao <span class="blank _4"> </span>rim <span class="blank _4"> </span>esquerdo,<span class="blank _1"></span> <span class="blank _c"> </span>o<span class="blank _0"></span> <span class="blank _3"> </span>rim<span class="blank _0"></span> <span class="blank _3"> </span>direito<span class="blank _2"></span> <span class="blank _3"> </span>é <span class="blank _2"></span></div><div class="t m0 x6 h6 y1f ff3 fs2 fc1 sc0 lsa ws2">ligeiramente mais baixo por causa do fígado<span class="blank _0"></span>.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y20 ff3 fs2 fc1 sc0 lsa ws2">Superiormente,<span class="blank _0"></span> <span class="blank _11"> </span>o <span class="blank _11"> </span>rim <span class="blank _11"> </span>direito <span class="blank _b"> </span>está <span class="blank _12"> </span>relacionado </div><div class="t m0 x6 h6 y21 ff3 fs2 fc1 sc0 lsa ws2">com <span class="blank"> </span>a <span class="blank"> </span>glândula <span class="blank"> </span>adrenal <span class="blank"> </span>(supr<span class="blank _0"></span>arr<span class="blank _0"></span>enal) <span class="blank"> </span>e <span class="blank"> </span>com <span class="blank"> </span>o </div><div class="t m0 x6 h6 y22 ff3 fs2 fc1 sc0 lsa ws2">diafragma.<span class="blank _0"></span> <span class="blank _4"> </span>P<span class="blank _2"></span>osteriormente <span class="blank _3"> </span>ao <span class="blank _c"> </span>músculo <span class="blank _3"> </span>psoas </div></div><div class="c x7 y23 w4 h7"><div class="t m0 x5 h8 y24 ff5 fs3 fc1 sc0 lsa ws2">MEDICINA NO<span class="blank _0"></span>VE DE JULHO </div><div class="t m0 x3 h8 y25 ff5 fs3 fc1 sc0 lsa ws2">JÉSSICA<span class="blank _0"></span> SANT<span class="blank _0"></span>ANA<span class="blank _0"></span> SIL<span class="blank _2"></span>VA</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0179b39e-f65f-431d-81a5-fceb25d3c25f/bg2.png"><div class="c x1 y1 w2 h2"><div class="t m0 x2 h3 y2 ff1 fs0 fc0 sc0 lsa ws0"><span class="fc2 sc0">@JES</span>SICALECRIM</div></div><div class="c x3 y26 w5 h9"><div class="t m0 x5 h6 y27 ff3 fs2 fc1 sc0 lsc ws2">maior<span class="blank _2"></span>,<span class="blank _2"></span> <span class="blank _4"> </span>quadrado<span class="blank _2"></span> <span class="blank _3"> </span>lombar<span class="blank _0"></span> <span class="blank _4"> </span>e<span class="blank _2"></span> <span class="blank _3"> </span>transverso<span class="blank _2"></span> <span class="blank _3"> </span>do<span class="blank _0"></span> <span class="blank _2"></span></div><div class="t m0 x5 h6 y28 ff3 fs2 fc1 sc0 lsa ws2">abdômen.<span class="blank _0"></span> <span class="blank _10"> </span>Anteriormente,<span class="blank _0"></span> <span class="blank _10"> </span>ao <span class="blank _10"> </span>fígado,<span class="blank _0"></span> <span class="blank _10"> </span>duodeno <span class="blank _f"> </span>e </div><div class="t m0 x5 h6 y29 ff3 fs2 fc1 sc0 lsa ws2">\ufb02exura <span class="blank _12"> </span>direita <span class="blank _12"> </span>do <span class="blank _12"> </span>colo.<span class="blank _0"></span> <span class="blank _12"> </span>O <span class="blank _13"> </span>rim <span class="blank _12"> </span>esquerdo <span class="blank _12"> </span>está </div><div class="t m0 x5 h6 y2a ff3 fs2 fc1 sc0 lsa ws2">superiormente <span class="blank _10"> </span>ao <span class="blank _10"> </span>diafragma,<span class="blank _2"></span> <span class="blank _10"> </span>glândula <span class="blank _10"> </span>adrenal <span class="blank _10"> </span>e </div><div class="t m0 x5 h6 y2b ff3 fs2 fc1 sc0 lsd ws2">baço<span class="blank _0"></span> <span class="blank _3"> </span>e<span class="blank _0"></span> <span class="blank _3"> </span>anteriormente <span class="blank _4"> </span>ao <span class="blank _4"> </span>baço,<span class="blank _2"></span> <span class="blank _c"> </span>estômago,<span class="blank _2"></span> <span class="blank _0"></span></div><div class="t m0 x5 h6 y2c ff3 fs2 fc1 sc0 lsa ws2">pâncre<span class="blank _0"></span>as,<span class="blank _0"></span> jejuno e \ufb02exur<span class="blank _0"></span>a esquerda do colo<span class="blank _0"></span>.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y2d ff3 fs2 fc1 sc0 lsa ws2">Os <span class="blank _4"> </span>rins <span class="blank _5"> </span>são <span class="blank _4"> </span>protegidos <span class="blank _5"> </span>por <span class="blank _4"> </span>três <span class="blank _5"> </span>envoltórios: </div><div class="t m0 x5 h6 y2e ff3 fs2 fc1 sc0 lsa ws2">fáscia <span class="blank _10"> </span>r<span class="blank _0"></span>enal,<span class="blank _0"></span> <span class="blank _14"> </span>cápsula <span class="blank _14"> </span>adiposa <span class="blank _10"> </span>e <span class="blank _14"> </span>cápsula <span class="blank _14"> </span>\ufb01brosa <span class="blank _14"> </span>(a </div><div class="t m0 x5 h6 y2f ff3 fs2 fc1 sc0 lsa ws2">última,<span class="blank _0"></span> <span class="blank _4"> </span>mais <span class="blank _3"> </span>internamente).<span class="blank _0"></span> <span class="blank _5"> </span>Além <span class="blank _3"> </span>da <span class="blank _3"> </span>cápsula </div><div class="t m0 x5 h6 y30 ff3 fs2 fc1 sc0 lsa ws2">adiposa <span class="blank _12"> </span>e <span class="blank _13"> </span>da <span class="blank _13"> </span>fáscia <span class="blank _12"> </span>renal,<span class="blank _0"></span> <span class="blank _12"> </span>uma <span class="blank _13"> </span>camada <span class="blank _12"> </span>\ufb01nal </div><div class="t m0 x6 h6 y27 ff3 fs2 fc1 sc0 lsa ws2">chamada <span class="blank _15"> </span>de <span class="blank _15"> </span>corpo <span class="blank _15"> </span>adiposo <span class="blank _15"> </span>(gordur<span class="blank _0"></span>a) <span class="blank _15"> </span>pararr<span class="blank _0"></span>enal.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y28 ff3 fs2 fc1 sc0 lse ws2">Essa<span class="blank _8"></span> <span class="blank _4"> </span>gor<span class="blank _0"></span>dura<span class="blank _8"></span> <span class="blank _5"> </span>acumula-se<span class="blank _9"></span> <span class="blank _5"> </span>posterior<span class="blank _9"></span> <span class="blank _5"> </span>e<span class="blank _9"></span> <span class="blank _9"></span></div><div class="t m0 x6 h6 y29 ff3 fs2 fc1 sc0 lsa ws2">later<span class="blank _0"></span>almente a cada um dos rins.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y2b ff3 fs2 fc1 sc0 lsa ws2">É <span class="blank _15"> </span>inervado <span class="blank _14"> </span>pelos <span class="blank _14"> </span>nervos <span class="blank _15"> </span>subcostal, <span class="blank _15"> </span>ilío-inguinal <span class="blank _14"> </span>e </div><div class="t m0 x6 h6 y2c ff3 fs2 fc1 sc0 lsf ws2">ílio-hipogástrico.<span class="blank _2"></span> <span class="blank _c"> </span>Em <span class="blank _3"> </span>torno <span class="blank _3"> </span>da <span class="blank _3"> </span>artéria <span class="blank _4"> </span>renal,<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x6 h6 y31 ff3 fs2 fc1 sc0 lsa ws2">situam-se os plexos r<span class="blank _0"></span>enal; aórticorr<span class="blank _0"></span>enal e celíaco<span class="blank _0"></span>.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y32 ff3 fs2 fc1 sc0 lsa ws2">Ainda,<span class="blank _0"></span> <span class="blank _13"> </span>é <span class="blank _12"> </span>irrigado <span class="blank _13"> </span>pelas <span class="blank _13"> </span>artérias <span class="blank _13"> </span>r<span class="blank _0"></span>enais <span class="blank _13"> </span>dir<span class="blank _0"></span>eita </div><div class="t m0 x6 h6 y33 ff3 fs2 fc1 sc0 lsa ws2">(mais <span class="blank _15"> </span>longa) <span class="blank _15"> </span>e <span class="blank _14"> </span>esquer<span class="blank _0"></span>da,<span class="blank _0"></span> <span class="blank _15"> </span>as <span class="blank _15"> </span>quais <span class="blank _15"> </span>se <span class="blank _14"> </span>originam no </div><div class="t m0 x6 h6 y34 ff3 fs2 fc1 sc0 lsa ws2">nível <span class="blank _7"> </span>do <span class="blank _7"> </span>disco <span class="blank"> </span>interver<span class="blank _0"></span>tebral <span class="blank _7"> </span>entr<span class="blank _0"></span>e <span class="blank _7"> </span>as <span class="blank _7"> </span>vértebras </div><div class="t m0 x6 h6 y35 ff3 fs2 fc1 sc0 lsa ws2">L1 <span class="blank _a"> </span>e <span class="blank _a"> </span>L2.<span class="blank _0"></span> <span class="blank _6"> </span>Ambas <span class="blank _6"> </span>dividem-se <span class="blank _a"> </span>em <span class="blank _a"> </span>ramos <span class="blank _a"> </span>com <span class="blank _a"> </span>5 </div><div class="t m0 x6 h6 y36 ff3 fs2 fc1 sc0 ls10 ws2">artérias<span class="blank _0"></span> <span class="blank _3"> </span>segmentares.<span class="blank _0"></span> <span class="blank _4"> </span>A<span class="blank _0"></span> <span class="blank _3"> </span>artéria <span class="blank _3"> </span>renal <span class="blank _4"> </span>direita <span class="blank _0"></span></div><div class="t m0 x6 h6 y37 ff3 fs2 fc1 sc0 lsa ws2">também <span class="blank _15"> </span>possui <span class="blank _14"> </span>dois <span class="blank _15"> </span>ramos <span class="blank _15"> </span>(anterior <span class="blank _14"> </span>e <span class="blank _15"> </span>posterior).<span class="blank _0"></span> </div><div class="t m0 x6 h6 y38 ff3 fs2 fc1 sc0 lsa ws2">A drenagem é <span class="blank _15"> </span>feita pelas <span class="blank _15"> </span>veias <span class="blank _15"> </span>renais,<span class="blank _2"></span> <span class="blank _15"> </span>sendo <span class="blank _15"> </span>que </div></div><div class="c x7 y23 w4 h7"><div class="t m0 x5 h8 y24 ff5 fs3 fc1 sc0 lsa ws2">MEDICINA NO<span class="blank _0"></span>VE DE JULHO </div><div class="t m0 x3 h8 y25 ff5 fs3 fc1 sc0 lsa ws2">JÉSSICA<span class="blank _0"></span> SANT<span class="blank _0"></span>ANA<span class="blank _0"></span> SIL<span class="blank _2"></span>VA</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf3" class="pf w0 h0" data-page-no="3"><div class="pc pc3 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0179b39e-f65f-431d-81a5-fceb25d3c25f/bg3.png"><div class="c x1 y1 w2 h2"><div class="t m0 x2 h3 y2 ff1 fs0 fc0 sc0 lsa ws0"><span class="fc2 sc0">@JES</span>SICALECRIM</div></div><div class="c x3 y26 w6 h9"><div class="t m0 x5 h6 y27 ff3 fs2 fc1 sc0 ls11 ws2">a<span class="blank _2"></span> <span class="blank _4"> </span>esquerda<span class="blank _2"></span> <span class="blank _4"> </span>passa<span class="blank _2"></span> <span class="blank _3"> </span>anteriormente<span class="blank _2"></span> <span class="blank _3"> </span>à<span class="blank _2"></span> <span class="blank _4"> </span>aorta<span class="blank _2"></span> <span class="blank _2"></span></div><div class="t m0 x5 h6 y28 ff3 fs2 fc1 sc0 lsa ws2">abdominal <span class="blank _15"> </span>e <span class="blank _15"> </span>posteriormente <span class="blank _15"> </span>à <span class="blank _15"> </span>aorta <span class="blank _15"> </span>mesentérica </div><div class="t m0 x5 h6 y29 ff3 fs2 fc1 sc0 lsa ws2">superior<span class="blank _2"></span>. <span class="blank _10"> </span>A <span class="blank _f"> </span>drenagem <span class="blank _f"> </span>linfática <span class="blank _f"> </span>é <span class="blank _d"> </span>feita <span class="blank _f"> </span>por <span class="blank _d"> </span>vários </div><div class="t m0 x5 h6 y2a ff3 fs2 fc1 sc0 lsa ws2">linfonodos aórticos la<span class="blank _0"></span>terais (lombar<span class="blank _0"></span>es).<span class="blank _0"></span> </div><div class="t m0 x5 h6 y39 ff6 fs2 fc1 sc0 lsa ws3">\u2192<span class="ff3 ws2"> <span class="blank _f"> </span>Risco <span class="blank _d"> </span>de <span class="blank _f"> </span>hidronefrose <span class="blank _f"> </span>e <span class="blank _f"> </span>aneurisma <span class="blank _d"> </span>em <span class="blank _f"> </span>casos </span></div><div class="t m0 x5 h6 y3a ff3 fs2 fc1 sc0 lsa ws2">de <span class="blank _15"> </span>gestação <span class="blank _15"> </span>avançada <span class="blank _15"> </span>(síndrome da <span class="blank _15"> </span>compressão </div><div class="t m0 x5 h6 y3b ff3 fs2 fc1 sc0 lsa ws2">da veia renal esquer<span class="blank _0"></span>da/quebr<span class="blank _0"></span>a nozes).<span class="blank _0"></span> </div><div class="t m0 x5 h6 y3c ff6 fs2 fc1 sc0 lsa ws3">\u2192<span class="ff3 ws2"> <span class="blank _d"> </span>Cer<span class="blank _0"></span>ca <span class="blank _f"> </span>de <span class="blank _e"> </span>25% <span class="blank _d"> </span>do <span class="blank _d"> </span>débito <span class="blank _d"> </span>cardíaco <span class="blank _f"> </span>é <span class="blank _d"> </span>enviado </span></div><div class="t m0 x5 h6 y3d ff3 fs2 fc1 sc0 lsa ws2">aos <span class="blank _14"> </span>rins.<span class="blank _0"></span> <span class="blank _14"> </span>Assim,<span class="blank _0"></span> <span class="blank _14"> </span>ele <span class="blank _14"> </span>\ufb01ltra <span class="blank _14"> </span>até <span class="blank _14"> </span>150L<span class="blank _0"></span> <span class="blank _14"> </span>de <span class="blank _14"> </span>sangue <span class="blank _10"> </span>por </div><div class="t m0 x5 h6 y3e ff3 fs2 fc1 sc0 lsa ws2">dia.