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Main function of the urinary system
Continuously filters blood plasma to maintain homeostasis.
Structures of the urinary system
Kidneys, ureters, urinary bladder, and urethra.
Function of the kidneys
Produce urine by filtering blood.
Function of the ureters
Transport urine to the bladder.
Function of the urinary bladder
Stores urine.
Function of the urethra
Eliminates urine from the body.
Main jobs of the kidneys
Remove metabolic wastes, regulate water balance, regulate ion concentrations, and help regulate blood pressure and pH.
How much fluid do the kidneys filter each day?
About 180-200 L.
How much urine is produced each day?
About 1.5-2 L.
Why is only a small amount of filtered fluid excreted as urine?
Most filtered material is returned to the blood.
Result of kidney function
Wastes are eliminated while useful substances are conserved.
Nitrogenous wastes
Metabolic wastes removed from the blood by the kidneys.
Urea
Produced during amino acid metabolism.
Uric acid
Produced during nucleic acid metabolism.
Creatinine
Produced by muscle metabolism.
What happens if nitrogenous wastes accumulate in the blood?
Cellular function becomes disrupted and homeostasis begins to fail.
Four major processes of urine formation
Filtration, reabsorption, secretion, and excretion.
Filtration
Fluid leaves the blood and enters the nephron.
Reabsorption
Useful substances move from the nephron back into the blood.
Secretion
Additional wastes move from the blood into the nephron.
Excretion
Remaining fluid leaves the body as urine.
Location of the kidneys
Retroperitoneal (behind the parietal peritoneum).
How are the kidneys protected?
Partially protected by the ribs.
Fibrous capsule
Supports kidney tissues.
Adipose capsule
Cushions the kidneys.
Renal fascia
Anchors the kidneys.
Renal cortex
Outer region of the kidney.
Renal medulla
Inner region containing renal pyramids.
Renal pyramids
Contain nephrons and blood vessels.
Where does urine formed in the nephrons drain?
Toward the center of the kidney before entering the ureter.
Hilum
Recessed area on the medial side of the kidney where blood vessels, nerves, and the ureter enter or leave.
Blood flow to the glomerulus
Renal artery → interlobar arteries → afferent arteriole → glomerulus.
Glomerulus
Beginning of the nephron where blood pressure creates filtrate.
What creates filtrate?
Blood pressure forcing fluid out of glomerular capillaries.
Where does blood leave the glomerulus?
Through the efferent arteriole.
Blood flow after the glomerulus
Efferent arteriole → peritubular capillaries.
Reabsorption in the nephron
Substances move from filtrate to blood.
Secretion in the nephron
Substances move from blood to filtrate.
Filtrate
Fluid filtered from the blood.
Pathway of filtrate through the nephron
Bowman's capsule → proximal convoluted tubule → nephron loop → distal convoluted tubule → collecting duct.
What happens to filtrate as it moves through the nephron?
Useful substances are reabsorbed and additional wastes may be secreted.
Urine
Fluid leaving the collecting duct.
Pathway of urine out of the kidney
Renal papilla → minor calyx → major calyx → renal pelvis → ureter.
What does urine composition reflect?
Kidney function, hydration level, and blood chemistry.
Renal corpuscle
Contains the glomerulus and Bowman's capsule; site where filtration begins.
Glomerulus (renal corpuscle)
Fenestrated capillary network.
Bowman's capsule
Surrounds the glomerulus.
Why does filtration occur in the renal corpuscle?
Blood enters under unusually high pressure, forcing water and small solutes out of capillaries.
What does filtrate initially resemble?
Blood plasma.
What does filtrate contain?
Water, ions, glucose, amino acids, and nitrogenous wastes.
What remains in the bloodstream during filtration?
Blood cells and most proteins.
Why is reabsorption necessary?
Filtration is mostly nonselective, so useful substances must be returned to the blood.
Proximal convoluted tubule (PCT)
Major site of reabsorption.
What is reabsorbed in the PCT?
Most water, glucose, amino acids, and many ions.
Why do PCT cells contain many mitochondria?
To produce ATP for active transport.
Why do PCT cells have microvilli?
To increase surface area for reabsorption.
What would happen without reabsorption?
Nutrients and water would rapidly be lost in urine.
Why is reabsorption necessary?
Filtration is broad and sloppy; reabsorption selectively fixes the filtrate.
Descending limb of the nephron loop
Permeable to water.
What happens in the descending limb?
Water leaves the filtrate by osmosis, concentrating the filtrate.
Ascending limb of the nephron loop
Impermeable to water.
What happens in the ascending limb?
NaCl leaves the filtrate, making the filtrate more dilute.
What is the result of the nephron loop?
The renal medulla becomes highly concentrated ("salty").
Why is the medullary gradient important?
It allows the kidneys to conserve water later.
Distal convoluted tubule (DCT)
Fine-tunes blood composition.
What substances are secreted in the DCT?
H⁺, K⁺, drugs, and metabolic wastes.
What does secretion help regulate?
Blood pH and electrolyte balance.
Why is secretion important?
Provides additional cleanup after filtration.
Collecting duct
Passes through the concentrated renal medulla.
Why can water leave the collecting duct?
The salty medulla draws water out by osmosis.
Where does reabsorbed water go?
Into nearby capillaries and back to the bloodstream.
How does a stronger medullary gradient affect urine?
Conserves more water and produces more concentrated urine.
Role of the nephron loop
Creates the environment that allows later water reabsorption.
Antidiuretic hormone (ADH)
Conserves water during dehydration.
What triggers ADH release?
Increased blood osmolarity during dehydration.
Where are osmoreceptors located?
Hypothalamus.
Where is ADH released from?
Posterior pituitary.
Where does ADH act?
Collecting duct cells.
How does ADH increase water reabsorption?
Inserts aquaporin channels into collecting duct cell membranes.
Effect of ADH on water permeability
Water permeability increases.
Effect of ADH on urine volume
Urine volume decreases.
Effect of ADH on urine concentration
Urine becomes more concentrated.
What happens without ADH?
Collecting ducts remain relatively impermeable to water.
Effect of no ADH on urine
Large volumes of dilute urine are produced.
Diabetes insipidus
Impaired ADH signaling prevents effective water reabsorption.
Effects of diabetes insipidus
Large volumes of dilute urine and dehydration.
Cortical nephrons
Have short nephron loops that extend only slightly into the medulla.
Juxtamedullary nephrons
Have long nephron loops that extend deep into the medulla.
Why are juxtamedullary nephrons important?
Long loops create a stronger medullary gradient, conserving more water.
Normal urine output
About 1.5-2 L/day.
Characteristics of healthy urine
Pale yellow, clear, and slightly acidic.
What gives urine its yellow color?
Pigments from RBC breakdown.
Specific gravity
Reflects urine concentration.
How does concentrated urine affect specific gravity?
Specific gravity increases.
Healthy urine should NOT contain
Glucose, proteins, blood cells, or hemoglobin.
What may abnormal urine composition indicate?
Kidney disease or damage.
Why does glucose appear in urine during diabetes mellitus?
The PCT cannot reabsorb all filtered glucose.
What can glomerular damage cause?
Proteinuria or hematuria.
Why does dehydration make urine darker?
More water is reabsorbed, making urine more concentrated.
Foamy urine
May indicate glomerular damage causing protein to leak into urine.