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Functions of Urinary System
1. Excretion
2.Regulation of Blood Vol. and BP
3. Regulation of blood solute concentrations.
4. Regulation of extracellular fluid pH.
5. Stimulation of RBC synthesis
6. Activation of Vit. D
Kidney Location
Retroperitoneal (behind peritoneum)
Which kidney is slightly lower
right kidney
Renal Capsule is made of
Fibrous connective Tissue
Peri-renal fat
engulfs renal capsule and acts as cushioning/protection
Renal Fascia is a
thin layer of loose connective tissue - anchors kidneys to abdominal wall
The Hilum
Opens into renal sinus
Renal Sinus is a
cavity filled with fat and loose connective tissue
what surrounds the renal sinus
Medulla
Outer area of kidney is called
Cortex
Cortical tissue that extends into medulla is
Renal Columns
Apex of Renal Pyramids is
Renal Papilla
Renal pelvis is formed by
Major Calyces
What exits at the hilum and connects to the urinary bladder?
Ureter
What are the parts of the nephron
•Renal corpuscle
•Bowman's capsule
•Glomerulus
•Proximal convoluted tubule
•Loop of Henle
•Distal convoluted tubule
Pathway of Urine from nephron
collecting ducts -> papillary ducts -> minor calyces -> major calyces ->renal pelvis
What does the Loop of Henle do
Conserve water and solutes
Renal corpuscle function
Filter Blood
PCT purpose
Returns filtered substances to the blood
DCT Purpose
DCT rids the blood of additional wastes
Juxtamedullary Nephrons are
Near cortical medullary border
Loop of Henle extends deep into medulla
Cortical Nephrons are
Near periphery of cortex
Loop of Henle does not extend deep into medulla
Where do Renal arteries branch from
Abdominal Aorta
Where do Segmental arteries branch from
Renal
Where do Interlobar arteries ascend from
ascend from renal column towards cortex
Where do Arcuate arteries branch and arch from
Base of the Pyramids
Where do Interlobular arteries project
Project at cortex and give rise to afferent arterioles
Where do Afferent Arterioles supply blood to
Afferent arterioles supply blood to the glomerulus
Where do Efferent arterioles exit
The renal corpuscle
What forms a plexus around Proximal and Distal tubules
Peritubular Capillaries
What are the specialized parts of peritubular capillaries
Vasa Recta
3 Steps of Urine formation
1. filtration
2. tubular reabsorption
3. tubular secretion
What is the smallest structural component capable of producing urine
The Nephron
Layers of Bowmans Capsule are
Outer parietal layer
Inner visceral layer
Glomerulus is a
network of capillaries
What supplies blood to the Glomerulus
afferent arterioles
What drains the glomerulus?
efferent arteriole
What is the sight of Renin production
juxtaglomerular apparatus
What is the juxtaglomerular apparatus composed of
macula densa and juxtaglomerular cells
What does the Macula Densa do
•Regulates blood pressure and filtrate formation
What is the Parietal Layer made up of
simple squamous epithelium
What is the Visceral Layer made up of
podocytes
What is the window-like openings of the glomerular capillaries called
Fenestrae
Filtration slits are
gaps between the cell processes of the podocytes
Filtration membrane is made up of
Fenestrated/Capillary endothelium, basement membrane and podocytes
Where does the first stage of Urine Formation occur
Filtration Membrane
What can not fit through the Fenestra
Large proteins and Blood cells
Where do collecting ducts form
where many distal tubules come together
How much protein is found in urine
very little
Filtration Pressure
Pressure gradient responsible for filtration
GCP (Glomerular capillary pressure) says that
BP inside the capillary moves fluid OUT OF the capillary and INTO Bowmans capsule
CHP (Capsule hydrostatic pressure) says that
pressure of filtrate already in the lumen tends to move fluid INTO the capillary
BCOP (Blood colloid osmotic pressure) says that
osmotic pressure is caused by proteins in blood
Acute Glomerulonephritis means the filtration membrane becomes
More permeable and proteins enter the filtrate
What is the result of Acute Glomerulonephritis
filtrate COP increases glomerular filtration rate
What does high glomerular capillary pressure results from
1. Low resistance to blood flow in afferent arterioles
2. Low resistance to blood flow in glomerular capillaries
3. High resistance to blood flow in efferent arterioles: small diameter vessels
Purpose of Tubuloglomerular feedback
detect increased rate of filtrate flow past macula densa cells
Result of Norepinephrine stimulation
•Constricts small arteries and afferent arterioles
•Decreases renal blood flow and filtrate formation
•During shock or intense exercise: intense sympathetic stimulation, rate of filtrate formation drops to a few ml
Diffusion is the
net movement of molecules from high concentration to low concentration
Facilitated diffusion is the
passive transport of molecules across a membrane using transmembrane proteins
Active transport is the
movement of molecules from low concentration to high concentration - requires energy
Symport is the
movement of two molecules simultaneously across a membrane
Osmosis is the
net movement of water across a semipermeable membrane from an area of low solute concentration to high solute concentration
What does each cell have
1. Apical Surface
2. Basal Surface
3. Lateral suraface
Apical surface
surface that faces filtrate (apical membrane)
Basal Surface
Basal surface: faces interstitial fluid (basal membrane)
Lateral Surfaces
surfaces between cells
Diffusion can also occur
between cells: from lumen of nephron into interstitial fluid
Descending Thin Segment
Highly permeable to water
Ascending Thin Segment
Impermeable to water
Na+ moves across the wall of the basal membrane by
active transport
K+ and Cl- are transported by ____with Na+ across the apical membrane
symport
Ions pass by ______ ______ across the basal cell membrane of the tubule cells
facilitated diffusion
Filtrate is more concentrated at the end of the descending loop of Henle because
water could passively diffuse out of lumen, leaving behind solutes.
ADH present
low volume of high concentration urine
ADH absent
high volume of low concentration urine
Tubular secretion is
movement of nonfiltered substances from the blood into the filtrate
In the Proximal Convoluted Tubule
Glucose, amino acids and ions are reabsorbed from tubule
In the Descending Limb of Loop of Henle
Water is reabsorbed passively, solutes diffuse into tubule
In the Ascending Limb of Loop of Henle
water remains
In distal convoluted tubules and collecting ducts
-Water movement out regulated by ADH
-If absent, water not reabsorbed and dilute urine produced
-If ADH present, water moves out, concentrated urine produced
Ureters
bring urine from renal pelvis to urinary bladder
Urinary Bladder
-Hollow muscular container
•Lined with transitional epithelium
•Muscular part of wall is detrusor muscle
Trigone
triangular area between the entry of the two ureters and the exit of the urethra
Area expands less than rest of bladder during filling
Renal Failure
•can result from any condition that interferes with normal kidney function
Dialysis
duplicates the function of healthy kidneys
Hemodialysis
•Blood is taken from an artery, passed through the tubes of the dialysis machine, and then returned to a vein
Peritoneal Dialysis
•Dialysis fluid is injected into the peritoneal cavity and later drained
•Waste products diffuse from the blood vessels into the dialysis fluid in the peritoneal cavity
What is the pathway of the Venous Drainage
1. Peritubular capillaries
2. Interlobular Veins
3. Arcuate Veins
4. Interlobar Veins
5. Renal Veins