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y3f ff1 fs2 fc1 sc0 lsa ws2"> 3.<span class="blank _0"></span> <span class="blank _0"></span>Anatomia interna </div><div class="t m0 x5 h6 y40 ff3 fs2 fc1 sc0 ls12 ws2">P<span class="blank _2"></span>ode<span class="blank _0"></span> <span class="blank _3"> </span>ser <span class="blank _3"> </span>dividido <span class="blank _4"> </span>internamente <span class="blank _3"> </span>em <span class="blank _3"> </span>hilo<span class="blank _0"></span> <span class="blank _3"> </span>e <span class="blank _0"></span></div><div class="t m0 x5 h6 y41 ff3 fs2 fc1 sc0 ls13 ws2">pedículo<span class="blank _0"></span> <span class="blank _3"> </span>renal,<span class="blank _2"></span> <span class="blank _3"> </span>seio<span class="blank _0"></span> <span class="blank _3"> </span>renal,<span class="blank _2"></span> <span class="blank _4"> </span>região<span class="blank _0"></span> <span class="blank _3"> </span>medular<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x5 h6 y42 ff3 fs2 fc1 sc0 lsa ws2">(medula renal) e r<span class="blank _0"></span>egião cor<span class="blank _0"></span>tical (córtex r<span class="blank _0"></span>enal).<span class="blank _0"></span> </div><div class="t m0 x5 h6 y43 ff6 fs2 fc1 sc0 lsa ws3">\u2192<span class="ff3 ws2"> <span class="blank _15"> </span>A <span class="blank _15"> </span>pelve <span class="blank _14"> </span>r<span class="blank _0"></span>enal <span class="blank _15"> </span>é <span class="blank _14"> </span>seguida <span class="blank _14"> </span>por <span class="blank _15"> </span>um <span class="blank _14"> </span>estreitamento </span></div><div class="t m0 x5 h6 y44 ff3 fs2 fc1 sc0 lsa ws2">chamado de ureter<span class="blank _2"></span>.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y45 ff3 fs2 fc1 sc0 lsa ws2">O <span class="blank _15"> </span>córtex <span class="blank _15"> </span>renal <span class="blank _15"> </span>é <span class="blank _14"> </span>mais <span class="blank _15"> </span>externo,<span class="blank _0"></span> <span class="blank _15"> </span>em <span class="blank _14"> </span>contato <span class="blank _15"> </span>com <span class="blank _14"> </span>a </div><div class="t m0 x5 h6 y46 ff3 fs2 fc1 sc0 ls14 ws2">cápsula<span class="blank _2"></span> <span class="blank _4"> </span>renal<span class="blank _1"></span> <span class="blank _3"> </span>por<span class="blank _2"></span> <span class="blank _4"> </span>causa<span class="blank _2"></span> <span class="blank _3"> </span>dos<span class="blank _2"></span> <span class="blank _4"> </span>numerosos<span class="blank _1"></span> <span class="blank _2"></span></div><div class="t m0 x5 h6 y47 ff3 fs2 fc1 sc0 lsa ws2">capilares.<span class="blank _2"></span> <span class="blank _e"> </span>Já <span class="blank _e"> </span>a <span class="blank _16"> </span>medula <span class="blank _e"> </span>renal <span class="blank _e"> </span>é <span class="blank _e"> </span>mais <span class="blank _e"> </span>profunda <span class="blank _e"> </span>e </div><div class="t m0 x5 h6 y48 ff3 fs2 fc1 sc0 ls15 ws2">escura,<span class="blank _2"></span> <span class="blank _4"> </span>apresenta<span class="blank _0"></span> <span class="blank _3"> </span>túbulos<span class="blank _0"></span> <span class="blank _3"> </span>microscópicos<span class="blank _2"></span> <span class="blank _3"> </span>e <span class="blank _2"></span></div><div class="t m0 x5 h6 y49 ff3 fs2 fc1 sc0 lsa ws2">pirâmides r<span class="blank _0"></span>enais.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y4a ff3 fs2 fc1 sc0 lsa ws2">O <span class="blank _11"> </span>ápice <span class="blank _11"> </span>das <span class="blank _11"> </span>pirâmides <span class="blank _b"> </span>renais <span class="blank _11"> </span>é <span class="blank _11"> </span>chamado <span class="blank _11"> </span>de </div><div class="t m0 x6 h6 y4b ff3 fs2 fc1 sc0 lsa ws2">papila <span class="blank _16"> </span>renal,<span class="blank _0"></span> <span class="blank _16"> </span>as <span class="blank _16"> </span>quais <span class="blank _7"> </span>desembocam <span class="blank _16"> </span>nos <span class="blank _16"> </span>cálices </div><div class="t m0 x6 h6 y4c ff3 fs2 fc1 sc0 ls16 ws2">renais<span class="blank _1"></span> <span class="blank _4"> </span>menores.<span class="blank _1"></span> <span class="blank _4"> </span>Entre<span class="blank _1"></span> <span class="blank _3"> </span>elas<span class="blank _2"></span> <span class="blank _4"> </span>encontramos<span class="blank _1"></span> <span class="blank _2"></span></div><div class="t m0 x6 h6 y4d ff3 fs2 fc1 sc0 lsa ws2">invaginações <span class="blank _13"> </span>(pr<span class="blank _0"></span>ojeções) <span class="blank _13"> </span>do <span class="blank _13"> </span>córte<span class="blank _0"></span>x <span class="blank _13"> </span>chamadas </div><div class="t m0 x6 h6 y4e ff3 fs2 fc1 sc0 lsa ws2">colunas <span class="blank _13"> </span>renais.<span class="blank _0"></span> <span class="blank _13"> </span>A<span class="blank _0"></span> <span class="blank _13"> </span>união <span class="blank _5"> </span>dos <span class="blank _13"> </span>cálices <span class="blank _5"> </span>menores </div><div class="t m0 x6 h6 y4f ff3 fs2 fc1 sc0 lsa ws2">forma <span class="blank _7"> </span>os <span class="blank _7"> </span>cálices <span class="blank _7"> </span>renais <span class="blank _16"> </span>maiores.<span class="blank _0"></span> <span class="blank _7"> </span>P<span class="blank _2"></span>or <span class="blank _16"> </span>sua <span class="blank"> </span>vez,<span class="blank _0"></span> <span class="blank _16"> </span>a </div><div class="t m0 x6 h6 y50 ff3 fs2 fc1 sc0 lsa ws2">união <span class="blank _a"> </span>dessas <span class="blank _a"> </span>estruturas <span class="blank _a"> </span>forma <span class="blank _b"> </span>a <span class="blank _a"> </span>pelve <span class="blank _b"> </span>renal <span class="blank _6"> </span>\u2013 </div><div class="t m0 x6 h6 y51 ff3 fs2 fc1 sc0 lsa ws2">uma dilatação em forma de funil que se estr<span class="blank _0"></span>eita e </div><div class="t m0 x6 h6 y52 ff3 fs2 fc1 sc0 lsa ws2">passa <span class="blank _14"> </span>a <span class="blank _14"> </span>se <span class="blank _14"> </span>chamar <span class="blank _14"> </span>ureter<span class="blank _2"></span>.<span class="blank _0"></span> <span class="blank _14"> </span>Está <span class="blank _14"> </span>localizada <span class="blank _14"> </span>no <span class="blank _14"> </span>seio </div><div class="t m0 x6 h6 y53 ff3 fs2 fc1 sc0 lsa ws2">renal.<span class="blank _2"></span> </div><div class="t m0 x6 h6 y54 ff3 fs2 fc1 sc0 lsa ws2">Na <span class="blank _11"> </span>circulação <span class="blank _b"> </span>sanguínea <span class="blank _11"> </span>intrarrenal,<span class="blank _2"></span> <span class="blank _12"> </span>o <span class="blank _11"> </span>sangue </div><div class="t m0 x6 h6 y55 ff3 fs2 fc1 sc0 ls17 ws2">segue<span class="blank _1"></span> <span class="blank _3"> </span>da<span class="blank _1"></span> <span class="blank _3"> </span>artéria<span class="blank _1"></span> <span class="blank _4"> </span>renal<span class="blank _1"></span> <span class="blank _4"> </span>para<span class="blank _2"></span> <span class="blank _5"> </span>as<span class="blank _2"></span> <span class="blank _4"> </span>artérias<span class="blank _1"></span> <span class="blank _2"></span></div><div class="t m0 x6 h6 y56 ff3 fs2 fc1 sc0 lsa ws2">segmentares.<span class="blank _2"></span> <span class="blank _14"> </span>Essas passam <span class="blank _14"> </span>pela <span class="blank _15"> </span>região de <span class="blank _15"> </span>seios, </div><div class="t m0 x6 h6 y57 ff3 fs2 fc1 sc0 lsa ws2">atr<span class="blank _0"></span>avés <span class="blank _12"> </span>das <span class="blank _13"> </span>artérias <span class="blank _12"> </span>interlobares,<span class="blank _2"></span> <span class="blank _13"> </span>ar<span class="blank _0"></span>queadas <span class="blank _12"> </span>e </div><div class="t m0 x6 h6 y58 ff3 fs2 fc1 sc0 lsa ws2">interlobulares.<span class="blank _2"></span> <span class="blank _13"> </span>Segue <span class="blank _11"> </span>então <span class="blank _13"> </span>par<span class="blank _0"></span>a <span class="blank _12"> </span>as <span class="blank _12"> </span>arteríolas </div><div class="t m0 x6 h6 y59 ff3 fs2 fc1 sc0 ls18 ws2">glomerulares<span class="blank _2"></span> <span class="blank _4"> </span>aferentes,<span class="blank _1"></span> <span class="blank _3"> </span>para<span class="blank _2"></span> <span class="blank _3"> </span>os<span class="blank _2"></span> <span class="blank _3"> </span>capilares<span class="blank _2"></span> <span class="blank _0"></span></div><div class="t m0 x6 h6 y5a ff3 fs2 fc1 sc0 lsa ws2">glomerulares,<span class="blank _2"></span> <span class="blank _3"> </span>para <span class="blank _4"> </span>as <span class="blank _3"> </span>arteríolas <span class="blank _3"> </span>glomerulares </div></div><div class="c x7 y23 w4 h7"><div class="t m0 x5 h8 y24 ff5 fs3 fc1 sc0 lsa ws2">MEDICINA NO<span class="blank _0"></span>VE DE JULHO </div><div class="t m0 x3 h8 y25 ff5 fs3 fc1 sc0 lsa ws2">JÉSSICA<span class="blank _0"></span> SANT<span class="blank _0"></span>ANA<span class="blank _0"></span> SIL<span class="blank _2"></span>VA</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf4" class="pf w0 h0" data-page-no="4"><div class="pc pc4 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0179b39e-f65f-431d-81a5-fceb25d3c25f/bg4.png"><div class="c x1 y1 w2 h2"><div class="t m0 x2 h3 y2 ff1 fs0 fc0 sc0 lsa ws0">@JESSICALE<span class="fc2 sc0">CRIM</span></div></div><div class="c x3 y26 w6 h9"><div class="t m0 x5 h6 y27 ff3 fs2 fc1 sc0 ls19 ws2">eferentes<span class="blank _8"></span> <span class="blank _4"> </span>e<span class="blank _1"></span> <span class="blank _5"> </span>retorna<span class="blank _8"></span> <span class="blank _4"> </span>para<span class="blank _9"></span> <span class="blank _4"> </span>os<span class="blank _9"></span> <span class="blank _4"> </span>capilares<span class="blank _8"></span> <span class="blank _1"></span></div><div class="t m0 x5 h6 y28 ff3 fs2 fc1 sc0 lsa ws2">peritubulares.<span class="blank _2"></span> <span class="blank _15"> </span>A seguir<span class="blank _0"></span>,<span class="blank _2"></span> <span class="blank _15"> </span>o <span class="blank _15"> </span>sangue <span class="blank _15"> </span>é <span class="blank _15"> </span>encaminhado </div><div class="t m0 x5 h6 y29 ff3 fs2 fc1 sc0 ls1a ws2">pelas<span class="blank _1"></span> <span class="blank _4"> </span>veias<span class="blank _2"></span> <span class="blank _5"> </span>interlobulares,<span class="blank _9"></span> <span class="blank _4"> </span>arqueadas<span class="blank _1"></span> <span class="blank _4"> </span>e<span class="blank _2"></span> <span class="blank _1"></span></div><div class="t m0 x5 h6 y2a ff3 fs2 fc1 sc0 lsa ws2">interlobares,<span class="blank _2"></span> até chegar nas veias renais.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y5b ff3 fs2 fc1 sc0 lsa ws2">Os <span class="blank _d"> </span>ramos <span class="blank _f"> </span>segmentares <span class="blank _f"> </span>das <span class="blank _e"> </span>artéria <span class="blank _f"> </span>e <span class="blank _d"> </span>veia <span class="blank _d"> </span>renais </div><div class="t m0 x5 h6 y5c ff3 fs2 fc1 sc0 lsa ws2">rami\ufb01cam-se <span class="blank _14"> </span>no <span class="blank _10"> </span>hilo <span class="blank _10"> </span>e <span class="blank _10"> </span>ascendem <span class="blank _f"> </span>como <span class="blank _14"> </span>artéria <span class="blank _10"> </span>e </div><div class="t m0 x5 h6 y5d ff3 fs2 fc1 sc0 lsa ws2">veia <span class="blank _5"> </span>interlobares <span class="blank _13"> </span>nas <span class="blank _5"> </span>margens <span class="blank _5"> </span>das <span class="blank _5"> </span>pirâmides </div><div class="t m0 x5 h6 y5e ff3 fs2 fc1 sc0 lsa ws2">renais,<span class="blank _2"></span> <span class="blank _6"> </span>estendendo-se <span class="blank _6"> </span>à <span class="blank _6"> </span>junção <span class="blank"> </span>corticomedular </div><div class="t m0 x5 h6 y5f ff3 fs2 fc1 sc0 lsa ws2">como <span class="blank _d"> </span>artéria <span class="blank _d"> </span>e <span class="blank _d"> </span>veia <span class="blank _d"> </span>arqueadas <span class="blank _f"> </span>sobre <span class="blank _d"> </span>a <span class="blank _d"> </span>base <span class="blank _e"> </span>da </div><div class="t m0 x5 h6 y60 ff3 fs2 fc1 sc0 lsa ws2">pirâmide <span class="blank _6"> </span>renal <span class="blank _a"> </span>e <span class="blank _a"> </span>seguem <span class="blank _a"> </span>como <span class="blank _a"> </span>artéria <span class="blank _a"> </span>e <span class="blank _a"> </span>veia </div><div class="t m0 x5 h6 y61 ff3 fs2 fc1 sc0 lsa ws2">interlobulares,<span class="blank _2"></span> <span class="blank _16"> </span>ascendendo <span class="blank _16"> </span>então <span class="blank _16"> </span>em <span class="blank _16"> </span>direção <span class="blank _e"> </span>à </div><div class="t m0 x5 h6 y62 ff3 fs2 fc1 sc0 lsa ws2">cápsula <span class="blank _f"> </span>renal.