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What are the functions of the urinary system?
excretion of waste products from bodily fluids
elimination of waste
homeostatic regulation of volume and concentration of blood plasma
what are the essential homeostatic funtions?
regulating blood volume and pressure by adjusting volume of water lost in urine through the use of hormones EPO and Renin
regulating plasma concentrations of Na, K, Cl, and other ions
helps to stabilize blood pH, controls loss of H ions and bicarbonate ions in urine
conserves valuable nutrients, prevents their excretion in urine
assists the liver by detoxifying poisons and deaminating amino acids
what do the kidneys do?
produce urine
where are the adrenal glands located?
on top of the kidneys
what is the urinary tract made of?
2 ureters
urinary bladder
urethra
what do the ureters do?
transport urine from kidneys to bladder
what does the bladder do?
stores urine temporarily
what does the urethra do?
transports urine from the bladder to outside the body
what does the renal fascia do?
anchors kidney to surrounding structures, outer most structure
what is the adipose capsule?
adipose tissue that surround the kidneys
what is the renal capsule?
covers the outer surface of the kidney
what is the hilum?
point of entry for artery, nerve, and exit for vein and ureters
what is the renal sinus?
an internal cavity inside of the kidney
what is the renal cortex?
the outer portion of the kidney
what is the renal medulla?
the inner portion of the kidney
what are the renal pyramids?
6-18 triangle shaped structures in the medulla
what is the renal papilla?
tip or point of pyramids, projects into renal sinus
what are the renal columns?
bands of tissue in between the pyramids
what does the minor calyx do?
collects urine from the papilla
what does the major calyx do?
collects urine from 4 to 5 minor calyx
what are nephrons?
functional unit of the kidneys
what is the order of renal blood flow?
Renal artery → Segmental arteries → Interlobar arteries → Arcuate arteries → Interlobular arteries → Afferent arterioles → Glomerulus → Efferent arteriole → Peritubular capillaries* → Interlobular veins → Arcuate veins → Interlobar veins → Renal vein
what do renal nerves do?
adjusts the rate if urine formation by altering blood flow and pressure at nephron
stimulates renin which stimulates water and salt reabsorption at nephron
what are cortical nephrons?
located totally in the superficial cortex of the kidney
what are juxtamedullary nephrons?
have long loops of henale that extend deep into the medulla, produce concentrated urine
what is the vasa recta?
long capillaries that parallel loop of henle in juxtamedullary nephrons
bowman’s capsule
cup-shaped outer wall of renal corpuscle (parietal epithelium)
capsular space
space between parietal and visceral epithelium
glomerulus
interconnected capillaries inside the renal corpuscle (visceral epithelium)
afferent arteriole
blood into the glomerulus
efferent arteriole
blood out of the glomerulus
podocytes
(cells in visceral epithelium) – contain feet known as Pedicels
filtration slits
gaps between pedicels
proximal convoluted tubule (PCT)
First segment of the renal tubule
tubular fluid- fluid inside renal tubule
peritubular fluid- interstitial fluid surrounding renal tubule
Reabsorption of nutrients, ions, water & plasma proteins is the primary function of PCT
loop of henle
Descending limb connects to PCT
Ascending limb connects to DCT
Thick segment- refers to size of cells not the diameter of lumen, pumps sodium & chloride ions out of fluid
Thin segment- freely permeable to water
distal convoluted tubule (DCT)
Passes between afferent and efferent arterioles
Active secretions of ions, acids, drugs and toxins
Selective reabsorption of Na ions, Ca ions, & water
juxtaglomerular apparatus
secretes hormones EPO and Renin
macula densa
cluster if cells along DCT
juxaglomerular cells
smooth muscle fibers
collecting duct
Transports tubular fluid from nephron to renal pelvis
Adjusts the final composition, concentration, and volume of urine
Several collecting ducts unite to form a papillary duct
PAPILLARY DUCT → MINOR CALYX → MAJOR CALYX
purpose of organic waste products
produce urine to regulate volume and composition of blood
urea
most abundant organic waste, most of it from breaking down amino acids, 21 g/day
creatinine
generated in skeletal muscle from the break down of creatine phosphate, 1.8g/day, all is excreted
uric acid
