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kidneys
name these

retroperitoneal space
Kidneys are located in the _____________ in the lower abdomen at about the level of the psoas muscle. (T12-L1)
capsule
kidneys are surrounded in a fibrous connective ________ protected by a renal fat pad

hilum
Renal _____ is the small raised portion on the medial side where the renal artery, vein, pelvis, and nerves enter and exit

renal cortex
name this

renal medulla
name this

renal columns
name this

renal pyramids
name this

renal papillae
name this

papillae -> minor calyces -> major calyx -> renal pelvis -> ureter > bladder
pathway of urine from the pyramid
renal a -> segmental a. -> interlobar a. -> arcuate a. ->interlobular a ->afferent
art ->glomerular capillaries ->efferent art ->peritubular cap. -> interlobular
v. ->arcuate v. ->interlobar v. -> renal v
blood supply pathway
Afferent
______ arterioles bring blood into the glomerulus
Efferent
______ arterioles take blood away from the glomerulus
Henle
Efferent arterioles turn into the peritubular capillaries, which pass along thelength of the loop of
Vasa recta
__________ is the extension of the peritubular capillaries that extends around the loop of Henle and recovers reabsorbed substances and secretes some other substances into the nephron.

ureters
name this

transitional epithelium
The uterers are narrow muscular tubes lined with __________ _________ and smooth muscle.
urinary bladder
name this

transitional epithelium
The urinary bladder is in pelvic cavity just posterior to the pubic symphysis.
▪ Composed of _______________ surrounded by a smooth muscle layer
Trigone
name this

internal urinary sphincter
name 10

external urinary sphincter
name 5

urethra in males
name this

urethra in female
name this

bowmans capsule
enlarged end of the nephron that surrounds the glomerulus

nephron of kidneys
name this

renal corpuscle
Bowman's capsule+glomerulus

proximal convulated tubule
actively reabsorbs glucose, A.A., water

descending limb
passive reabsorption of water by osmosis

ascending limb
NaCl moves out by active transport

Distal convoluted tubule
Water and NaCl move out under control of ADH andaldosterone

collecting ducts
name G

cortex
Bowman's capsule, PCT and DCT are in the
medulla
Descending & Ascending limbs, and most of CD are in the
simple cuboidal, simple squamous
The thicker parts of tubes are ___________ epithelium, the thinner parts are ___________epithelium
PCT
Areas such as the ______ and CD have lots of mitochondria for active transport
filtrate
In the glomerulus the plasma is still considered part of the blood. Once it has been filtered across into Bowman's capsule it is called
filtration
blood pressure pushes fluid (i.e. plasma) across a filtration membrane (the capillary membrane)
reabsorption
movement of fluid from filtrate back into the blood
secretion
movement of wastes from the blood into the filtrate.
straw or amber
normal urine color
urobilinogen or porphyrin
Reddish amber indicates
bile pigments
Brownish yellow, green pee indicates
blood or blood pigments
red to brown pee indicates
clear, may become cloudy upon standing
normal transperancy
bacteria, pus, fat
cloudy transperancy
4.5-8.0
normal pH range for urine is
diet
____ can greatly affect pH
specific gravity
determines the amount of solutes dissolved in urine
1.000
water has a SG of
1.001-1.030
Urine SG is normally between
diabetes insipidus, nephritis
very low specific gravity can indicate
diabetes mellitus, proteinuria
very high SG can indicate
glycosuria
excess glucose in urine
excess albumin in urine
albuminira
excess ketones in urine
ketonouria
exercise or a meal high in sugar
glucose can be seen in urine after
excessive exercise, nephritis, trauma
proteins can be seen in urine after
diabetes mellitus
ketones can be seen in urine if the patient has
excess RBC in urine
hematuria
trauma or UTI (or because of menstrual cycle)
RBC can be seen in urine due to
excessive hemoglobin in urine
hemoglobinuria
bacterial infections such as UTI
nitrates in urine can indicate
liver diseases such as jaundice
bile pigments are often seen in
excess bile pigments in urine
bilirubinuria
hemolysis
Bilirubin is formed during _______ of RBC's and is excreted by the liver into the gallbladder
yellow
Bilirubin can be signaled by a _____ foam on top of urine sample after shaking
urobilinogin
produced in intestines, some is excreted into the urine and give urine its characteristic color. Some is converted to stercobilin that gives feces its color
liver pathology
Too much urobilinogin can be a sign of
WBC's in urine
pyuria
their is an infection of the urinary tract
leukocytes are usually only seen in blood when
casts
hardened cell fragments, usually cylindrical found in the urine.▪ Almost always pathologic.▪ Can only observe casts by doing a sediment study