<span class="blank _2"></span> <span class="blank _f"> </span>A <span class="blank _f"> </span>par<span class="blank _0"></span>tir <span class="blank _f"> </span>daí <span class="blank _f"> </span>esses <span class="blank _f"> </span>delgados <span class="blank _f"> </span>vasos </div><div class="t m0 x5 h6 y63 ff3 fs2 fc1 sc0 lsa ws2">vão formar os capilares dos néfr<span class="blank _0"></span>ons.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y64 ff4 fs2 fc1 sc0 lsb ws1">\u2800\u2800\u2800\u2800\u2800\u2800<span class="ff5 lsa ws2">VIAS URINÁRIAS INFERIORES</span>\u2800\u2800\u2800\u2800<span class="ff5 lsa ws2"> <span class="ff4 ws4">\u2800</span> </span></div><div class="t m0 x5 h6 y65 ff1 fs2 fc1 sc0 lsa ws2">1.<span class="blank _0"></span> Ur<span class="blank _0"></span>eteres </div><div class="t m0 x5 h6 y66 ff3 fs2 fc1 sc0 lsa ws2">Localizados na região retr<span class="blank _0"></span>operitoneal,<span class="blank _2"></span> <span class="blank _15"> </span>são ductos </div><div class="t m0 x5 h6 y67 ff3 fs2 fc1 sc0 lsa ws2">musculares <span class="blank _10"> </span>que <span class="blank _f"> </span>medem <span class="blank _10"> </span>em <span class="blank _f"> </span>média <span class="blank _10"> </span>25 <span class="blank _f"> </span>a <span class="blank _10"> </span>30cm <span class="blank _f"> </span>e </div><div class="t m0 x5 h6 y68 ff3 fs2 fc1 sc0 lsa ws2">conduzem <span class="blank"> </span>a <span class="blank"> </span>urina <span class="blank _6"> </span>dos <span class="blank"> </span>rins <span class="blank"> </span>à <span class="blank _6"> </span>bexiga.<span class="blank _0"></span> <span class="blank"> </span>P<span class="blank _2"></span>ossuem </div><div class="t m0 x5 h6 y69 ff3 fs2 fc1 sc0 lsa ws2">lúmens <span class="blank _6"> </span>estreitos <span class="blank _6"> </span>e <span class="blank _6"> </span>se <span class="blank _a"> </span>iniciam <span class="blank _6"> </span>medialmente <span class="blank _a"> </span>ao </div><div class="t m0 x5 h6 y6a ff3 fs2 fc1 sc0 lsa ws2">rim como continuação <span class="blank _15"> </span>da pelve renal.<span class="blank _0"></span> Inserem-se </div><div class="t m0 x6 h6 y27 ff3 fs2 fc1 sc0 ls1b ws2">na<span class="blank _0"></span> <span class="blank _3"> </span>parede<span class="blank _0"></span> <span class="blank _3"> </span>posterior<span class="blank _0"></span> <span class="blank _3"> </span>da <span class="blank _4"> </span>bexiga <span class="blank _4"> </span>urinária.<span class="blank _2"></span> <span class="blank _c"> </span>É<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x6 h6 y28 ff3 fs2 fc1 sc0 lsa ws2">dividido <span class="blank _e"> </span>em <span class="blank _d"> </span>três <span class="blank _e"> </span>partes <span class="blank _d"> </span>anatômicas: <span class="blank _e"> </span>abdominal,<span class="blank _0"></span> </div><div class="t m0 x6 h6 y29 ff3 fs2 fc1 sc0 lsa ws2">pélvica e intramur<span class="blank _0"></span>al.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y6b ff6 fs2 fc1 sc0 lsa ws3">\u2192<span class="ff3 ws2"> <span class="blank _a"> </span>A <span class="blank _b"> </span>urina <span class="blank _b"> </span>percorr<span class="blank _0"></span>e <span class="blank _b"> </span>os <span class="blank _b"> </span>ureter<span class="blank _0"></span>es <span class="blank _b"> </span>por <span class="blank _b"> </span>meio <span class="blank _11"> </span>de </span></div><div class="t m0 x6 h6 y39 ff3 fs2 fc1 sc0 lsa ws2">contrações peristálticas (muscula<span class="blank _0"></span>tura lisa).<span class="blank _0"></span> </div><div class="t m0 x6 h6 y6c ff3 fs2 fc1 sc0 ls1c ws2">Em<span class="blank _9"></span> <span class="blank _5"> </span>cada<span class="blank _1"></span> <span class="blank _5"> </span>uma<span class="blank _9"></span> <span class="blank _4"> </span>das<span class="blank _9"></span> <span class="blank _4"> </span>partes<span class="blank _8"></span> <span class="blank _4"> </span>anatômicas,<span class="blank _8"></span> <span class="blank _9"></span></div><div class="t m0 x6 h6 y6d ff3 fs2 fc1 sc0 lsa ws2">encontramos <span class="blank _14"> </span>contrições <span class="blank _14"> </span>\ufb01siológicas <span class="blank _14"> </span>nas <span class="blank _14"> </span>quais <span class="blank _14"> </span>os </div><div class="t m0 x6 h6 y6e ff3 fs2 fc1 sc0 lsa ws2">cálculos renais podem \ufb01car pr<span class="blank _0"></span>esos.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y6f ff3 fs2 fc1 sc0 lsa ws2">São <span class="blank _5"> </span>vascularizadas <span class="blank _5"> </span>pelas <span class="blank _5"> </span>artérias <span class="blank _5"> </span>renal <span class="blank _13"> </span>(parte </div><div class="t m0 x6 h6 y70 ff3 fs2 fc1 sc0 lsa ws2">superior),<span class="blank _0"></span> <span class="blank _13"> </span>ramos <span class="blank _12"> </span>abdominais <span class="blank _13"> </span>da <span class="blank _13"> </span>aorta,<span class="blank _0"></span> <span class="blank _13"> </span>ar<span class="blank _0"></span>téria </div><div class="t m0 x6 h6 y71 ff3 fs2 fc1 sc0 lsa ws2">gonadal <span class="blank _e"> </span>e <span class="blank _16"> </span>ilíaca <span class="blank _16"> </span>comum <span class="blank _16"> </span>(parte <span class="blank _e"> </span>média) <span class="blank _16"> </span>e <span class="blank _e"> </span>ramos </div><div class="t m0 x6 h6 y72 ff3 fs2 fc1 sc0 lsa ws2">da <span class="blank _16"> </span>artéria <span class="blank _e"> </span>ilíaca <span class="blank _16"> </span>interna, <span class="blank _e"> </span>vesical <span class="blank _16"> </span>e <span class="blank _16"> </span>uterina <span class="blank _7"> </span>(parte </div></div><div class="c x7 y23 w4 h7"><div class="t m0 x5 h8 y24 ff5 fs3 fc1 sc0 lsa ws2">MEDICINA NO<span class="blank _0"></span>VE DE JULHO </div><div class="t m0 x3 h8 y25 ff5 fs3 fc1 sc0 lsa ws2">JÉSSICA<span class="blank _0"></span> SANT<span class="blank _0"></span>ANA<span class="blank _0"></span> SIL<span class="blank _2"></span>VA</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf5" class="pf w0 h0" data-page-no="5"><div class="pc pc5 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0179b39e-f65f-431d-81a5-fceb25d3c25f/bg5.png"><div class="c x1 y1 w2 h2"><div class="t m0 x2 h3 y2 ff1 fs0 fc0 sc0 lsa ws0">@JESSICALE<span class="fc2 sc0">CRIM</span></div></div><div class="c x3 y73 w6 ha"><div class="t m0 x5 h6 y74 ff3 fs2 fc1 sc0 ls1d ws2">inferior).<span class="blank _9"></span> <span class="blank _3"> </span>Essas<span class="blank _1"></span> <span class="blank _3"> </span>artérias<span class="blank _1"></span> <span class="blank _4"> </span>anastomosam-se<span class="blank _2"></span> <span class="blank _1"></span></div><div class="t m0 x5 h6 y75 ff3 fs2 fc1 sc0 lsa ws2">longitudinalmente.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y76 ff6 fs2 fc1 sc0 lsa ws3">\u2192<span class="ff3 ls1e ws2"> <span class="blank _3"> </span>As <span class="blank _3"> </span>veias <span class="blank _c"> </span>seguem <span class="blank _3"> </span>o <span class="blank _c"> </span>mesmo <span class="blank _3"> </span>padrão <span class="blank _3"> </span>das </span></div><div class="t m0 x5 h6 y77 ff3 fs2 fc1 sc0 lsa ws2">artérias.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y78 ff3 fs2 fc1 sc0 ls1f ws2">Cada<span class="blank _0"></span> <span class="blank _3"> </span>ureter<span class="blank _0"></span> <span class="blank _3"> </span>passa <span class="blank _3"> </span>pelos <span class="blank _3"> </span>tecidos <span class="blank _3"> </span>da <span class="blank _3"> </span>prega <span class="blank _0"></span></div><div class="t m0 x5 h6 y79 ff3 fs2 fc1 sc0 lsa ws2">retovesical <span class="blank _7"> </span>e <span class="blank"> </span>daí <span class="blank"> </span>para <span class="blank"> </span>a <span class="blank _7"> </span>bexiga.<span class="blank _0"></span> <span class="blank"> </span>Na <span class="blank"> </span>r<span class="blank _0"></span>egião <span class="blank"> </span>em </div><div class="t m0 x5 h6 y7a ff3 fs2 fc1 sc0 lsa ws2">que <span class="blank"> </span>o <span class="blank _7"> </span>ureter <span class="blank _7"> </span>penetra <span class="blank _7"> </span>na <span class="blank"> </span>bexiga <span class="blank _7"> </span>ele <span class="blank"> </span>é <span class="blank"> </span>cruzado </div><div class="t m0 x5 h6 y7b ff3 fs2 fc1 sc0 lsa ws2">pelo ducto deferente.<span class="blank _2"></span> </div><div class="t m0 x5 h6 y7c ff3 fs2 fc1 sc0 lsa ws2">São <span class="blank _10"> </span>posteriores <span class="blank _14"> </span>às <span class="blank _f"> </span>ar<span class="blank _0"></span>térias <span class="blank _10"> </span>renais <span class="blank _14"> </span>e <span class="blank _f"> </span>anterior<span class="blank _0"></span>es <span class="blank _10"> </span>às </div><div class="t m0 x5 h6 y7d ff3 fs2 fc1 sc0 lsa ws2">artérias <span class="blank _14"> </span>e <span class="blank _14"> </span>veias <span class="blank _10"> </span>gonodais.<span class="blank _0"></span> <span class="blank _14"> </span>Em <span class="blank _14"> </span>sua <span class="blank _10"> </span>parte <span class="blank _14"> </span>superior<span class="blank _0"></span>,<span class="blank _2"></span> </div><div class="t m0 x5 h6 y7e ff3 fs2 fc1 sc0 ls20 ws2">encontramos<span class="blank _0"></span> <span class="blank _3"> </span>os <span class="blank _3"> </span>linfonodos <span class="blank _3"> </span>aórticos<span class="blank _0"></span> <span class="blank _3"> </span>laterais<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x5 h6 y7f ff3 fs2 fc1 sc0 ls21 ws2">(lombares).<span class="blank _1"></span> <span class="blank _3"> </span>Já<span class="blank _0"></span> <span class="blank _3"> </span>na<span class="blank _0"></span> <span class="blank _3"> </span>parte<span class="blank _0"></span> <span class="blank _4"> </span>média,<span class="blank _2"></span> <span class="blank _c"> </span>linfonodos<span class="blank _0"></span> <span class="blank _2"></span></div><div class="t m0 x5 h6 y80 ff3 fs2 fc1 sc0 lsa ws2">associados <span class="blank _16"> </span>aos <span class="blank _e"> </span>vasos <span class="blank _16"> </span>ilíacos <span class="blank _16"> </span>comuns. <span class="blank _d"> </span>Ainda,<span class="blank _0"></span> <span class="blank _16"> </span>na </div><div class="t m0 x5 h6 y81 ff3 fs2 fc1 sc0 lsa ws2">parte <span class="blank"> </span>inferior<span class="blank _2"></span>, <span class="blank"> </span>linfonodos <span class="blank _6"> </span>associados <span class="blank"> </span>aos <span class="blank _6"> </span>vasos </div><div class="t m0 x5 h6 y82 ff3 fs2 fc1 sc0 lsa ws2">ilíacos internos e externos.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y83 ff3 fs2 fc1 sc0 lsa ws2">Os <span class="blank _15"> </span>ureter<span class="blank _0"></span>es <span class="blank _15"> </span>são <span class="blank _14"> </span>inervados <span class="blank _15"> </span>pelos <span class="blank _15"> </span>plexos <span class="blank _15"> </span>nervosos </div><div class="t m0 x5 h6 y84 ff3 fs2 fc1 sc0 lsa ws2">e <span class="blank _4"> </span>gânglios. <span class="blank _13"> </span>A <span class="blank _4"> </span>inervação <span class="blank _3"> </span>simpática <span class="blank _4"> </span>do <span class="blank _4"> </span>ureter </div><div class="t m0 x5 h6 y85 ff3 fs2 fc1 sc0 lsa ws2">deriva <span class="blank _10"> </span>dos <span class="blank _f"> </span>segmentos <span class="blank _10"> </span>espinais <span class="blank _10"> </span>T12-L1 <span class="blank _f"> </span>por <span class="blank _10"> </span>meio </div><div class="t m0 x5 h6 y86 ff3 fs2 fc1 sc0 lsa ws2">dos <span class="blank _3"> </span>plexos <span class="blank _3"> </span>renal,<span class="blank _0"></span> <span class="blank _3"> </span>aórtico <span class="blank _3"> </span>e <span class="blank _c"> </span>hipogástricos.<span class="blank _0"></span> <span class="blank _4"> </span>A </div><div class="t m0 x5 h6 y87 ff3 fs2 fc1 sc0 lsa ws2">inervação <span class="blank _6"> </span>parassimpática <span class="blank"> </span>do <span class="blank _6"> </span>ureter <span class="blank _6"> </span>deriva <span class="blank _6"> </span>dos </div><div class="t m0 x5 h6 y88 ff3 fs2 fc1 sc0 lsa ws2">segmentos <span class="blank _d"> </span>espinais <span class="blank _d"> </span>S2-S4 <span class="blank _d"> </span>por <span class="blank _d"> </span>meio <span class="blank _e"> </span>dos <span class="blank _d"> </span>nervos </div><div class="t m0 x5 h6 y16 ff3 fs2 fc1 sc0 ls22 ws2">esplâncnicos<span class="blank _2"></span> <span class="blank _3"> </span>pélvicos.