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Urinary System
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creatinine
a waste product of muscle metabolism
urinary tract
consists of two kidneys, two ureters, one bladder, and one urethra
kidneys
constantly filter the blood to remove waste products and excess water, which are excreted as urine, which is 95% water and 5% urea and other body wastes
renal
pertaining to the kidneys
renal cortex
the outer region of the kidney
medulla
inner region of the kidney, and it contains most of the urine-collecting tubules
nephrons
the microscopic functional units of each kidney
reabsorption
the return to the blood of some of the substances that were removed during filtration
glomerulus
each nephron contains a cluster of capillaries, surrounded by a cup-shaped membrane called the Bowman’s capsule, and a renal tubule.
renal artery
blood enters the kidney through here flows into the nephrons
renal vein
filtered blood containing protein and blood cells leaves the kidney and returns to the bloodstream through the
funnel-shaped area inside each kidney that is surrounded by the renal cortex and medulla where the newly formed urine from the nephrons collects before it flows into the ureters
ureters
two narrow tubes, each about 10 to 12 inches long, which transport urine from the kidney to the bladder
urinary bladder
an oval, hollow, muscular organ that is a reservoir for urine before it is excreted from the body
urethra
the tube extending from the bladder to the exterior of the body
urinary sphincters
located at either end of the urethra
urethral meatus
also known as the urinary meatus, is the external opening of the urethra
female urethra
approximately 1.5 inches long, and the urethral meatus is located between the clitoris and the opening of the vagina
male urethra
approximately 8 inches long, and the urethral meatus is located at the tip of the penis
prostate gland
part of the male reproductive system, surrounds the urethra
urination
also known as voiding or micturition, is the normal process of excreting urine
nephrologist
a physician who specializes in diagnosing and treating diseases and disorders of the kidneys
urologist
a physician who specializes in diagnosing and treating diseases and disorders of the urinary system of females and the genitourinary system of males
nephropathy
any disease of the kidney
diabetic nephropathy
kidney disease resulting from poorly controlled diabetes mellitus
renal failure
also known as kidney failure, is the inability of one or both of the kidneys to perform their functions
azotemia
an elevation of the blood urea nitrogen (BUN) caused by a lack of blood flow to each kidney
uremia
also known as uremic poisoning, is a toxic condition resulting from renal failure in which kidney function is compromised and urea and other waste products normally secreted in the urine are retained in the blood
acute renal failure
condition can be caused by the kidneys not receiving enough blood to filter due to dehydration or a sudden drop in blood volume or blood pressure from injury, burns, or a severe infection
chronic kidney disease
the progressive loss of renal function over months or years, may result from diabetes mellitus, hypertension, or a family history of kidney disease
end-stage renal disease
also known as kidney failure, is the final stage of chronic kidney disease, and this condition is fatal unless the functions of the failed kidneys are replaced by dialysis, or with a successful kidne
nephrotic syndrome
also known as nephrosis, is a group of conditions in which excessive amounts of protein are lost through the urine
edema
excessive fluid accumulation in body tissues that can be symptomatic of nephrotic syndrome and other kidney diseases
hyperproteinuria
the presence of abnormally high concentrations of protein in the urine
hypoproteinemia
the presence of abnormally low concentrations of protein in the blood
ectopic kidney
a congenital condition in which one kidney is located in an abnormal position or has fused with the other kidney
hydronephrosis
the dilation (swelling) of one or both kidneys, can be caused by problems associated with the backing up of urine due to an obstruction such as a nephrolith (kidney stone) or a stricture (narrowing) in the ureter
glomerulonephritis
a type of nephritis caused by inflammation of the glomeruli that causes red blood cells and proteins to leak into the urine
pyonephrosis
also known as nephropyosis, is formation of pus in the kidney
polycystic kidney disease
a genetic disorder characterized by the growth of numerous fluid-filled cysts in the kidneys
renal colic
an acute pain in the kidney area that is caused by blockage during the passage of a nephrolith (kidney stone)
renal cell carcinoma
the most common form of kidney cancer in adults
wilms tumor
also known as a nephroblastoma, is a rare type of malignant tumor of the kidney that occurs in young children
stone
also known as calculus, is an abnormal mineral deposit that has formed within the body and is named for the organ or tissue where it is located
nephrolithiasis
describes the presence of stones in the kidney
nephrolith
also known as a kidney stone or renal calculus, is found in the kidney
ureterolith
