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Chapters 27 + 28
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What is the main difference between the male urinary system and the female urinary system?
the male has a longer urethra than the female
What is the kidney composed of?
an outer renal cortex and an inner renal medulla
What are extensions of the renal cortex tjat project through the renal medulla and form renal pyramids?
renal columns
What is the area where the wide base of the renal pyramids and cortex come in contact?
corticomedullary junction
What is the apex or tip of the renal pyramid?
renal papilla
What structure includes the renal cortex, the renal pyramid, the renal columns, the renal papilla, and the minor calyx?
renal lobe
What is a funnel-shaped structure that each renal papilla projects into?
minor calyx
What do minor calyces fuse to form?
major calyx
What do all of the major calyces fuse to form?
renal pelvis
The renal pelvis collects all of the urine from the kidney and transports it where?
ureter
What is the order of branching of the blood supply to each kidney, ending with the glomerulus?
renal artery, segmental artery, interlobar artery, arcuate artery, interlobular artery, afferent arterioles, glomerular capsule, glomerulus
Where does the filtration of blood in the kidney occur?
glomerulus
What does the glomerulus become that exit the glomerular capsule?
efferent arterioles
What do efferent arterioles form, which surround what? What’s the second thing they form?
form peritubular capillaries, surround proximal and distal convoluted tubes; form the vasa recta, surrounds the nephron loop
The two capillary beds, glomerulus and peritubular-vasa rectus combincation, are joined by the efferent arteriole, forming a what?
arteriole portal system
What is the order of merging of the venous system in the kidney?
peritubular capillaries and the vasa rects, interlobular vein, arcuate vein, interlobar vein, renal vein, inferior vena cava
How does the peritubular vein and the vasa recta drain into the interlobular vein (smallest of the veins)?
postcapillary venules
What is the functional filtration unit of the kidney?
nephron
What is the type of nephron where the bulk of the nephron is located in the cortex?
cortical nephron
What is the type of nephron that have their renal corpuscle near the coricomedullary junction and their nephron loop passed deep into the medulla?
juxtamedullary nephron
What does the ascending loop become, which is found in the cortex?
distal convoluted tubule
What does the descending loop become?
collecting tubule
What do many collecting tubules drain into in the cortex?
collecting duct
From the renal papilla, how does urine flow?
minor calyx, major calyx, renal pyramid, ureter, urinary bladder, urethra
What type of capillary is the glomerulus comprised of?
fenestrated capillaries
What are the three different processes that occur to the tubular fluid in the nephron before it is considered urine?
filtration, tubular reabsorption, tubular secertion
During filtration, because the afferent arteriole is much larger in diameter than the efferent arteriole, how is the blood pressure in the glomerulus?
very high
During filtration, the unregulated tubular fluid is collected from the renal capsule in what?
proxinal convoluted tubule
What is the term for when the body takes something back into the body that was removed inadvertently and is now returned to the body?
reabsorption
What is the renal corpuscle made of?
glomerulus, glomerular capsule
What is a thick tangle of fenestrated capillaries?
glomerulus
What is an epithelial capsule that surrounds the glomerulus?
glomerulus capsule
What does the renal corpuscle have where the afferent arteriole enters and becomes the glomerulus, and where the efferent arteriole exits?
vascular pole
What is the other pole where the proximal convoluted tubuke begins the tubular system?
tubular pole
What layer of the glomerulus comes into direct contact with the fenestrated capillaries of the glomerulus?
visceral layer
What specialized cells is the visceral layer of the glomerulus made up of?
podocytes
What long projection does each podocyte have, that wrap around the capillaries, covering the openings and helping to dampen the force that the filtrate creates when it exits the capillary beds?
pedicles
What spin space are pedicles separated by, that are thin spaces that allow filtrate to flow into the space between the capillaries and the capsule?
filtration slits
What do the filtration slits and the fenestrated capillary wall of the glomerulus make up?
filtration membrane
What is the layer of the glomerulus that is made up of simple squamous epithelium and lines the inside of the capsule?
parietal layer
What tissue is the parietal layer of the glomerulus made up of?
simple squamous epithelium
Where does the proximal convoluted tubule begins at?
tubular pole of the glomerulus
What are the walls of the tubular pole of the glomerulus made of up?
simple cuboidal epithelium
If glucose, which is frely filters, is not totally reabsorbed, it appears in the urine. What is this an indication of?
diabetes
Where does the proximal convoluted tubule terminate in?
nephron loop
What is the nephron loop comprised of?
descending limb, ascending limb
What part of the nephron loop leaves the cortex and enters the medulla?