<span class="blank _2"></span> <span class="blank _4"> </span>As<span class="blank _2"></span> <span class="blank _3"> </span>\ufb01bras<span class="blank _2"></span> <span class="blank _3"> </span>aferentes<span class="blank _2"></span> <span class="blank _0"></span></div><div class="t m0 x5 h6 y17 ff3 fs2 fc1 sc0 ls23 ws2">seguem<span class="blank _2"></span> <span class="blank _4"> </span>o<span class="blank _2"></span> <span class="blank _5"> </span>seu<span class="blank _2"></span> <span class="blank _4"> </span>trajeto<span class="blank _2"></span> <span class="blank _4"> </span>nos<span class="blank _2"></span> <span class="blank _4"> </span>nervos<span class="blank _2"></span> <span class="blank _4"> </span>tanto<span class="blank _1"></span> <span class="blank _2"></span></div><div class="t m0 x5 h6 y18 ff3 fs2 fc1 sc0 lsa ws2">simpáticos <span class="blank _f"> </span>quanto <span class="blank _f"> </span>parassimpáticos.<span class="blank _2"></span> <span class="blank _f"> </span>T<span class="blank _1"></span>odos <span class="blank _f"> </span>esses </div><div class="t m0 x6 h6 y74 ff3 fs2 fc1 sc0 ls24 ws2">elementos<span class="blank _2"></span> <span class="blank _3"> </span>situam-se<span class="blank _0"></span> <span class="blank _4"> </span>em<span class="blank _0"></span> <span class="blank _4"> </span>torno<span class="blank _0"></span> <span class="blank _4"> </span>dos<span class="blank _0"></span> <span class="blank _4"> </span>vasos<span class="blank _0"></span> <span class="blank _2"></span></div><div class="t m0 x6 h6 y75 ff3 fs2 fc1 sc0 lsa ws2">sanguíneos que suprem cada um dos ur<span class="blank _0"></span>eter<span class="blank _0"></span>es.<span class="blank _0"></span> </div></div><div class="c x7 y23 w4 h7"><div class="t m0 x5 h8 y24 ff5 fs3 fc1 sc0 lsa ws2">MEDICINA NO<span class="blank _0"></span>VE DE JULHO </div><div class="t m0 x3 h8 y25 ff5 fs3 fc1 sc0 lsa ws2">JÉSSICA<span class="blank _0"></span> SANT<span class="blank _0"></span>ANA<span class="blank _0"></span> SIL<span class="blank _2"></span>VA</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf6" class="pf w0 h0" data-page-no="6"><div class="pc pc6 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0179b39e-f65f-431d-81a5-fceb25d3c25f/bg6.png"><div class="c x1 y1 w2 h2"><div class="t m0 x2 h3 y2 ff1 fs0 fc0 sc0 lsa ws0">@JESSICALE<span class="fc2 sc0">CRIM</span></div></div><div class="c x3 y26 w3 h9"><div class="t m0 x5 h6 y27 ff1 fs2 fc1 sc0 lsa ws2">2.<span class="blank _0"></span> Be<span class="blank _0"></span>xiga urinária </div><div class="t m0 x5 h6 y28 ff3 fs2 fc1 sc0 ls25 ws2">Situada <span class="blank _4"> </span>na <span class="blank _3"> </span>parte <span class="blank _3"> </span>anterior <span class="blank _3"> </span>da <span class="blank _4"> </span>pelve <span class="blank _3"> </span>menor<span class="blank _0"></span>,<span class="blank _2"></span> </div><div class="t m0 x5 h6 y29 ff3 fs2 fc1 sc0 lsa ws2">imediatamente <span class="blank _10"> </span>atrás <span class="blank _14"> </span>da <span class="blank _f"> </span>sín\ufb01se <span class="blank _10"> </span>púbica <span class="blank _10"> </span>e <span class="blank _f"> </span>anterior </div><div class="t m0 x5 h6 y2a ff3 fs2 fc1 sc0 lsa ws2">ao <span class="blank _b"> </span>reto <span class="blank _11"> </span>no <span class="blank _b"> </span>homem <span class="blank _11"> </span>e <span class="blank _11"> </span>do <span class="blank _11"> </span>útero <span class="blank _b"> </span>na <span class="blank _11"> </span>mulher<span class="blank _0"></span>.<span class="blank _0"></span> <span class="blank _a"> </span>A </div><div class="t m0 x5 h6 y2b ff3 fs2 fc1 sc0 ls26 ws2">localização <span class="blank _3"> </span>da <span class="blank _3"> </span>bexiga<span class="blank _0"></span> <span class="blank _3"> </span>urinária <span class="blank _3"> </span>varia <span class="blank _3"> </span>com <span class="blank _3"> </span>a </div><div class="t m0 x5 h6 y2c ff3 fs2 fc1 sc0 lsa ws2">quantidade <span class="blank"> </span>de <span class="blank"> </span>urina <span class="blank _7"> </span>que <span class="blank"> </span>ela <span class="blank"> </span>contém <span class="blank"> </span>e <span class="blank _7"> </span>com <span class="blank"> </span>a </div><div class="t m0 x5 h6 y31 ff3 fs2 fc1 sc0 lsa ws2">idade.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y89 ff3 fs2 fc1 sc0 lsa ws2">Nos <span class="blank _7"> </span>homens,<span class="blank _0"></span> <span class="blank"> </span>a <span class="blank _16"> </span>bexiga <span class="blank"> </span>está <span class="blank _7"> </span>relacionada <span class="blank _16"> </span>com <span class="blank"> </span>a </div><div class="t m0 x5 h6 y8a ff3 fs2 fc1 sc0 lsa ws2">vesícula seminal <span class="blank _15"> </span>na sua <span class="blank _15"> </span>parte lateral mais inferior<span class="blank _0"></span>,<span class="blank _0"></span> </div><div class="t m0 x5 h6 y8b ff3 fs2 fc1 sc0 lsa ws2">com <span class="blank _11"> </span>a <span class="blank _12"> </span>ampola <span class="blank _11"> </span>do <span class="blank _12"> </span>ducto <span class="blank _11"> </span>deferente,<span class="blank _0"></span> <span class="blank _11"> </span>medial <span class="blank _11"> </span>a </div><div class="t m0 x5 h6 y8c ff3 fs2 fc1 sc0 lsa ws2">vesícula <span class="blank _15"> </span>seminal <span class="blank _14"> </span>e <span class="blank _15"> </span>ao <span class="blank _15"> </span>reto <span class="blank _15"> </span>entre as <span class="blank _14"> </span>duas <span class="blank _15"> </span>ampolas </div><div class="t m0 x5 h6 y8d ff3 fs2 fc1 sc0 lsa ws2">deferentes.<span class="blank _2"></span> <span class="blank _f"> </span>Nas <span class="blank _10"> </span>mulheres,<span class="blank _0"></span> <span class="blank _10"> </span>a <span class="blank _f"> </span>bexiga <span class="blank _10"> </span>é <span class="blank _10"> </span>conectada </div><div class="t m0 x5 h6 y8e ff3 fs2 fc1 sc0 lsa ws2">inferiormente <span class="blank _f"> </span>por <span class="blank _f"> </span>um <span class="blank _10"> </span>tecido <span class="blank _f"> </span>\ufb01broso <span class="blank _10"> </span>frouxo <span class="blank _f"> </span>com </div><div class="t m0 x5 h6 y8f ff3 fs2 fc1 sc0 lsa ws2">a <span class="blank _b"> </span>parede <span class="blank _11"> </span>anterior <span class="blank _b"> </span>da <span class="blank _11"> </span>vagina <span class="blank _11"> </span>e <span class="blank _11"> </span>superiormente </div><div class="t m0 x5 h6 y90 ff3 fs2 fc1 sc0 lsa ws2">com o colo do útero<span class="blank _0"></span>.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y91 ff3 fs2 fc1 sc0 ls27 ws2">Quando<span class="blank _0"></span> <span class="blank _3"> </span>vazia,<span class="blank _0"></span> <span class="blank _3"> </span>a<span class="blank _0"></span> <span class="blank _3"> </span>bexiga <span class="blank _3"> </span>parece<span class="blank _0"></span> <span class="blank _4"> </span>um <span class="blank _3"> </span>balão.<span class="blank _2"></span> </div><div class="t m0 x5 h6 y92 ff3 fs2 fc1 sc0 lsa ws2">Conforme <span class="blank _10"> </span>ela <span class="blank _f"> </span>se <span class="blank _10"> </span>enche, <span class="blank _10"> </span>torna-se <span class="blank _f"> </span>redonda <span class="blank _10"> </span>e,<span class="blank _0"></span> <span class="blank _10"> </span>em </div><div class="t m0 x5 h6 y93 ff3 fs2 fc1 sc0 lsa ws2">seguida,<span class="blank _0"></span> <span class="blank _16"> </span>piriforme. <span class="blank _e"> </span>Abriga <span class="blank _7"> </span>em <span class="blank _16"> </span>média <span class="blank _7"> </span>de <span class="blank _7"> </span>700 <span class="blank _16"> </span>a </div><div class="t m0 x5 h6 y94 ff3 fs2 fc1 sc0 lsa ws2">800 <span class="ff7 ws3">\u3396</span> de urina.<span class="blank _0"></span> </div></div><div class="c x7 y23 w4 h7"><div class="t m0 x5 h8 y24 ff5 fs3 fc1 sc0 lsa ws2">MEDICINA NO<span class="blank _0"></span>VE DE JULHO </div><div class="t m0 x3 h8 y25 ff5 fs3 fc1 sc0 lsa ws2">JÉSSICA<span class="blank _0"></span> SANT<span class="blank _0"></span>ANA<span class="blank _0"></span> SIL<span class="blank _2"></span>VA</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf7" class="pf w0 h0" data-page-no="7"><div class="pc pc7 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0179b39e-f65f-431d-81a5-fceb25d3c25f/bg7.png"><div class="c x1 y1 w2 h2"><div class="t m0 x2 h3 y2 ff1 fs0 fc0 sc0 lsa ws0">@JESSICALE<span class="fc2 sc0">CRIM</span></div></div><div class="c x3 y26 w6 hb"><div class="t m0 x5 h6 y95 ff3 fs2 fc1 sc0 lsa ws2">É \ufb01xada por três ligamentos principiais.<span class="blank _2"></span> São eles: </div><div class="t m0 x5 hc y96 ff3 fs4 fc1 sc0 ls28">-<span class="fs2 lsa ws2 v1">Ligamento <span class="blank _4"> </span>pubovesical <span class="blank _4"> </span>medial <span class="blank _5"> </span>(mulher) <span class="blank _4"> </span>ou </span></div><div class="t m0 x8 h6 y97 ff3 fs2 fc1 sc0 lsa ws2">puboprostá<span class="blank _0"></span>tico (homem) </div><div class="t m0 x5 h6 y98 ff3 fs2 fc1 sc0 lsa ws2">Fixa <span class="blank _14"> </span>a <span class="blank _10"> </span>prósta<span class="blank _0"></span>ta <span class="blank _10"> </span>(no <span class="blank _10"> </span>homem) <span class="blank _14"> </span>ou <span class="blank _10"> </span>o <span class="blank _10"> </span>colo <span class="blank _10"> </span>da <span class="blank _10"> </span>bexiga </div><div class="t m0 x5 h6 y99 ff3 fs2 fc1 sc0 lsa ws2">(na mulher) à parte posterior do corpo do púbis.<span class="blank _0"></span> </div><div class="t m0 x5 hc y9a ff3 fs4 fc1 sc0 ls28">-<span class="fs2 ls29 ws2 v1">Ligamento <span class="blank _3"> </span>pubovesical <span class="blank _c"> </span>lateral <span class="blank _3"> </span>(mulher) <span class="blank _c"> </span>ou </span></div><div class="t m0 x8 h6 y9b ff3 fs2 fc1 sc0 lsa ws2">(ligamento puboprostá<span class="blank _0"></span>tico later<span class="blank _0"></span>al (homem) </div><div class="t m0 x5 h6 y9c ff3 fs2 fc1 sc0 lsa ws2">Fixa <span class="blank _14"> </span>a <span class="blank _10"> </span>prósta<span class="blank _0"></span>ta <span class="blank _10"> </span>(no <span class="blank _10"> </span>homem) <span class="blank _14"> </span>ou <span class="blank _10"> </span>o <span class="blank _10"> </span>colo <span class="blank _10"> </span>da <span class="blank _10"> </span>bexiga </div><div class="t m0 x5 h6 y9d ff3 fs2 fc1 sc0 lsa ws2">(na mulher) ao arco tendíneo da fáscia da pelve.<span class="blank _2"></span> </div><div class="t m0 x5 hc y9e ff3 fs4 fc1 sc0 ls28">-<span class="fs2 lsa ws2 v1">Ligamento later<span class="blank _0"></span>al da bexiga </span></div><div class="t m0 x5 h6 y9f ff3 fs2 fc1 sc0 lsa ws2">Se liga <span class="blank _15"> </span>a <span class="blank _15"> </span>base da <span class="blank _15"> </span>bexiga <span class="blank _15"> </span>(e a <span class="blank _15"> </span>vesícula <span class="blank _15"> </span>seminal,<span class="blank _0"></span> no </div><div class="t m0 x5 h6 ya0 ff3 fs2 fc1 sc0 lsa ws2">homem) <span class="blank _15"> </span>e <span class="blank _15"> </span>é continua <span class="blank _15"> </span>com <span class="blank _15"> </span>a <span class="blank _15"> </span>prega retovesical <span class="blank _15"> </span>ou </div><div class="t m0 x5 h6 ya1 ff3 fs2 fc1 sc0 lsa ws2">com a prega r<span class="blank _0"></span>etouterina (na mulher).<span class="blank _0"></span> </div><div class="t m0 x6 h6 ya2 ff6 fs2 fc1 sc0 lsa ws3">\u2192<span class="ff3 ws2"> <span class="blank _15"> </span>P<span class="blank _0"></span>r<span class="blank _0"></span>egas <span class="blank _15"> </span>da <span class="blank _14"> </span>mucosa <span class="blank _14"> </span>possibilitam <span class="blank _15"> </span>a <span class="blank _14"> </span>expansão <span class="blank _15"> </span>da </span></div><div class="t m0 x6 h6 ya3 ff3 fs2 fc1 sc0 lsa ws2">bexiga conforme ela se enche.<span class="blank _0"></span> </div><div class="t m0 x6 h6 ya4 ff6 fs2 fc1 sc0 lsa ws3">\u2192<span class="ff3 ws2"> P<span class="blank _2"></span>eritônio mantém a bexiga no lugar<span class="blank _2"></span>.<span class="blank _0"></span> </span></div><div class="t m0 x6 h6 ya5 ff6 fs2 fc1 sc0 lsa ws3">\u2192<span class="ff3 ls2a ws2"> <span class="blank _5"> </span>Músculo<span class="blank _1"></span> <span class="blank _4"> </span>interno<span class="blank _1"></span> <span class="blank _5"> </span>da<span class="blank _1"></span> <span class="blank _4"> </span>uretr<span class="blank _0"></span>a<span class="blank _1"></span> <span class="blank _5"> </span>controla<span class="blank _9"></span> <span class="blank _1"></span></span></div><div class="t m0 x6 h6 ya6 ff3 fs2 fc1 sc0 lsa ws2">involuntariamente <span class="blank _14"> </span>a <span class="blank _10"> </span>abertura <span class="blank _14"> </span>e <span class="blank _10"> </span>o <span class="blank _14"> </span>fechamento <span class="blank _10"> </span>da </div><div class="t m0 x6 h6 ya7 ff3 fs2 fc1 sc0 ls2b ws2">uretr<span class="blank _0"></span>a.<span class="blank _2"></span> <span class="blank _3"> </span>Músculo <span class="blank _3"> </span>externo<span class="blank _0"></span> <span class="blank _3"> </span>da <span class="blank _4"> </span>uretra<span class="blank _0"></span> <span class="blank _3"> </span>controla<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x6 h6 ya8 ff3 fs2 fc1 sc0 lsa ws2">voluntariamente <span class="blank _7"> </span>a <span class="blank _7"> </span>abertur<span class="blank _0"></span>a <span class="blank _7"> </span>e <span class="blank _7"> </span>o <span class="blank _7"> </span>fechamento <span class="blank _7"> </span>da </div><div class="t m0 x6 h6 ya9 ff3 fs2 fc1 sc0 lsa ws2">uretr<span class="blank _0"></span>a.