a stone located anywhere along the ureter
cystolith
a stone located within the urinary bladder
hydroureter
the distention (swelling) of the ureter with urine that cannot flow because of a ureteral obstruction
ureteral obstruction
a blockage of one or both ureters, can be due to congenital abnormality, ureterolith, or other disorders
ureterorrhagia
the discharge of blood from the ureter
cystalgia
pain in the bladder
cystocele
also known as a prolapsed bladder, is a hernia of the bladder through the vaginal wall
interstitial cystitis
a chronic inflammation within the walls of the bladder
vesicoureteral reflux
the backward flow of urine into the ureters from the bladder
vesicovaginal fistula
an abnormal opening between the bladder and vagina that allows constant involuntary flow of urine from the bladder into the vagina
fistula
an abnormal passage between two internal organs
neurogenic bladder
a urinary problem caused by interference with the normal nerve pathways associated with urination
benign prostatic hyperplasia
also known as benign prostatic hypertrophy or an enlarged prostate, is an enlargement of the prostate gland that most often occurs in men older than age 50
prostatism
a disorder resulting from the compression or obstruction of the urethra due to benign prostatic hyperplasia
prostate cancer
one of the most common cancers among men
prostatitis
a group of disorders characterized by the inflammation of the prostate gland
urethrorrhagia
bleeding from the urethr
urethrorrhea
an abnormal discharge from the urethra
urethrostenosis
urethral stricture, is narrowing of the urethra
epispadias
a congenital abnormality of the urethral opening
hypospadias
a congenital abnormality of the urethral opening
urinary tract infection
usually begins in the bladder; however, such an infection can affect all parts of the urinary system
urosepsis
a life-threatening systemic bacterial infection that can occur when a urinary tract infection spreads to the kidneys
recurrent urinary tract infection
cystitis that occurs two or more times in six months, or three or more times a year
cystitis
an inflammation of the bladder
pyelonephritis
an inflammation of both the renal pelvis and kidney
urethritis
an inflammation of the urethra
anuria
the absence of urine formation by the kidneys
diuresis
the increased output of urine
dysuria
difficult or painful urination
enuresis
the involuntary discharge of urine
nocturnal enuresis
urinary incontinence during sleep
nocturia
frequent and excessive urination during the night
oliguria
low urine output
polyuria
means excessive urination and is a common symptom of diabetes
urinary hesitancy
difficulty in starting a urinary stream
urinary retention
the inability to completely empty the bladder when attempting to urinate
incontinence
the inability to control the excretion of urine, feces, or both
urinary incontinence
the inability to control the voiding of urine
overflow incontinence
continuous leaking from the bladder either because it is full or because it does not empty completely
stress incontinence
the inability to control the voiding of urine under physical stress such as running, sneezing, laughing, or coughing
overactive bladder
also known as urge incontinence, occurs when the muscles of the bladder contract involuntarily even though the bladder is not actually full enough to indicate the need to urinate
urinalysis
the examination of urine for the presence of abnormal elements
glomerular filtration rate
a blood test to check how well the kidneys are functioning at filtering blood
bladder ultrasound
the use of a handheld ultrasound transducer to look for stones or for elevation of the bladder by an enlarged prostate and to measure the residual amount of urine remaining in the bladder after urination
cytoscopy
the visual examination of the urinary bladder with the use of a specialized type of endoscope known as a cystoscope
computed tomography
also known as a CT scan, is commonly used to evaluate the urinary system because it can be rapidly performed and provides additional radiographic imaging of the abdomen, which may reveal other potential sources for the patient’s symptoms
cystography
an x-ray or fluoroscopy examination of the bladder after a contrast medium is instilled via a urethral catheter
intravenous pyelogram
a set of x-ray images of the kidneys, ureters, and bladder using an intravenous contrast medium to clearly visualize the structures
KUB (kidneys, ureters, bladder)
an x-ray study without the use of a contrast medium
retrograde pyelogram
an x-ray of the urinary system taken after a contrast medium has been instilled into one or both ureters through a sterile catheter and caused to flow upward through the urinary tract, usually as part of cystoscopy
voiding cystourethrography
a diagnostic procedure in which fluoroscopy is used to examine the flow of urine from the bladder and through the urethra
digital rectal exam
performed on men by using a lubricated, gloved finger placed in the rectum to palpate the prostate gland to detect prostate enlargement and to look for indications of prostate cancer or tumors of the rectum
prostate-specific antigen blood test
used to screen for prostate cancer, measures the amount of prostate-specific antigen that is present in a blood specimen