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Kidneys, ureters, urinary bladder, and urethra
What are the urinary system organs?
A smooth, collapsible, muscular sac
What is the urinary bladder?
Temporarily stores urine
What is the main function of the urinary bladder?
About 5 inches
How long is the bladder when full?
About 500ml
How much urine can a full bladder normally hold?
Two times
How much more can the bladder hold beyond its normal capacity?
Trigone
A triangular area of the urinary bladder with three openings.
Three openings
How many openings are in the trigone?
Two openings from the ureters and one opening to the urethra
What are the three openings of the trigone?
Detrusor muscle
Three layers of smooth muscle in the bladder wall.
Smooth muscle
What type of muscle makes up the detrusor?
Transitional epithelium
What is the mucosa in the urinary bladder wall made of?
Thick and folded
What do the bladder walls look like when the bladder is empty?
To allow the bladder to expand as it fills with urine
Why are the bladder walls folded when empty?
It expands and its folds stretch out
What happens to the bladder as it fills with urine?
Its walls stretch and unfold as it fills
How can the bladder hold more liquid without increasing internal pressure?
Internal and external
What are the two urethral sphincters?
Involuntary
Is the internal urethral sphincter voluntary or involuntary?
At the bladder-urethra junction
Where is the internal urethral sphincter located?
Voluntary
Is the external urethral sphincter voluntary or involuntary?
The urethra
What does the external urethral sphincter surround?
Internal urethral sphincter
Which sphincter controls urination involuntarily?
External urethral sphincter
Which sphincter allows voluntary control of urination?
Female is 3cm and male is 20cm
How big the urethra for a female vs a male?
The male urethra carries urine and semen and the female urethra carries just urine
What are the two functions of the male urethra and the one function of the female urethra?
Clean blood and get rid of waste products
What is the function of the kidneys?
The right kidney is slightly lower than the left
Which kidney is slightly lower than the other?
Because the large liver sits above it and pushes it downward
Why is the right kidney slightly lower than the left?
Renal hilum
A medial indentation (opening) in the kidney.
The ureter, renal blood vessels, and nerves
What passes through the renal hilum?
Adrenal gland
What gland is located on top of each kidney?
About 1/4 cardiac output
How much of the cardiac output passes through the kidneys each minute?
1200ml
How much blood flows through the kidneys each minute?
Renal artery
What carries blood TO the kidneys?
Renal vein
What carries blood AWAY from the kidneys?
Renal cortex and renal medulla
What are the two main regions of the kidney?
Renal cortex
The outer region of the kidney.
Renal medulla
The inner region of the kidney.
Renal columns
Extensions of the renal cortex that extend between the renal pyramids.
Renal pyramids
Cone-shaped structures located in the renal medulla.
Renal papilla
The tip of a renal pyramid.
Releases urine into the minor calyx
What does the renal papilla do?
Into the minor calyx
Where does urine go after leaving the renal papilla?
Renal pelvis
A funnel-shaped structure that collects urine.
The ureter
What is the renal pelvis continuous with?
Collects urine and funnels it into the ureter
What is the function of the renal pelvis?
Nephrons
Structural and functional units of kidney.
> 1 million per kidney
How many nephrons per kidney?
Renal corpuscle and renal tubule
What are the two parts of a nephron?
Glomerulus and glomerular capsule
What are the two parts of the renal corpuscle?
Glomerulus
Knot of capillaries within a glomerular (Bowman’s) capsule.
Collects the fluid filtered from the glomerulus
What is the function of the glomerular capsule?
Proximal convoluted tubule, nephron loop, and distal convoluted tubule
What are the three parts of the renal tubule?
Cortical and juxtamedullary nephrons
What are the two types of nephrons?
Cortical nephrons
Located in the cortex; most nephrons.
Juxtamedullary nephrons
Boundary of the cortex; dip deep into the medulla.
Various capillary beds
What are nephrons associated with?
Glomerulus, peritubular capillary bed, and vasa recta
What are the three capillary beds associated with nephrons?
Peritubular capillary bed
A network of capillaries surrounding the renal tubules.
Vasa recta
Straight capillaries associated with the nephron loops of juxtamedullary nephrons.
Juxtamedullary nephrons only
Which type of nephron has the vasa recta?
The nephron loop
Which nephron structure is associated with the vasa recta?
Podocytes
Specialized cells that wrap around glomerular capillaries and help form the filtration barrier.
Afferent arteriole
What blood vessel brings blood INTO the glomerulus?
Efferent arteriole
What blood vessel carries blood AWAY from the glomerulus?
A cortical radiate artery
Where does the afferent arteriole come from?
High pressure pushes fluid and small solutes into the glomerular capsule
Why is pressure important in the glomerulus?
Filtrate
What is the filtered fluid called?
Glomerular filtration rate
The amount of fluid filtered by the kidneys per minute.
Approximately 125 mL/min
What is the normal GFR?
Approximately 180 liters per day
How much filtrate is produced per day?
High blood pressure within the glomerular capillaries
What causes filtration in the glomerulus?
Tubular reabsorption
The movement of substances from the renal tubules back into the blood.
Into the peritubular capillaries
Where do reabsorbed substances go?
The efferent arteriole of the glomerulus
Where do peritubular capillaries come from?
They cling closely to and surround the renal tubules
Where are peritubular capillaries located?
Reabsorb substances from the renal tubules back into the bloodstream
What is the function of peritubular capillaries?
From the tubules → into the peritubular capillaries → back into the blood
What is the direction of tubular reabsorption?
Useful
The peritubular capillaries reabsorb _____ substances.
Water, glucose, amino acids, and ions
What useful substances do the peritubular capillaries reabsorb?
Proximal convoluted tubule
Where does most tubular reabsorption occur?
Some is passive, but most is active
Is tubular reabsorption passive or active?
Passive reabsorption
Movement of substances without using cellular energy (ATP).
Active reabsorption
Movement of substances that requires cellular energy (ATP).
Because they are useful substances the body needs
Why does the body reabsorb glucose and amino acids?
To return useful substances from the filtrate back into the bloodstream
What is the main purpose of tubular reabsorption?
Tubular secretion
Movement of materials from the peritubular capillaries into the renal tubules.
Potassium, hydrogen ions, choline, creatinine, and penicillin
What are some of the substances secreted during tubular secretion?
They move toward the ureter
Where do materials left in the renal tubule go?
Collecting duct
What receives urine from many nephrons?
The medullary pyramids
Where do collecting ducts run through?
Into the calyces and renal pelvis
Where do collecting ducts deliver urine?
Glomerular filtration, reabsorption, secretion, and excretion
What are the four basic renal processes?
Glomerular filtration
Movement of fluid and small solutes from the glomerulus into the glomerular capsule.
Tubular reabsorption
Movement of useful substances from the tubules into the peritubular capillaries.
Tubular secretion
Movement of substances from the peritubular capillaries into the renal tubules.
Excretion
The removal of urine and waste from the body.
Amount of substance excreted = amount filtered + amount secreted – amount reabsorbed
What is the formula for excretion rate?
1 to 1.8 liters
How many liters of urine are produced in 24 hours?
95% water and 5% solutes
What percent of water and solutes is urine?