<span class="blank _0"></span> <span class="blank _a"> </span>Músculo <span class="blank _a"> </span>detrusor <span class="blank _b"> </span>da <span class="blank _a"> </span>bexiga <span class="blank _a"> </span>se <span class="blank _b"> </span>contrai </div><div class="t m0 x6 h6 yaa ff3 fs2 fc1 sc0 lsa ws2">para empurr<span class="blank _0"></span>ar a urina para a ur<span class="blank _0"></span>etra.<span class="blank _2"></span> </div><div class="t m0 x6 h6 yab ff1 fs2 fc1 sc0 lsa ws2">3.<span class="blank _0"></span> Ur<span class="blank _0"></span>etra </div><div class="t m0 x6 h6 yac ff3 fs2 fc1 sc0 ls2c ws2">A<span class="blank _2"></span> <span class="blank _c"> </span>uretr<span class="blank _0"></span>a<span class="blank _0"></span> <span class="blank _3"> </span>masculina<span class="blank _0"></span> <span class="blank _3"> </span>é <span class="blank _4"> </span>mais <span class="blank _3"> </span>extensa<span class="blank _0"></span> <span class="blank _3"> </span>que<span class="blank _0"></span> <span class="blank _3"> </span>a <span class="blank _2"></span></div><div class="t m0 x6 h6 yad ff3 fs2 fc1 sc0 ls2d ws2">feminina.<span class="blank _8"></span> <span class="blank"> </span>T<span class="blank _1"></span>em,<span class="blank _17"></span> <span class="blank _5"> </span>em<span class="blank _8"></span> <span class="blank _5"> </span>média,<span class="blank _17"></span> <span class="blank _5"> </span>20<span class="blank _9"></span> <span class="blank _5"> </span>cm<span class="blank _8"></span> <span class="blank _5"> </span>de<span class="blank _9"></span> <span class="blank _8"></span></div><div class="t m0 x6 h6 yae ff3 fs2 fc1 sc0 lsa ws2">comprimento <span class="blank _10"> </span>e <span class="blank _10"> </span>pode <span class="blank _10"> </span>ser <span class="blank _10"> </span>subdividida <span class="blank _10"> </span>em <span class="blank _10"> </span>quatro </div><div class="t m0 x6 h6 yaf ff3 fs2 fc1 sc0 ls2e ws2">segmentos<span class="blank _1"></span> <span class="blank _4"> </span>com<span class="blank _2"></span> <span class="blank _5"> </span>três<span class="blank _1"></span> <span class="blank _4"> </span>constrições<span class="blank _2"></span> <span class="blank _5"> </span>e<span class="blank _2"></span> <span class="blank _5"> </span>três<span class="blank _1"></span> <span class="blank _2"></span></div><div class="t m0 x6 h6 yb0 ff3 fs2 fc1 sc0 lsa ws2">dilatações.<span class="blank _0"></span> </div></div><div class="c x9 yb1 w7 hd"><div class="t m0 xa he yb2 ff5 fs5 fc1 sc0 lsa">MULHER</div></div><div class="c xb yb1 w7 hd"><div class="t m0 xa he yb2 ff5 fs5 fc1 sc0 lsa">HOMEM</div></div><div class="c xc yb3 w8 hf"><div class="t m0 xa he yb4 ff5 fs5 fc1 sc0 lsa">Irrigação</div></div><div class="c x9 yb5 w9 h10"><div class="t m0 x3 h11 yb6 ff8 fs5 fc1 sc0 lsa ws2">Artéria vesical superior na par<span class="blank _0"></span>te </div><div class="t m0 xd h11 yb7 ff8 fs5 fc1 sc0 lsa ws2">ântero-superior </div></div><div class="c x9 yb8 w8 h12"><div class="t m0 xe h11 yb6 ff8 fs5 fc1 sc0 lsa">-</div></div><div class="c xb yb8 w7 h12"><div class="t m0 x3 h11 yb9 ff8 fs5 fc1 sc0 lsa ws2">Artéria vesical </div><div class="t m0 x5 h11 yb6 ff8 fs5 fc1 sc0 lsa ws2">inferior na parte </div><div class="t m0 xf h11 yb7 ff8 fs5 fc1 sc0 lsa ws5">ínfero-posterior</div></div><div class="c x9 yb3 w9 h10"><div class="t m0 x10 h11 yb6 ff8 fs5 fc1 sc0 lsa ws2">Artérias obtur<span class="blank _0"></span>atória e glútea </div><div class="t m0 x11 h11 yb7 ff8 fs5 fc1 sc0 lsa">inferior</div></div><div class="c xc yba w8 h13"><div class="t m0 x8 he ybb ff5 fs5 fc1 sc0 lsa ws2">Drenagem </div><div class="t m0 x12 he ybc ff5 fs5 fc1 sc0 lsa">venosa</div></div><div class="c x9 ybd w9 h12"><div class="t m0 x13 h11 ybe ff8 fs5 fc1 sc0 lsa ws2">Plexo venoso vesical (veias </div><div class="t m0 x14 h11 ybf ff8 fs5 fc1 sc0 lsa ws2">vesicais inferiores e ilíacas </div><div class="t m0 x15 h11 yb7 ff8 fs5 fc1 sc0 lsa">internas)</div></div><div class="c x9 yba w9 h10"><div class="t m0 xa h11 yb6 ff8 fs5 fc1 sc0 lsa ws2">V<span class="blank _0"></span>eias sacr<span class="blank _0"></span>ais para os plex<span class="blank _0"></span>os </div><div class="t m0 xa h11 yb7 ff8 fs5 fc1 sc0 lsa ws2">venosos vertebr<span class="blank _0"></span>ais internos</div></div><div class="c x16 yc0 w8 h14"><div class="t m0 x8 he yc1 ff5 fs5 fc1 sc0 lsa ws2">Drenagem </div><div class="t m0 x13 he yc2 ff5 fs5 fc1 sc0 lsa ws5">linfática</div></div><div class="c x17 yc3 w9 h12"><div class="t m0 xc h11 yb9 ff8 fs5 fc1 sc0 lsa ws2">Linfonodos ilíacos internos na </div><div class="t m0 x18 h11 yb6 ff8 fs5 fc1 sc0 lsa ws2">parte inferior e externos na par<span class="blank _0"></span>te </div><div class="t m0 x15 h11 yb7 ff8 fs5 fc1 sc0 lsa">superior</div></div><div class="c x17 yc0 w9 h15"><div class="t m0 xe h11 yc4 ff8 fs5 fc1 sc0 lsa ws2">Linfonodos sacrais</div></div><div class="c x17 yc5 w7 hd"><div class="t m0 xa he yb2 ff5 fs5 fc1 sc0 lsa">MULHER</div></div><div class="c x19 yc5 w7 hd"><div class="t m0 xa he yb2 ff5 fs5 fc1 sc0 lsa">HOMEM</div></div><div class="c x7 y23 w4 h7"><div class="t m0 x5 h8 y24 ff5 fs3 fc1 sc0 lsa ws2">MEDICINA NO<span class="blank _0"></span>VE DE JULHO </div><div class="t m0 x3 h8 y25 ff5 fs3 fc1 sc0 lsa ws2">JÉSSICA<span class="blank _0"></span> SANT<span class="blank _0"></span>ANA<span class="blank _0"></span> SIL<span class="blank _2"></span>VA</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf8" class="pf w0 h0" data-page-no="8"><div class="pc pc8 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0179b39e-f65f-431d-81a5-fceb25d3c25f/bg8.png"><div class="c x1 y1 w2 h2"><div class="t m0 x2 h3 y2 ff1 fs0 fc0 sc0 lsa ws0">@JESSICALECRIM</div></div><div class="c x3 yc6 w3 h16"><div class="t m0 x5 h6 yc7 ff3 fs2 fc1 sc0 ls2f ws2">As<span class="blank _9"></span> <span class="blank _4"> </span>partes<span class="blank _9"></span> <span class="blank _5"> </span>intramural<span class="blank _9"></span> <span class="blank _5"> </span>e<span class="blank _1"></span> <span class="blank _5"> </span>prostá<span class="blank _0"></span>tica<span class="blank _9"></span> <span class="blank _4"> </span>são<span class="blank _9"></span> <span class="blank _1"></span></div><div class="t m0 x5 h6 yc8 ff3 fs2 fc1 sc0 ls30 ws2">vascularizadas<span class="blank _0"></span> <span class="blank _3"> </span>pelos <span class="blank _4"> </span>ramos<span class="blank _0"></span> <span class="blank _3"> </span>prostá<span class="blank _0"></span>ticos<span class="blank _0"></span> <span class="blank _3"> </span>das <span class="blank _2"></span></div><div class="t m0 x5 h6 yc9 ff3 fs2 fc1 sc0 lsa ws2">artérias <span class="blank _16"> </span>vesicais <span class="blank _7"> </span>inferior<span class="blank _0"></span>es <span class="blank _7"> </span>e <span class="blank _16"> </span>retais <span class="blank _16"> </span>médias, <span class="blank _16"> </span>com </div><div class="t m0 x5 h6 yca ff3 fs2 fc1 sc0 lsa ws2">drenagem <span class="blank _12"> </span>para <span class="blank _12"> </span>o <span class="blank _13"> </span>plexo <span class="blank _12"> </span>venoso <span class="blank _13"> </span>pr<span class="blank _0"></span>ostá<span class="blank _0"></span>tico.<span class="blank _0"></span> <span class="blank _12"> </span>É </div><div class="t m0 x5 h6 ycb ff3 fs2 fc1 sc0 lsa ws2">inervada <span class="blank _b"> </span>por <span class="blank _11"> </span>nervos <span class="blank _11"> </span>derivados <span class="blank _11"> </span>dos <span class="blank _11"> </span>ramos <span class="blank _b"> </span>do </div><div class="t m0 x5 h6 ycc ff3 fs2 fc1 sc0 lsa ws2">nervo pudendo e do plexo pr<span class="blank _0"></span>ostático<span class="blank _0"></span>.<span class="blank _0"></span> </div><div class="t m0 x5 h6 ycd ff3 fs2 fc1 sc0 lsa ws2">Já <span class="blank _e"> </span>a <span class="blank _16"> </span>uretra <span class="blank _e"> </span>feminina <span class="blank _16"> </span>é <span class="blank _e"> </span>dividida <span class="blank _16"> </span>em <span class="blank _16"> </span>duas <span class="blank _16"> </span>partes </div><div class="t m0 x5 h6 yce ff3 fs2 fc1 sc0 lsa ws2">anatômicas: <span class="blank _14"> </span>intramur<span class="blank _0"></span>al <span class="blank _14"> </span>(uretr<span class="blank _0"></span>a <span class="blank _14"> </span>no <span class="blank _14"> </span>colo <span class="blank _14"> </span>da <span class="blank _10"> </span>bexiga </div><div class="t m0 x5 h6 ycf ff3 fs2 fc1 sc0 lsa ws2">urinária) <span class="blank"> </span>e <span class="blank _6"> </span>membranácea <span class="blank"> </span>(passa <span class="blank"> </span>através <span class="blank"> </span>do <span class="blank"> </span>m.<span class="blank _0"></span> </div><div class="t m0 x5 h6 yd0 ff3 fs2 fc1 sc0 lsa ws2">Esfíncter <span class="blank"> </span>externo <span class="blank"> </span>da <span class="blank"> </span>uretra <span class="blank"> </span>e <span class="blank"> </span>do <span class="blank"> </span>períneo,<span class="blank _0"></span> <span class="blank"> </span>com </div><div class="t m0 x5 h6 yd1 ff3 fs2 fc1 sc0 lsa ws2">óstio no vestíbulo da vagina).<span class="blank _0"></span> </div><div class="t m0 x5 h6 yd2 ff3 fs2 fc1 sc0 lsa ws2">É <span class="blank"> </span>vascularizada <span class="blank _7"> </span>pela <span class="blank"> </span>ar<span class="blank _0"></span>téria <span class="blank"> </span>pudenda <span class="blank _7"> </span>interna <span class="blank"> </span>e </div><div class="t m0 x5 h6 yd3 ff3 fs2 fc1 sc0 lsa ws2">artéria <span class="blank _10"> </span>vaginal <span class="blank _f"> </span>e <span class="blank _f"> </span>dr<span class="blank _0"></span>enada <span class="blank _f"> </span>pelas <span class="blank _10"> </span>veias <span class="blank _f"> </span>de <span class="blank _f"> </span>mesmo </div><div class="t m0 x5 h6 yd4 ff3 fs2 fc1 sc0 lsa ws2">nome.<span class="blank _0"></span> <span class="blank _6"> </span>É <span class="blank _6"> </span>inervada <span class="blank _a"> </span>pelos <span class="blank _6"> </span>nervos <span class="blank _a"> </span>derivados <span class="blank _6"> </span>dos </div><div class="t m0 x5 h6 yd5 ff3 fs2 fc1 sc0 lsa ws2">nervos pudendo e esplâncnicos pélvicos.<span class="blank _0"></span> </div><div class="t m0 x5 h6 yd6 ff3 fs2 fc1 sc0 lsa ws2">Em <span class="blank"> </span>ambas <span class="blank _6"> </span>as <span class="blank"> </span>uretras <span class="blank"> </span>(feminina <span class="blank _6"> </span>e <span class="blank"> </span>masculina) <span class="blank _6"> </span>a </div><div class="t m0 x5 h6 yd7 ff3 fs2 fc1 sc0 lsa ws2">drenagem <span class="blank _f"> </span>linfática <span class="blank _f"> </span>é <span class="blank _d"> </span>feita <span class="blank _f"> </span>por <span class="blank _d"> </span>linfonodos <span class="blank _d"> </span>ilíacos </div><div class="t m0 x5 h6 yd8 ff3 fs2 fc1 sc0 lsa ws2">comum,<span class="blank _0"></span> interno e externo<span class="blank _0"></span>. </div><div class="t m0 x5 h6 yd9 ff1 fs2 fc1 sc0 ls31 ws2">Cite<span class="blank _0"></span> <span class="blank _3"> </span>a<span class="blank _0"></span> <span class="blank _3"> </span>localização<span class="blank _0"></span> <span class="blank _3"> </span>anatômica<span class="blank _0"></span> <span class="blank _3"> </span>dos<span class="blank _0"></span> <span class="blank _3"> </span>rins<span class="blank _0"></span> <span class="blank _3"> </span>e<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x5 h6 yda ff1 fs2 fc1 sc0 lsa ws2">diferenciar <span class="blank _14"> </span>topogra\ufb01camente <span class="blank _14"> </span>o <span class="blank _10"> </span>rim <span class="blank _10"> </span>direito <span class="blank _10"> </span>do </div><div class="t m0 x5 h6 ydb ff1 fs2 fc1 sc0 lsa ws2">rim <span class="blank _3"> </span>esquerdo<span class="blank _0"></span>.<span class="ff3"> <span class="blank _4"> </span>Os <span class="blank _3"> </span>rins <span class="blank _3"> </span>\ufb01cam <span class="blank _3"> </span>localizados <span class="blank _3"> </span>na </span></div><div class="t m0 x5 h6 ydc ff3 fs2 fc1 sc0 lsa ws2">região <span class="blank _16"> </span>de <span class="blank _7"> </span>\ufb02ancos,<span class="blank _0"></span> <span class="blank _16"> </span>direito <span class="blank _16"> </span>e <span class="blank _7"> </span>esquerdo,<span class="blank _2"></span> <span class="blank _7"> </span>em <span class="blank _7"> </span>uma </div><div class="t m0 x5 h6 ydd ff3 fs2 fc1 sc0 ls32 ws2">posição <span class="blank _3"> </span>retr<span class="blank _0"></span>operitoneal <span class="blank _4"> </span>(não <span class="blank _c"> </span>recober<span class="blank _0"></span>to <span class="blank _3"> </span>pelo </div><div class="t m0 x5 h6 yde ff3 fs2 fc1 sc0 ls33 ws2">peritônio),<span class="blank _0"></span> <span class="blank _3"> </span>paralelamente<span class="blank _0"></span> <span class="blank _3"> </span>à <span class="blank _3"> </span>coluna <span class="blank _c"> </span>vertebr<span class="blank _0"></span>al <span class="blank _0"></span></div><div class="t m0 x5 h6 ydf ff3 fs2 fc1 sc0 ls34 ws2">entre <span class="blank _3"> </span>as <span class="blank _c"> </span>vértebr<span class="blank _0"></span>as <span class="blank _3"> </span>T12 <span class="blank _c"> </span>e <span class="blank _c"> </span>L3.