descending limb
What part of the nephron loop leaves the medulla and reenters the cortex?
ascending limb
What does the ascending limb terminate in?
distal convoluted tubule in the renal cortex
What hormones do the proximal convoluted tubule respond to?
anti-diuretic hormone, aldosterone
What does the distal convoluted tubule terminate in?
collecting tubule
What is the area comprised of the distal convoluted tubule and the afferent and efferent arterioles?
juxtaglomerular apparatus
What cells in the juxtaglomerular apparatus are modified smooth cells located in the afferent arteriole in the area of the vascular pole?
juxtaglomerular cells
What cells in the juxtaglomerular apparatus are modified epithelial cells that contact the juxtaglomerular cells and cause them to release the protein renin that is the initiator of a chain of reactions that lead to an increase in blood pressure?
macula densa cells
What are the three structures that the urinary tract is composed of?
ureter, urinary bladder, urethra
What are the pair of tubes that conduct the urine from the renal pelvis to the urinary bladder?
ureter
What sotres urine until the time to void?
urinary bladder
What is the final tube in the system that transports urine from the urinary bladder to the external environment?
urethra
What is the main purpose of the urinary bladder?
to store urine
What is the triangle formed by the ureters and the urethra?
trigone
What smooth muscle is foudn in the wall of the urinary bladder?
detrusor muscle
What is the smooth muscle sphincter at the union of the bladder and the urethra?
internal urethral sphincter
What skeletal muscle sphincter is found in the urogenital diaphragm, surrounding the urethra?
external urethral sphincter
In the female, what makes their urethra the possible reason women suffer more from urinary tract infections than men?
very short
What are the three parts of the male urethra?
prostatic urethra, membranous urethra, spongy urethra
What part of the male urethra leaves the bladder and travels through the prostate gland of the male?
prostatic urethra
What part of the male urethra is found in the urogenital diaphragm?
membranous urethra
What part of the male urethra travels the length of the male penis?
spongy urethra
What opening does the urethra terminate at?
external urethral orifice
What is the general term for the sex organs?
gonads
What is the female gonad? Is it internal or external?
ovaries, internal
What is the male gonad? Is it internal or external?
testes, external
What is the general term for sex cells?
gametes
What type of cell are gametes?
haploid cells
What cell do female ovaries produce?
oocytes
What cell do male testes produce?
sperm
What is the diamond-shaped region that begins with the pubic symphasis, extending to the two ischial tuberosities and concluding at the coccyx?
perineum
What is the anterior triangle of the perineum, containinf the orifices for the urethra and the vagina in the female AND the base of the penis and the scrotum in the male?
urogential triangle
What is the posterior triangle of the perineum, containing both the aus and the external anal sphincter in both genders?
anal triangle
What is the female primary sex organs?
pair of ovaries
What ligament covers the ovaries, the uterues, and just about everything?
broad ligament
What ligament attaches the ovary direcrly to the uterus and prevents the ovary from wandering?
ovarian ligament
What ligament holds the uterine tube up and suspends it, keeping everthing from collapsing?
suspensory ligament
In the female, what extends from the lateral wall of the uterus and approaches the ovary?
uterine tubes
What is the fingerlike structure that ends the uterine tubes in the lateral/superior end?
fimbriae
After ovulation, the fimbriae create a current to draw the oocyte into the what of the uterine tube?
infundibulum
What is medial to the infundibulum and is where fertilization ideally occurs?
ampulla
What comes after the ampulla in the uterine tubes, which continues to the outer wall of the uterus?
isthmus
What is the last section of the uterine tubes, part of which the tube passes through the thick uterine wall?
uterine
What layer of the uterine tube is the internal layer made up of ciliated columnar epithelium?
mucosa
What is the mucosa layer made of?
ciliated columnar epithelium
What is the layer of the uterine tube that is comprised of an inner circular layer and an outer longitudinal layer of smooth muscle?
muscularis
What tissue type is the muscularis layer of the uterine tube made of?
smooth muscle
What is the outer layer of the uterine tube that indicates that the uterine tube is intraperitoneal?
serosa
What is the pear-shaped organ, comprised of a thick layer of smooth muscle?
uterus
What connects with the uterine tubes superiorly/laterally and with the vagina inferiorly?
lumen
What region of the uterus is superior to the entrances of the uterine tubes?
fundus
What region of the uterus is the majority of the uterus, from the fundus to the narrowing part?
body
What is the area of the uterus that is inferior to the body, where the uterus starts to narrow?
isthmus
What is the region of the uterus that is a narrow-neck like area, where the uterus joins the vagina?
cervix