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What are the basic functions of the urinary system?
Maintenance of homeostasis, most directly performed by the kidneys which also function in:
Removal of metabolic wastes
Maintenance of fluid balance, electrolyte balance, acid-base balance, and blood pressure
Regulation of erythropoiesis
Detoxification
Activation of vitamin D
Gluconeogenesis
What is the pathway by which blood flows through the kidneys.
Renal artery → segmental artery → interlobar artery → arcuate artery → interlobular artery → afferent arteriole → glomerulus → efferent arteriole → peritubular capillaries → interlobular vein → arcuate vein → interlobar vein → renal vein
What substances are present in the urine?
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Water
Creatinine
Sodium
Ammonia
Potassium
Uric Acid
Chloride
Sulfates
H+
Urea
What substances are there only traces of in the urine?
HCO3
Calcium
Mg++
What substances are absent in the urine?
Blood
Protein
WBCs
Glucose
Which characteristics of the urine are assessed in a urinalysis?
Color
Translucency
Odor
pH
Specific gravity
What is considered normal for the color of urine in a urinalysis?
Yellow due to urochrome (a hemoglobin breakdown product)
May be altered by foods, vitamins, drugs, dyes, and blood
What is considered normal and abnormal for the translucency of urine in a urinalysis?
Normal - transluscent
Abnormal - cloudy, may indicate an infection or large amounts of protein
What is considered normal for the odor of urine in a urinalysis?
Mild odor
May be altered by diseased states (ex: diabetes mellitus), infection, and foods
What is considered normal and for the pH of urine in a urinalysis?
6.0
May range from 4.5-8.0
What is considered normal and abnormal for the specific gravity of urine in a urinalysis?
1.001-1.035
What does specific gravity measure in a urinalysis?
The concentration of dissolved solids in urine
Indicates hydration levels and kidney function
List and draw the structures of a nephron.
Renal corpuscle
Glomerulus
Glomerular capsule
Renal tubule
Proximal convoluted tubule (PCT)
Loop of Henle
Distal convoluted tubule (DCT)
What are the functions of a nephron (and it’s divisions)?
Blood filtering
Reabsorption of nutrients, water, and ions
Secretion of H+ and waste products into the filtrate
Transportation of salts out of the filtrate