<span class="blank _0"></span> <span class="blank _18"> </span> <span class="blank _c"> </span>Seus <span class="blank _3"> </span>polos </div><div class="t m0 x5 h6 ye0 ff3 fs2 fc1 sc0 ls3 ws2">superiores<span class="blank _2"></span> <span class="blank _c"> </span>são<span class="blank _0"></span> <span class="blank _3"> </span>protegidos<span class="blank _2"></span> <span class="blank _3"> </span>pelos <span class="blank _4"> </span>pares<span class="blank _0"></span> <span class="blank _3"> </span>de<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x5 h6 ye1 ff3 fs2 fc1 sc0 lsa ws2">costelas <span class="blank _f"> </span>\ufb02utuantes <span class="blank _f"> </span>11ª <span class="blank _f"> </span>e <span class="blank _f"> </span>12ª. <span class="blank _f"> </span>Em <span class="blank _f"> </span>r<span class="blank _0"></span>elação <span class="blank _f"> </span>ao <span class="blank _f"> </span>rim </div><div class="t m0 x5 h6 ye2 ff3 fs2 fc1 sc0 lsa ws2">esquerdo<span class="blank _0"></span>,<span class="blank _0"></span> o rim direito é ligeiramente mais baixo </div><div class="t m0 x5 h6 ye3 ff3 fs2 fc1 sc0 lsa ws2">por causa do fígado.<span class="blank _0"></span> </div><div class="t m0 x6 h6 yc7 ff1 fs2 fc1 sc0 lsa ws2">Cite <span class="blank _15"> </span>os <span class="blank _14"> </span>componentes <span class="blank _15"> </span>anatômicos <span class="blank _15"> </span>do <span class="blank _15"> </span>seio <span class="blank _14"> </span>e <span class="blank _15"> </span>do </div><div class="t m0 x6 h6 yc8 ff1 fs2 fc1 sc0 lsa ws2">hilo <span class="blank _d"> </span>renal.<span class="ff3"> <span class="blank _f"> </span>O <span class="blank _d"> </span>seio <span class="blank _d"> </span>renal <span class="blank _f"> </span>é <span class="blank _d"> </span>composto <span class="blank _d"> </span>pela <span class="blank _d"> </span>pelve </span></div><div class="t m0 x6 h6 yc9 ff3 fs2 fc1 sc0 lsa ws2">renal <span class="blank"> </span>que,<span class="blank _0"></span> <span class="blank"> </span>por <span class="blank _6"> </span>sua <span class="blank _6"> </span>vez,<span class="blank _0"></span> <span class="blank _6"> </span>é <span class="blank"> </span>formada <span class="blank _6"> </span>por <span class="blank _6"> </span>cálices </div><div class="t m0 x6 h6 yca ff3 fs2 fc1 sc0 ls35 ws2">renais<span class="blank _2"></span> <span class="blank _3"> </span>maiores<span class="blank _0"></span> <span class="blank _4"> </span>e<span class="blank _0"></span> <span class="blank _3"> </span>esses<span class="blank _0"></span> <span class="blank _4"> </span>por <span class="blank _4"> </span>cálices<span class="blank _0"></span> <span class="blank _3"> </span>renais<span class="blank _2"></span> <span class="blank _0"></span></div><div class="t m0 x6 h6 ycb ff3 fs2 fc1 sc0 lsa ws2">menores.<span class="blank _2"></span> <span class="blank _6"> </span>O <span class="blank _6"> </span>hilo <span class="blank _6"> </span>renal <span class="blank"> </span>é <span class="blank _6"> </span>uma <span class="blank _6"> </span>fenda <span class="blank _6"> </span>por <span class="blank _6"> </span>onde </div><div class="t m0 x6 h6 ycc ff3 fs2 fc1 sc0 lsa ws2">entram <span class="blank _11"> </span>as <span class="blank _11"> </span>artérias <span class="blank _11"> </span>renais,<span class="blank _0"></span> <span class="blank _11"> </span>veias <span class="blank _11"> </span>renais,<span class="blank _0"></span> <span class="blank _11"> </span>nervos </div><div class="t m0 x6 h6 ye4 ff3 fs2 fc1 sc0 lsa ws2">renais <span class="blank _15"> </span>e <span class="blank _14"> </span>o <span class="blank _14"> </span>ureter<span class="blank _2"></span>. <span class="blank _15"> </span>A <span class="blank _15"> </span>junção <span class="blank _14"> </span>desses <span class="blank _14"> </span>é <span class="blank _14"> </span>chamada <span class="blank _14"> </span>de </div><div class="t m0 x6 h6 ycd ff3 fs2 fc1 sc0 lsa ws2">pedículo.<span class="blank _0"></span> </div><div class="t m0 x6 h6 ycf ff1 fs2 fc1 sc0 lsa ws2">Quais <span class="blank _e"> </span>estruturas <span class="blank _d"> </span>estão <span class="blank _e"> </span>presentes <span class="blank _d"> </span>no <span class="blank _e"> </span>córte<span class="blank _0"></span>x <span class="blank _d"> </span>e </div><div class="t m0 x6 h6 yd0 ff1 fs2 fc1 sc0 lsa ws2">na <span class="blank _15"> </span>medula <span class="blank _15"> </span>renal?<span class="ff3"> <span class="blank _15"> </span>O <span class="blank _15"> </span>córtex renal <span class="blank _15"> </span>é <span class="blank _15"> </span>mais <span class="blank _15"> </span>externo,<span class="blank _0"></span> </span></div><div class="t m0 x6 h6 yd1 ff3 fs2 fc1 sc0 lsa ws2">em <span class="blank _e"> </span>contato <span class="blank _d"> </span>com <span class="blank _e"> </span>a <span class="blank _16"> </span>cápsula <span class="blank _e"> </span>renal <span class="blank _d"> </span>por <span class="blank _e"> </span>causa <span class="blank _e"> </span>dos </div><div class="t m0 x6 h6 ye5 ff3 fs2 fc1 sc0 lsa ws2">numerosos <span class="blank _e"> </span>capilares.<span class="blank _0"></span> <span class="blank _e"> </span>Já <span class="blank _16"> </span>a <span class="blank _16"> </span>medula <span class="blank _16"> </span>renal <span class="blank _16"> </span>é <span class="blank _16"> </span>mais </div><div class="t m0 x6 h6 ye6 ff3 fs2 fc1 sc0 ls36 ws2">profunda<span class="blank _8"></span> <span class="blank _4"> </span>e<span class="blank _9"></span> <span class="blank _4"> </span>escura,<span class="blank _17"></span> <span class="blank _4"> </span>apresenta<span class="blank _9"></span> <span class="blank _5"> </span>túbulos<span class="blank _1"></span> <span class="blank _9"></span></div><div class="t m0 x6 h6 ye7 ff3 fs2 fc1 sc0 lsa ws2">microscópicos e pir<span class="blank _0"></span>âmides r<span class="blank _0"></span>enais.<span class="blank _0"></span> </div><div class="t m0 x6 h6 ye8 ff1 fs2 fc1 sc0 lsa ws2">Explique <span class="blank _14"> </span>a <span class="blank _14"> </span>vascularização <span class="blank _14"> </span>e <span class="blank _14"> </span>a <span class="blank _15"> </span>inervação <span class="blank _14"> </span>renal.<span class="ff3"> </span></div><div class="t m0 x6 h6 ye9 ff3 fs2 fc1 sc0 lsa ws2">É <span class="blank _15"> </span>inervado <span class="blank _14"> </span>pelos <span class="blank _14"> </span>nervos <span class="blank _15"> </span>subcostal, <span class="blank _15"> </span>ilío-inguinal <span class="blank _14"> </span>e </div><div class="t m0 x6 h6 yea ff3 fs2 fc1 sc0 lsf ws2">ílio-hipogástrico.<span class="blank _2"></span> <span class="blank _c"> </span>Em <span class="blank _3"> </span>torno <span class="blank _3"> </span>da <span class="blank _3"> </span>artéria <span class="blank _4"> </span>renal,<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x6 h6 yeb ff3 fs2 fc1 sc0 lsa ws2">situam-se <span class="blank _15"> </span>os <span class="blank _15"> </span>plexos renal; aórticorrenal e <span class="blank _15"> </span>celíaco.<span class="blank _0"></span> </div><div class="t m0 x6 h6 yec ff3 fs2 fc1 sc0 lsa ws2">Ainda,<span class="blank _0"></span> <span class="blank _13"> </span>é <span class="blank _12"> </span>irrigado <span class="blank _13"> </span>pelas <span class="blank _13"> </span>artérias <span class="blank _13"> </span>r<span class="blank _0"></span>enais <span class="blank _13"> </span>dir<span class="blank _0"></span>eita </div><div class="t m0 x6 h6 yed ff3 fs2 fc1 sc0 lsa ws2">(mais <span class="blank _15"> </span>longa) <span class="blank _15"> </span>e <span class="blank _14"> </span>esquer<span class="blank _0"></span>da,<span class="blank _0"></span> <span class="blank _15"> </span>as <span class="blank _15"> </span>quais <span class="blank _15"> </span>se <span class="blank _14"> </span>originam no </div><div class="t m0 x6 h6 yee ff3 fs2 fc1 sc0 lsa ws2">nível <span class="blank _7"> </span>do <span class="blank _7"> </span>disco <span class="blank"> </span>interver<span class="blank _0"></span>tebral <span class="blank _16"> </span>entre <span class="blank _7"> </span>as <span class="blank _7"> </span>vértebras </div><div class="t m0 x6 h6 yef ff3 fs2 fc1 sc0 lsa ws2">L1 e L2.<span class="blank _0"></span> </div><div class="t m0 x6 h6 yf0 ff1 fs2 fc1 sc0 lsa ws2">Descreva <span class="blank _d"> </span>a <span class="blank _e"> </span>vascularização <span class="blank _e"> </span>após <span class="blank _e"> </span>a <span class="blank _e"> </span>entrada <span class="blank _d"> </span>da </div><div class="t m0 x6 h6 yf1 ff1 fs2 fc1 sc0 lsa ws2">artéria <span class="blank _16"> </span>renal <span class="blank _7"> </span>pelo <span class="blank _7"> </span>seu <span class="blank _7"> </span>hilo.<span class="ff3"> <span class="blank _16"> </span>Ambas <span class="blank"> </span>as <span class="blank _16"> </span>artérias </span></div><div class="t m0 x6 h6 y78 ff3 fs2 fc1 sc0 lsa ws2">renais <span class="blank _3"> </span>dividem-se <span class="blank _3"> </span>em <span class="blank _c"> </span>ramos <span class="blank _3"> </span>com <span class="blank _c"> </span>5 <span class="blank _3"> </span>artérias </div><div class="t m0 x6 h6 y79 ff3 fs2 fc1 sc0 lsa ws2">segmentares.<span class="blank _2"></span> <span class="blank _3"> </span>A <span class="blank _3"> </span>artéria <span class="blank _c"> </span>renal <span class="blank _3"> </span>direita <span class="blank _3"> </span>também </div><div class="t m0 x6 h6 y7a ff3 fs2 fc1 sc0 lsa ws2">possui dois ramos (anterior e posterior).<span class="blank _0"></span> </div><div class="t m0 x6 h6 y7c ff1 fs2 fc1 sc0 lsa ws2">Qual <span class="blank _7"> </span>é <span class="blank _7"> </span>a <span class="blank _7"> </span>unidade <span class="blank"> </span>funcional <span class="blank _16"> </span>do <span class="blank"> </span>rim? <span class="blank _16"> </span>E <span class="blank"> </span>quais </div><div class="t m0 x6 h6 y7d ff1 fs2 fc1 sc0 lsa ws2">são <span class="blank _11"> </span>as <span class="blank _11"> </span>suas <span class="blank _11"> </span>partes?<span class="ff3"> <span class="blank _b"> </span>Néfron: <span class="blank _11"> </span>alças <span class="blank _11"> </span>de <span class="blank _11"> </span>Henle, </span></div><div class="t m0 x6 h6 y7e ff3 fs2 fc1 sc0 lsa ws2">túbulos contorcidos proximal e distal, corpúsculo </div><div class="t m0 x6 h6 y7f ff3 fs2 fc1 sc0 lsa ws2">renal,<span class="blank _2"></span> túbulo coletor<span class="blank _0"></span>.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y81 ff1 fs2 fc1 sc0 lsa ws2">Quais <span class="blank _4"> </span>são <span class="blank _3"> </span>os <span class="blank _3"> </span>constituintes <span class="blank _3"> </span>que <span class="blank _4"> </span>formam <span class="blank _3"> </span>o </div><div class="t m0 x6 h6 y82 ff1 fs2 fc1 sc0 lsa ws2">corpúsculo renal?<span class="ff3"> C<span class="blank _0"></span>ápsula de Bowman (folhetos </span></div><div class="t m0 x6 h6 yf2 ff3 fs2 fc1 sc0 lsa ws2">parietal e visceral),<span class="blank _0"></span> glomérulo e mácula densa.<span class="blank _2"></span> </div><div class="t m0 x6 h6 y84 ff1 fs2 fc1 sc0 lsa ws2">Qual <span class="blank _14"> </span>é <span class="blank _10"> </span>o <span class="blank _10"> </span>tipo <span class="blank _10"> </span>de <span class="blank _10"> </span>capilar <span class="blank _10"> </span>que <span class="blank _10"> </span>está <span class="blank _10"> </span>presente <span class="blank _14"> </span>no </div><div class="t m0 x6 h6 y85 ff1 fs2 fc1 sc0 lsa ws2">corpúsculo renal?<span class="ff3"> F<span class="blank _2"></span>enestrado<span class="blank _0"></span>.<span class="blank _0"></span> </span></div><div class="t m0 x6 h6 y87 ff1 fs2 fc1 sc0 lsa ws2">Quais <span class="blank _a"> </span>as <span class="blank _b"> </span>células <span class="blank _b"> </span>responsáveis <span class="blank _a"> </span>pela <span class="blank _b"> </span>\ufb01ltração </div><div class="t m0 x6 h6 y88 ff1 fs2 fc1 sc0 lsa ws6">glomerular?<span class="ff3 ws2"> P<span class="blank _2"></span>odócitos.<span class="blank _0"></span> </span></div><div class="t m0 x6 h6 y17 ff1 fs2 fc1 sc0 lsa ws2">CASO CLÍNICO <span class="blank _15"> </span>1)<span class="ff3"> <span class="blank _15"> </span>Homem,<span class="blank _0"></span> 21 <span class="blank _15"> </span>anos, foi <span class="blank _15"> </span>alvejado </span></div><div class="t m0 x6 h6 y18 ff3 fs2 fc1 sc0 lsa ws2">por <span class="blank _5"> </span>projetil <span class="blank _13"> </span>de <span class="blank _4"> </span>arma <span class="blank _5"> </span>de <span class="blank _5"> </span>fogo <span class="blank _4"> </span>(P<span class="blank _2"></span>AF).