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part A
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what are the kidneys
Paired excretory organs
Make up ~1% of body mass
Receive 15–30% of cardiac output (high blood flow for filtration)
what are the ureters
Tubes that transport urine from the kidneys to the bladder
Located retroperitoneally and surrounded by smooth muscle
what is the urinary bladder
Muscular storage organ
Holds urine until it is excreted (voided)
what is the urethra
Muscular tube
Carries urine from bladder → outside of the body
what is the job of the renal hilum
serves as the entry and exit point of the kidney
-Indented (concave) area on medial side of kidney
what does the renal vein do at the renal hilum
The renal vein exits the kidney at the hilum and drains deoxygenated blood away from the kidney into the inferior vena cava.
what does the renal artery do around the renal hilum
The renal artery enters the kidney at the hilum and delivers oxygen-rich blood to the kidney for filtration.
the kidneys are retroperitoneal
-behind the digestive cavity (peritoneum)
-no pleura to protect them
what are the 6 functions of the kidney
Regulates body fluids
Controls volume of body water
Maintains proper solute concentrations
Regulates ions in ECF (extracellular fluid)
Balances electrolytes (e.g., Na⁺, K⁺, Ca²⁺)
Maintains acid-base balance
Keeps blood pH within normal range
Excretes wastes
Removes drugs and metabolic wastes
Eliminates byproducts of protein metabolism
Hormone production
Produces erythropoietin → stimulates red blood cell production
Produces renin → helps regulate blood pressure
Activates vitamin D
Converts vitamin D into its active form (calcitriol)
what is the renal pelvis
Funnel-shaped structure at the start of the ureter
Collects urine from the calyces(Funnel-shaped structures in the kidney that collect urine from the renal pyramids and direct it into the renal pelvis.)
what is the renal medulla
The inner part of the kidney beneath the cortex
Organized into cone-shaped structures called renal pyramids
Concentrates urine by allowing water to be reabsorbed as the filtrate passes through the loops of Henle and collecting ducts.Channels the urine efficiently toward the renal pelvis → ureter → bladder
what does the renal pyramids (renal medulla)
Tip of each pyramid = renal papilla
Urine from the nephrons flows toward these papillae
what does the renal papillae do (structure inside renal medulla)n
Open into minor calyces
Act like a funnel, directing the concentrated urine from the pyramid into the urinary collecting system
what happens at the renal medulla
body reabsorbs the “good” stuff
-water, glucose, electrolytes
leaves urea inside
what is the Renal cortex
Outer layer beneath the capsule
Functions:
Filters blood
Reabsorbs needed substances
Secretes wastes and excess substances
what is the kidneys function?
filter waste, excess water, and impurities from the blood, producing urine
what is the nephron
-structual and functional unit of the kidney
millions of the same structure in the body
what is the renal corpuscle and what does it do
Includes:
Glomerulus
Glomerular (Bowman’s) capsule
Function:
Site of blood filtration
Produces filtrate (tubular fluid)
first part of the nephron
what does the glomerulus do (Renal corpuscle)
A ball of tiny capillaries (blood vessels)
Blood flows through here
This is what actually does the filtering
Small things pass through (water, glucose, ions)
Big things stay in blood (RBCs, proteins)
what does the glomerular (Bowmans) capsule do
A cup-like structure that surrounds the glomerulus
Catches what gets filtered out of the blood (water, glucose, salts,waste)
what does the paietal layer and visceral layer of tissue do at the glomerulus capsule
parietal:single layer of cells
visceral: touching glomerulus (epithelial cells)
-foot like projections that allow large molecules (glucose) to pass through
-problem with podoyctes if blood/protein in urine
what does the proximal convoluted tubule cells have and help with
has microvilli- larger surface to volume ratio so that our body doesn’t miss anything
what does the proximal convoluted tubule do (what is its 2 main functions)
Location: Right after the Bowman’s capsule
Primary role: Reabsorption of most of the filtrate
Reabsorbs water, glucose, amino acids, and ions (Na⁺, K⁺, Cl⁻) back into the blood
Secondary role: Secretion of some wastes
Substances like urea, drugs, and H⁺ can be secreted into the tubule
Big picture: Recovers most nutrients and water that the body needs
what does the nephron loop (loop of henle) do (descending + ascending)
location: Between PCT and DCT; dips into the renal medulla
Structure: Has a descending limb and ascending limb
Descending limb: Permeable to water, not salts → water leaves, filtrate becomes concentrated
Ascending limb: Permeable to salts, not water → salts pumped out, filtrate becomes dilute
Function: Creates a concentration gradient in the medulla
Big picture: Allows the kidney to produce concentrated urine when needed
what does the distal convoluted tubule do (2 functions)
Distal Convoluted Tubule (DCT)
Location: After the nephron loop, before the collecting duct
Primary role: Secretion of ions and wastes
H⁺, K⁺, ammonium ions, and some drugs are secreted into the tubule
Secondary role: Fine-tunes reabsorption
Sodium and calcium reabsorption can be adjusted based on hormonal signals (e.g., aldosterone, PTH)
Big picture: Helps maintain pH, electrolyte balance, and blood pressure
what does the collecting duct do
Location: Receives filtrate from multiple nephrons
Primary role: Final adjustment of water and solutes
Reabsorbs water under the influence of ADH (antidiuretic hormone)
Can also reabsorb or secrete ions under hormonal control
Function: Delivers urine to the renal pelvis
Big picture: Determines the final concentration and volume of urine
NOT A COMPONENT OF THE NEPHRON
what is the juxtaglomerular complex
Where the ascending limb of the nephron loop touches the afferent arteriole (the blood vessel bringing blood into the glomerulus).
Acts as a control center for filtration and blood pressure.
what do macula dense cells do (JG complex)
In the ascending limb of the nephron loop.
Function:
Monitor the salt (NaCl) concentration in the filtrate going into the distal convoluted tubule.
If salt is high, they signal the arteriole to constrict, lowering GFR so more salt can be reabsorbed.
If salt is low, they allow dilation, increasing GFR to bring more filtrate through.
Analogy: Like a salt sensor checking what’s in the filtrate.
what do granular cells do (JG complex)
Where: In the wall of the afferent arteriole.
Function:
Sense blood pressure in the kidney.
Secrete renin if blood pressure drops → starts the renin-angiotensin-aldosterone system to raise blood pressure.
Analogy: Like a pressure sensor that also sends out a “help signal” (renin) when BP is too low.
what do mesangial cells do
Where: Between the capillaries of the glomerulus.
Function:
Support the glomerular structure
Keep the filtration apparatus clean by removing debris
Analogy: Like the maintenance crew keeping the filtration system tidy.
what do cortical nephrons do (85% of a;; nephrons)
Location: Mostly in the renal cortex
Glomerulus is far from the medulla
Short nephron loop
Function:
Perform the bulk of reabsorption and secretion
Blood supply:
Efferent arteriole → peritubular capillaries (surround the tubules for exchange)
Big picture:
Focused on processing filtrate and maintaining blood composition, not on concentrating urine as much as juxtamedullary nephrons.