formed from recycling nitrogenous bases RNA, 480mg/day
filtration
blood pressure forces water & solutes across wall of the glomerulus
reabsorption
removal of water & solutes from the filtrate, occurs after filtrate has left the renal corpuscle
secretion
transport of solutes into renal tubules, back up process to filtration in order to remove all undesirable materials from blood plasma
glomerulus / renal corpuscle
only site of filtration
generates 180L/ day of filtrate
same composition as blood plasma without plasma proteins
plasma proteins and RBCs can not leave the glomerulus
glomerular hydrostatic pressure (GHP)
is the blood pressure in the glomerular capillaries, (about 50 mmHg)
tends to push water & solutes out of plasma
capsular hydrostatic pressure (CsHP)
pressure inside the nephron & conducting system, (15mmHg)
wants to push water & solutes back into plasma – opposes GHP
blood colloid osmotic pressure (BCOP)
tends to pull water back into plasma due to plasma proteins in glomerulus (25mmHg)
opposes GHP
filtration pressure (FP)
equals sum of all three pressures, this is the pressure that forces water and dissolved materials out of the glomerulus and into the capsular space → into renal tubule
glomerular fitration rate (GFR)
amount of filtrate the kidneys produce each minute (125 ml/ min)
kidney filtration will stop if BP at glomerulus drops 20%
decline in GFR can lead to renal failure
autoregulation
dilates afferent arterioles
dilates glomerular capillaries
constricts efferent arterioles
elevates glomerular BP
hormonal regulation
decline in BP triggers release if renin from juxtaglomerular apparatus
nephron
causes constriction of efferent arteriole, directly stimulates PCT to reabsorb Na & water
adrenal gland
causes secretion of aldosterone à increases Na reabsorption in DCT & collecting duct
CNS
increases thirst, release of ADH → increases water absorption in DCT & collecting duct, increases cardiac output
peripheral capillary beds
vasoconstricts arterioles → increases BP throughout body
autonomic regulation
sympathetic activation causes vasoconstriction of afferent arteriole causing a decrease in GFR (overrides local autoregulation), (do not urinate when running)
reabsorption
recover useful materials that have left the bloodstream in the filtrate
secretion
ejects waste products and toxins that did not leave the bloodstream at the glomerulus
proximal convoluted tubule (PCT)
66% of the filtrate is reabsorbed at the PCT
Almost all of the glucose, amino acids and other organic nutrients in the filtrate are reabsorbed
loop of henle
Reabsorbs 15 %, about half of the remaining water and 2/3 of the Na & Cl ions
Uses countercurrent concentration- exchange between thin descending limb & thick ascending limb with tubular fluid moving in different directions
thin limb of loop of henle
permeable to water but relatively impermeable to solutes
thick limb of loop of henle
impermeable to water and to solutes, Pumps Na & Cl ions out of tubular fluid
(Almost 2/3 of ions are pumped out)
distal convoluted tubule (DCT)
Only about 15-20% of the filtrate gets to this point
This fluid no longer resembles plasma
urea is now makes up a significant proportion
The hormone aldosterone causes more Na to be reabsorbed water follows salt
however this is associated with a potassium ion loss
DCT is also site for Ca reabsorption
regulated by parathyroid hormone
secretion at the DCT
Potassium (K) is secreted in exchange for Na ions
Hydrogen ions (H) are also secreted at this time
H removal is coupled with bicarbonate ion production to help with blood pH (stimulated by aldosterone)
DCT deamination of amino acids eliminates H ions & ammonium ions produces bicarbonate ions for the bloodstream
collecting duct
Receives tubular fluid from many nephrons and carrys it toward the renal sinus
Aldosterone continues to cause Na reabsorption
Bicarbonate ions are reabsorbed in exchange for chloride ions
ADH makes DCT & collecting ducts permeable to water (usually impermeable to water) and accounts for the reabsorption of the remaining 15% of water
BY THIS TIME 99% of the 180 L of filtrate has been reabsorbed
vasa recta
carry both water and solutes out of the medulla at about the same rate as reabsorption and osmosis takes place in the medulla
urine production
A healthy adult typically produces 1200ml of urine a day
pH = 4.5 to 8 (average = 6)
specific gravity = 1.003 to 1.030
water content = 93% to 97%
color = clear yellow
urine is sterile (no bacterial content)