<span class="blank _0"></span> <span class="blank _5"> </span>O <span class="blank _5"> </span>P<span class="blank _2"></span>AF </div></div><div class="c x7 y23 w4 h7"><div class="t m0 x5 h8 y24 ff5 fs3 fc1 sc0 lsa ws2">MEDICINA NO<span class="blank _0"></span>VE DE JULHO </div><div class="t m0 x3 h8 y25 ff5 fs3 fc1 sc0 lsa ws2">JÉSSICA<span class="blank _0"></span> SANT<span class="blank _0"></span>ANA<span class="blank _0"></span> SIL<span class="blank _2"></span>VA</div></div><div class="c x1a yf3 wa h17"><div class="t m0 x1b h18 yf4 ff1 fs6 fc1 sc0 lsa ws7">REVISÃO</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf9" class="pf w0 h0" data-page-no="9"><div class="pc pc9 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0179b39e-f65f-431d-81a5-fceb25d3c25f/bg9.png"><div class="c x1 y1 w2 h2"><div class="t m0 x2 h3 y2 ff1 fs0 fc0 sc0 lsa ws0">@JESSICALECRIM</div></div><div class="c x3 y26 wb h9"><div class="t m0 x5 h6 y27 ff3 fs2 fc1 sc0 lsa ws2">apresentou trajetória trans\ufb01xante,<span class="blank _0"></span> com <span class="blank _15"> </span>orifício de </div><div class="t m0 x5 h6 y28 ff3 fs2 fc1 sc0 lsa ws2">entrada <span class="blank _e"> </span>em <span class="blank _e"> </span>\ufb02anco <span class="blank _16"> </span>esquerdo <span class="blank _d"> </span>e <span class="blank _16"> </span>orifício <span class="blank _e"> </span>de <span class="blank _16"> </span>saída </div><div class="t m0 x5 h6 y29 ff3 fs2 fc1 sc0 ls37 ws2">em <span class="blank _3"> </span>ângulo <span class="blank _c"> </span>costovertebral<span class="blank _0"></span> <span class="blank _c"> </span>ipsilater<span class="blank _0"></span>al <span class="blank _3"> </span>(mesmo </div><div class="t m0 x5 h6 y2a ff3 fs2 fc1 sc0 ls38 ws2">lado).<span class="blank _2"></span> <span class="blank _4"> </span>Apresentando<span class="blank _2"></span> <span class="blank _3"> </span>sinais<span class="blank _0"></span> <span class="blank _3"> </span>e<span class="blank _0"></span> <span class="blank _4"> </span>sintomas<span class="blank _0"></span> <span class="blank _4"> </span>de <span class="blank _2"></span></div><div class="t m0 x5 h6 y2b ff3 fs2 fc1 sc0 lsa ws2">hemorragia <span class="blank _14"> </span>aguda, <span class="blank _14"> </span>foi <span class="blank _10"> </span>conduzido <span class="blank _10"> </span>ao <span class="blank _10"> </span>hospital <span class="blank _10"> </span>de </div><div class="t m0 x5 h6 y2c ff3 fs2 fc1 sc0 ls39 ws2">emergência<span class="blank _1"></span> <span class="blank _4"> </span>mais<span class="blank _2"></span> <span class="blank _4"> </span>próximo<span class="blank _0"></span>.<span class="blank _1"></span> <span class="blank _4"> </span>Como<span class="blank _2"></span> <span class="blank _4"> </span>estava<span class="blank _1"></span> <span class="blank _2"></span></div><div class="t m0 x5 h6 y31 ff3 fs2 fc1 sc0 lsa ws2">hemodinamicamente <span class="blank _a"> </span>instável, <span class="blank _6"> </span>foi <span class="blank _b"> </span>realizado <span class="blank _a"> </span>um </div><div class="t m0 x5 h6 yf5 ff3 fs2 fc1 sc0 lsa ws2">lavado <span class="blank _15"> </span>peritoneal <span class="blank _15"> </span>diagnostico,<span class="blank _2"></span> <span class="blank _15"> </span>o <span class="blank _15"> </span>qual <span class="blank _15"> </span>mostrou-se </div><div class="t m0 x5 h6 yf6 ff3 fs2 fc1 sc0 ls3a ws2">negativo<span class="blank _0"></span>.<span class="blank _19"></span> <span class="blank _13"> </span>Entr<span class="blank _0"></span>etanto,<span class="blank _19"></span> <span class="blank _13"> </span>a<span class="blank _19"></span> <span class="blank _13"> </span>tomogra\ufb01a<span class="blank _1a"></span> <span class="blank _1a"></span></div><div class="t m0 x5 h6 yf7 ff3 fs2 fc1 sc0 ls3b ws2">computadorizada<span class="blank _0"></span> <span class="blank _3"> </span>subsequente<span class="blank _0"></span> <span class="blank _3"> </span>demonstrou,<span class="blank _1"></span> </div><div class="t m0 x5 h6 yf8 ff3 fs2 fc1 sc0 lsa ws2">após <span class="blank _3"> </span>infusão <span class="blank _c"> </span>de <span class="blank _3"> </span>meio <span class="blank _c"> </span>de <span class="blank _3"> </span>contraste <span class="blank _3"> </span>venoso,<span class="blank _0"></span> </div><div class="t m0 x5 h6 yf9 ff3 fs2 fc1 sc0 ls3c ws2">hematoma<span class="blank _9"></span> <span class="blank _5"> </span>retroperitone<span class="blank _0"></span>al<span class="blank _9"></span> <span class="blank _4"> </span>esquerdo<span class="blank _9"></span> <span class="blank _5"> </span>e<span class="blank _1"></span> <span class="blank _9"></span></div><div class="t m0 x5 h6 yfa ff3 fs2 fc1 sc0 lsa ws2">borramento <span class="blank _e"> </span>do <span class="blank _16"> </span>polo <span class="blank _e"> </span>renal <span class="blank _16"> </span>inferior <span class="blank _e"> </span>esquerdo.<span class="blank _2"></span> <span class="blank _16"> </span>O </div><div class="t m0 x5 h6 yfb ff3 fs2 fc1 sc0 lsa ws2">urologista <span class="blank _6"> </span>optou <span class="blank _a"> </span>por <span class="blank _b"> </span>nefrectomia <span class="blank _6"> </span>parcial <span class="blank _a"> </span>após </div><div class="t m0 x5 h6 yfc ff3 fs2 fc1 sc0 ls14 ws2">isolamento<span class="blank _2"></span> <span class="blank _4"> </span>do<span class="blank _2"></span> <span class="blank _4"> </span>hilo<span class="blank _2"></span> <span class="blank _4"> </span>renal,<span class="blank _1"></span> <span class="blank _4"> </span>com<span class="blank _2"></span> <span class="blank _3"> </span>evolução<span class="blank _2"></span> <span class="blank _2"></span></div><div class="t m0 x5 h6 yfd ff3 fs2 fc1 sc0 lsa ws2">satisfatória no pós-oper<span class="blank _0"></span>atório<span class="blank _0"></span>.<span class="blank _0"></span> </div><div class="t m0 x5 h6 yfe ff3 fs2 fc1 sc0 lsa ws2">I.<span class="blank _0"></span> <span class="blank _3"> </span>P<span class="blank _0"></span>ar<span class="blank _0"></span>a <span class="blank _3"> </span>a <span class="blank _c"> </span>retirada <span class="blank _3"> </span>cirúrgica,<span class="blank _0"></span> <span class="blank _3"> </span>foram <span class="blank _3"> </span>ligadas <span class="blank _c"> </span>e </div><div class="t m0 x5 h6 yff ff3 fs2 fc1 sc0 lsa ws2">seccionadas <span class="blank _6"> </span>artérias <span class="blank _6"> </span>que <span class="blank _6"> </span>irrigam <span class="blank _6"> </span>o <span class="blank _6"> </span>órgão.<span class="blank _2"></span> <span class="blank _6"> </span>T<span class="blank _1"></span>ais </div><div class="t m0 x5 h6 y100 ff3 fs2 fc1 sc0 lsa ws2">artérias são r<span class="blank _0"></span>amos diretos das ar<span class="blank _0"></span>térias: </div><div class="t m0 x5 h6 y101 ff5 fs2 fc1 sc0 lsa ws8">A)<span class="blank"> </span><span class="ff1 ws2">Segmentar inferior e renal.<span class="blank _2"></span> </span></div><div class="t m0 x5 h6 y102 ff3 fs2 fc1 sc0 lsa ws2">B)<span class="blank _1b"> </span>Segmentar póstero-inferior e r<span class="blank _0"></span>enal.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y103 ff3 fs2 fc1 sc0 lsa ws2">C)<span class="blank _1c"> </span>Segmentar posterior e renal.<span class="blank _2"></span> </div><div class="t m0 x5 h6 y104 ff3 fs2 fc1 sc0 lsa ws2">D)<span class="blank _1d"> </span>Segmentar ântero-inferior e r<span class="blank _0"></span>enal.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y105 ff3 fs2 fc1 sc0 lsa ws2">II.<span class="blank _0"></span> <span class="blank _7"> </span>Em <span class="blank"> </span>r<span class="blank _0"></span>elação <span class="blank"> </span>à <span class="blank _7"> </span>topogra\ufb01a <span class="blank _7"> </span>do <span class="blank"> </span>rim <span class="blank _7"> </span>esquerdo <span class="blank _7"> </span>é </div><div class="t m0 x5 h6 y106 ff3 fs2 fc1 sc0 lsa ws2">correto a\ufb01rmar: </div><div class="t m0 x5 h6 y107 ff3 fs2 fc1 sc0 lsa ws2">A)<span class="blank _1c"> </span>Relação <span class="blank _15"> </span>com <span class="blank _14"> </span>o <span class="blank _15"> </span>diafragma,<span class="blank _0"></span> <span class="blank _15"> </span>m.<span class="blank _0"></span> <span class="blank _15"> </span>psoas <span class="blank _14"> </span>maior<span class="blank _2"></span>,<span class="blank _0"></span> <span class="blank _15"> </span>m. </div><div class="t m0 x14 h6 y108 ff3 fs2 fc1 sc0 lsa ws2">quadrado <span class="blank _14"> </span>lombar<span class="blank _0"></span>,<span class="blank _0"></span> <span class="blank _14"> </span>m.<span class="blank _0"></span> <span class="blank _10"> </span>transverso <span class="blank _14"> </span>do <span class="blank _10"> </span>abdome,<span class="blank _0"></span> </div><div class="t m0 x14 h6 y109 ff3 fs2 fc1 sc0 lsa ws2">fígado,<span class="blank _0"></span> duodeno e colo ascendente.<span class="blank _2"></span> </div><div class="t m0 x5 h6 y10a ff5 fs2 fc1 sc0 lsa ws9">B)<span class="blank"> </span><span class="ff1 ws2">Relação <span class="blank _14"> </span>com <span class="blank _10"> </span>o <span class="blank _f"> </span>diafr<span class="blank _0"></span>agma,<span class="blank _0"></span> <span class="blank _14"> </span>m. <span class="blank _14"> </span>psoas <span class="blank _10"> </span>maior<span class="blank _0"></span>,<span class="blank _0"></span> </span></div><div class="t m0 x14 h6 y10b ff1 fs2 fc1 sc0 lsa ws2">m.<span class="blank _0"></span> <span class="blank _4"> </span>quadrado <span class="blank _3"> </span>lombar<span class="blank _2"></span>, <span class="blank _4"> </span>m.<span class="blank _0"></span> <span class="blank _3"> </span>transverso <span class="blank _4"> </span>do </div><div class="t m0 x14 h6 y10c ff1 fs2 fc1 sc0 lsa ws2">abdome,<span class="blank _0"></span> baço,<span class="blank _0"></span> <span class="blank _15"> </span>estômago,<span class="blank _0"></span> pâncreas,<span class="blank _2"></span> <span class="blank _15"> </span>jejuno </div><div class="t m0 x14 h6 y10d ff1 fs2 fc1 sc0 lsa ws2">e colo descendente.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y10e ff3 fs2 fc1 sc0 lsa ws2">C)<span class="blank _1c"> </span>Relação <span class="blank _14"> </span>com <span class="blank _14"> </span>o <span class="blank _14"> </span>diafragma,<span class="blank _0"></span> <span class="blank _14"> </span>m. <span class="blank _14"> </span>psoas <span class="blank _14"> </span>maior<span class="blank _0"></span>,<span class="blank _2"></span> <span class="blank _10"> </span>m </div><div class="t m0 x14 h6 y10f ff3 fs2 fc1 sc0 lsa ws2">quadrado <span class="blank _15"> </span>lombar<span class="blank _0"></span>,<span class="blank _2"></span> <span class="blank _14"> </span>m.<span class="blank _0"></span> <span class="blank _15"> </span>obliquo <span class="blank _14"> </span>interno,<span class="blank _0"></span> <span class="blank _15"> </span>fígado,<span class="blank _0"></span> </div><div class="t m0 x14 h6 y110 ff3 fs2 fc1 sc0 lsa ws2">duodeno e colo transverso<span class="blank _0"></span>.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y111 ff3 fs2 fc1 sc0 lsa ws2">D)<span class="blank _1d"> </span>Relação com <span class="blank _15"> </span>o diafragma,<span class="blank _0"></span> baço,<span class="blank _0"></span> m. quadrado </div><div class="t m0 x14 h6 y112 ff3 fs2 fc1 sc0 lsa ws2">lombar<span class="blank _2"></span>, <span class="blank _4"> </span>m. <span class="blank _3"> </span>transverso <span class="blank _4"> </span>do <span class="blank _c"> </span>abdome,<span class="blank _0"></span> <span class="blank _3"> </span>baço,<span class="blank _0"></span> </div><div class="t m0 x14 h6 y113 ff3 fs2 fc1 sc0 ls3d ws2">estômago,<span class="blank _17"></span> <span class="blank _4"> </span>pâncre<span class="blank _0"></span>as,<span class="blank _8"></span> <span class="blank _5"> </span>jejuno<span class="blank _9"></span> <span class="blank _4"> </span>e<span class="blank _9"></span> <span class="blank _4"> </span>colo<span class="blank _9"></span> <span class="blank _9"></span></div><div class="t m0 x14 h6 y114 ff3 fs2 fc1 sc0 lsa ws2">ascendente.<span class="blank _0"></span> </div><div class="t m0 x5 h6 y115 ff3 fs2 fc1 sc0 ls3e ws2">III.<span class="blank _2"></span> <span class="blank _4"> </span>Baseando-se<span class="blank _0"></span> <span class="blank _3"> </span>no<span class="blank _0"></span> <span class="blank _4"> </span>caso,<span class="blank _2"></span> <span class="blank _4"> </span>quais<span class="blank _0"></span> <span class="blank _3"> </span>estruturas<span class="blank _2"></span> <span class="blank _0"></span></div><div class="t m0 x5 h6 y116 ff3 fs2 fc1 sc0 lsa ws2">anatômicas estão <span class="blank _15"> </span>relacionadas com o <span class="blank _15"> </span>isolamento </div><div class="t m0 x5 h6 y117 ff3 fs2 fc1 sc0 lsa ws2">do hilo renal? </div><div class="t m0 x6 h6 y27 ff3 fs2 fc1 sc0 lsa ws2">A)<span class="blank _1c"> </span>Artéria <span class="blank _14"> </span>renal <span class="blank _14"> </span>dir<span class="blank _0"></span>eita,<span class="blank _0"></span> <span class="blank _14"> </span>veia <span class="blank _14"> </span>renal <span class="blank _14"> </span>dir<span class="blank _0"></span>eita <span class="blank _14"> </span>e <span class="blank _14"> </span>pelve </div><div class="t m0 x1c h6 y28 ff3 fs2 fc1 sc0 lsa ws2">renal dir<span class="blank _0"></span>eita.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y29 ff5 fs2 fc1 sc0 lsa wsa">B)<span class="blank"> </span><span class="ff1 ls3f ws2">Artéria<span class="blank _9"></span> <span class="blank _4"> </span>renal<span class="blank _1"></span> <span class="blank _5"> </span>esquerda,<span class="blank _9"></span> <span class="blank _4"> </span>veia<span class="blank _1"></span> <span class="blank _5"> </span>renal<span class="blank _1"></span> <span class="blank _1"></span></span></div><div class="t m0 x1c h6 y2a ff1 fs2 fc1 sc0 lsa ws2">esquerda e pelve r<span class="blank _0"></span>enal esquer<span class="blank _0"></span>da.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y2b ff3 fs2 fc1 sc0 lsa ws2">C)<span class="blank _1c"> </span>Artéria <span class="blank _14"> </span>r<span class="blank _0"></span>enal <span class="blank _14"> </span>esquerda,<span class="blank _2"></span> <span class="blank _10"> </span>veia <span class="blank _14"> </span>renal <span class="blank _15"> </span>esquerda <span class="blank _14"> </span>e </div><div class="t m0 x1c h6 y2c ff3 fs2 fc1 sc0 lsa ws2">ureter<span class="blank _2"></span>.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y31 ff3 fs2 fc1 sc0 lsa ws2">D)<span class="blank _1d"> </span>Artéria r<span class="blank _0"></span>enal dir<span class="blank _0"></span>eita,<span class="blank _0"></span> veia r<span class="blank _0"></span>enal direita e ur<span class="blank _0"></span>eter<span class="blank _2"></span>. </div><div class="t m0 x6 h6 yf6 ff3 fs2 fc1 sc0 lsa ws2">IV<span class="blank _1"></span>. <span class="blank _10"> </span>Acerca <span class="blank _10"> </span>do <span class="blank _f"> </span>procedimento <span class="blank _10"> </span>cirúrgico <span class="blank _f"> </span>de <span class="blank _10"> </span>acesso </div><div class="t m0 x6 h6 yf7 ff3 fs2 fc1 sc0 ls21 ws2">ao<span class="blank _0"></span> <span class="blank _3"> </span>rim<span class="blank _0"></span> <span class="blank _4"> </span>podemos <span class="blank _4"> </span>a\ufb01rmar <span class="blank _4"> </span>que <span class="blank _4"> </span>as<span class="blank _0"></span> <span class="blank _3"> </span>camadas<span class="blank _0"></span> <span class="blank _0"></span></div><div class="t m0 x6 h6 yf8 ff3 fs2 fc1 sc0 lsa ws2">seccionadas na cirurgia for<span class="blank _0"></span>am r<span class="blank _0"></span>espectivamente: </div><div class="t m0 x6 h6 yfa ff5 fs2 fc1 sc0 lsa wsb">A)<span class="blank"> </span><span class="ff1 ws2">F<span class="blank _2"></span>áscia <span class="blank _d"> </span>renal,<span class="blank _0"></span> <span class="blank _f"> </span>cápsula <span class="blank _d"> </span>adiposa <span class="blank _e"> </span>e <span class="blank _d"> </span>\ufb01brosa <span class="blank _f"> </span>do </span></div><div class="t m0 x1c h6 yfb ff1 fs2 fc1 sc0 lsa ws2">rim.<span class="blank _0"></span> </div><div class="t m0 x6 h6 yfc ff3 fs2 fc1 sc0 lsa ws2">B)<span class="blank _1b"> </span>Cápsula <span class="blank _6"> </span>\ufb01brosa <span class="blank _a"> </span>e <span class="blank _b"> </span>adiposa <span class="blank _a"> </span>do <span class="blank _b"> </span>rim <span class="blank _b"> </span>e <span class="blank _a"> </span>fáscia </div><div class="t m0 x1c h6 yfd ff3 fs2 fc1 sc0 lsa ws2">renal.<span class="blank _2"></span> </div><div class="t m0 x6 h6 y118 ff3 fs2 fc1 sc0 lsa ws2">C)<span class="blank _1c"> </span>Cápsula <span class="blank _6"> </span>adiposa <span class="blank _b"> </span>e <span class="blank _b"> </span>\ufb01brosa <span class="blank _6"> </span>do <span class="blank _b"> </span>rim <span class="blank _b"> </span>e <span class="blank _a"> </span>fáscia </div><div class="t m0 x1c h6 yfe ff3 fs2 fc1 sc0 lsa ws2">renal.<span class="blank _2"></span> </div><div class="t m0 x6 h6 yff ff3 fs2 fc1 sc0 lsa ws2">D)<span class="blank _1d"> </span>F<span class="blank _2"></span>áscia <span class="blank _c"> </span>r<span class="blank _0"></span>enal,<span class="blank _0"></span> <span class="blank _1e"> </span> <span class="blank _3"> </span>cápsula <span class="blank _3"> </span>\ufb01brosa <span class="blank _3"> </span>do <span class="blank _3"> </span>rim <span class="blank _3"> </span>e </div><div class="t m0 x1c h6 y100 ff3 fs2 fc1 sc0 lsa ws2">adiposa.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y101 ff1 fs2 fc1 sc0 lsa ws2">CASO <span class="blank _e"> </span>CLÍNICO <span class="blank _16"> </span>2)<span class="ff3"> <span class="blank _7"> </span>Mulher <span class="blank _16"> </span>foi <span class="blank _16"> </span>encaminhada <span class="blank _7"> </span>ao </span></div><div class="t m0 x6 h6 y102 ff3 fs2 fc1 sc0 lsa ws2">pronto <span class="blank _13"> </span>socorro <span class="blank _13"> </span>com <span class="blank _5"> </span>queixa <span class="blank _5"> </span>de <span class="blank _5"> </span>dor <span class="blank _5"> </span>forte <span class="blank _13"> </span>na </div><div class="t m0 x6 h6 y103 ff3 fs2 fc1 sc0 lsa ws2">região <span class="blank _14"> </span>entr<span class="blank _0"></span>e <span class="blank _14"> </span>as <span class="blank _14"> </span>costelas <span class="blank _10"> </span>e <span class="blank _14"> </span>o <span class="blank _10"> </span>osso <span class="blank _14"> </span>do <span class="blank _10"> </span>quadril <span class="blank _14"> </span>que </div><div class="t m0 x6 h6 y104 ff3 fs2 fc1 sc0 lsa ws2">aumentou <span class="blank _15"> </span>gradualmente.<span class="blank _0"></span> Relata dor <span class="blank _15"> </span>insuportável </div><div class="t m0 x6 h6 y119 ff3 fs2 fc1 sc0 lsa ws2">que <span class="blank _10"> </span>durou <span class="blank _10"> </span>cerca <span class="blank _10"> </span>de <span class="blank _f"> </span>30 <span class="blank _10"> </span>minutos <span class="blank _f"> </span>e <span class="blank _10"> </span>parecia <span class="blank _10"> </span>que <span class="blank _10"> </span>a </div><div class="t m0 x6 h6 y105 ff3 fs2 fc1 sc0 lsa ws2">dor <span class="blank _14"> </span>estava <span class="blank _14"> </span>se <span class="blank _15"> </span>deslocando <span class="blank _14"> </span>para <span class="blank _14"> </span>a <span class="blank _14"> </span>r<span class="blank _0"></span>egião <span class="blank _14"> </span>inguinal.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y106 ff3 fs2 fc1 sc0 lsa ws2">Ao <span class="blank _6"> </span>exame <span class="blank _6"> </span>de <span class="blank _6"> </span>tomogra\ufb01a <span class="blank _6"> </span>computadorizada <span class="blank _6"> </span>foi </div><div class="t m0 x6 h6 y11a ff3 fs2 fc1 sc0 lsa ws2">observado <span class="blank _4"> </span>presença <span class="blank _5"> </span>de <span class="blank _4"> </span>cálculos <span class="blank _3"> </span>na <span class="blank _4"> </span>primeira </div><div class="t m0 x6 h6 y107 ff3 fs2 fc1 sc0 ls40 ws2">constrição <span class="blank _3"> </span>do <span class="blank _c"> </span>ureter <span class="blank _3"> </span>esquerdo <span class="blank _3"> </span>e <span class="blank _c"> </span>na <span class="blank _c"> </span>bexiga </div><div class="t m0 x6 h6 y108 ff3 fs2 fc1 sc0 lsa ws2">urinária.<span class="blank _0"></span> Responda a a\ufb01rma<span class="blank _0"></span>tiva correta.<span class="blank _2"></span> </div><div class="t m0 x6 h6 y10a ff3 fs2 fc1 sc0 lsa ws2">A)<span class="blank _1c"> </span>A <span class="blank"> </span>obstrução <span class="blank"> </span>acomete <span class="blank"> </span>diretamente <span class="blank"> </span>o <span class="blank"> </span>córtex </div><div class="t m0 x1c h6 y10b ff3 fs2 fc1 sc0 lsa ws2">renal <span class="blank _16"> </span>onde <span class="blank _16"> </span>encontramos <span class="blank _16"> </span>os <span class="blank _7"> </span>cálices <span class="blank _7"> </span>r<span class="blank _0"></span>enais <span class="blank _16"> </span>e </div><div class="t m0 x1c h6 y10c ff3 fs2 fc1 sc0 lsa ws2">uma parte da pelve r<span class="blank _0"></span>enal.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y10d ff3 fs2 fc1 sc0 lsa ws2">B)<span class="blank _1b"> </span>A <span class="blank _f"> </span>obstrução <span class="blank _d"> </span>acomete <span class="blank _d"> </span>diretamente <span class="blank _f"> </span>a <span class="blank _d"> </span>medula </div><div class="t m0 x1c h6 y10e ff3 fs2 fc1 sc0 ls41 ws2">renal<span class="blank _0"></span> <span class="blank _3"> </span>onde <span class="blank _c"> </span>encontramos<span class="blank _0"></span> <span class="blank _3"> </span>as <span class="blank _c"> </span>pirâmides<span class="blank _0"></span> <span class="blank _c"> </span>e <span class="blank _0"></span></div><div class="t m0 x1c h6 y10f ff3 fs2 fc1 sc0 lsa ws2">colunas <span class="blank _6"> </span>renais <span class="blank _6"> </span>e <span class="blank _6"> </span>uma <span class="blank _6"> </span>vasta <span class="blank _a"> </span>quantidade <span class="blank _6"> </span>de </div><div class="t m0 x1c h6 y110 ff3 fs2 fc1 sc0 lsa ws2">corpúsculos renais.<span class="blank _2"></span> </div><div class="t m0 x6 h6 y111 ff5 fs2 fc1 sc0 lsa wsc">C)<span class="blank"> </span><span class="ff1 ws2">A <span class="blank _7"> </span>obstrução <span class="blank"> </span>acomete <span class="blank"> </span>dir<span class="blank _0"></span>etamente <span class="blank"> </span>o <span class="blank"> </span>seio </span></div><div class="t m0 x1c h6 y112 ff1 fs2 fc1 sc0 lsa ws2">renal onde <span class="blank _15"> </span>encontramos <span class="blank _15"> </span>os <span class="blank _15"> </span>cálices <span class="blank _15"> </span>renais <span class="blank _15"> </span>e </div><div class="t m0 x1c h6 y113 ff1 fs2 fc1 sc0 lsa ws2">uma parte da pelve r<span class="blank _0"></span>enal.<span class="blank _0"></span> </div><div class="t m0 x6 h6 y114 ff3 fs2 fc1 sc0 lsa ws2">D)<span class="blank _1d"> </span>A <span class="blank _5"> </span>obstrução <span class="blank _5"> </span>acomete <span class="blank _4"> </span>diretamente <span class="blank _5"> </span>o <span class="blank _4"> </span>seio </div><div class="t m0 x1c h6 y11b ff3 fs2 fc1 sc0 lsa ws2">renal <span class="blank _13"> </span>onde <span class="blank _5"> </span>encontramos <span class="blank _5"> </span>as <span class="blank _4"> </span>colunas <span class="blank _5"> </span>e <span class="blank _5"> </span>as </div><div class="t m0 x1c h6 y115 ff3 fs2 fc1 sc0 lsa ws2">pirâmides <span class="blank _b"> </span>renais <span class="blank _11"> </span>juntamente <span class="blank _11"> </span>com <span class="blank _11"> </span>a <span class="blank _11"> </span>papila </div><div class="t m0 x1c h6 y116 ff3 fs2 fc1 sc0 lsa ws2">renal.<span class="blank _2"></span> </div><div class="t m0 x6 h6 y11c ff3 fs2 fc1 sc0 lsa ws2">Identi\ufb01que as estruturas em destaque: </div></div><div class="c x7 y23 w4 h7"><div class="t m0 x5 h8 y24 ff5 fs3 fc1 sc0 lsa ws2">MEDICINA NO<span class="blank _0"></span>VE DE JULHO </div><div class="t m0 x3 h8 y25 ff5 fs3 fc1 sc0 lsa ws2">JÉSSICA<span class="blank _0"></span> SANT<span class="blank _0"></span>ANA<span class="blank _0"></span> SIL<span class="blank _2"></span>VA</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pfa" class="pf w0 h0" data-page-no="a"><div class="pc pca w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/0179b39e-f65f-431d-81a5-fceb25d3c25f/bga.png"><div class="c x1 y1 w2 h2"><div class="t m0 x2 h3 y2 ff1 fs0 fc0 sc0 lsa ws0">@JESSICALECRIM</div></div><div class="c x1d y11d wc h19"><div class="t m0 x1e h11 y11e ff8 fs5 fc1 sc0 lsa ws2">M.<span class="blank _0"></span> P<span class="blank _2"></span>soas maior</div></div><div class="c x1d y11f wc h1a"><div class="t m0 xf h11 y120 ff8 fs5 fc1 sc0 lsa ws2">Seta vermelha: pirâmide </div><div class="t m0 x1f h11 y121 ff8 fs5 fc1 sc0 lsa ws2">renal </div><div class="t m0 xc h11 y122 ff8 fs5 fc1 sc0 lsa ws2">Seta azul: pelve renal</div></div><div class="c x1d y123 wc h1b"><div class="t m0 xe h11 y124 ff8 fs5 fc1 sc0 lsa ws2">Seio renal</div></div><div class="c x1d y125 wc h1c"><div class="t m0 x14 h11 y126 ff8 fs5 fc1 sc0 lsa ws2">V<span class="blank _0"></span>eia r<span class="blank _0"></span>enal dir<span class="blank _0"></span>eita</div></div><div class="c x1d y127 wc h1d"><div class="t m0 x20 h11 y128 ff8 fs5 fc1 sc0 lsa ws2">Seta cinza: coluna renal </div><div class="t m0 x18 h11 y129 ff8 fs5 fc1 sc0 lsa ws2">Seta verde: cór<span class="blank _0"></span>tex r<span class="blank _0"></span>enal</div></div><div class="c x7 y23 w4 h7"><div class="t m0 x5 h8 y24 ff5 fs3 fc1 sc0 lsa ws2">MEDICINA NO<span class="blank _0"></span>VE DE JULHO </div><div class="t m0 x3 h8 y25 ff5 fs3 fc1 sc0 lsa ws2">JÉSSICA<span class="blank _0"></span> SANT<span class="blank _0"></span>ANA<span class="blank _0"></span> SIL<span class="blank _2"></span>VA</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div>
Compartilhar