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Functions of the kidneys
Filter blood and excrete waste
Regulate blood volume and blood pressure
Regulate electrolyte and acid-base balance
Secrete erythropoietin
Erythropoietin
Hormone excreted by kidneys to stimulate the production of RBCs
Anatomy of kidney
Renal capsule - surrounds entire kidney to hold its shape the
Hilum - Where renal artery and renal vein connect. Also where ureter exit.
Renal cortex - Around outside of middle. Form outer 1 cm and renal columns.
Renal medulla - Middle. Divided into pyramids.
Urine is produced more in the cortex but is drained into the pyramids to their point, and then out the ureter.
Renal capsule
surrounds entire kidney to hold shape
Hilum
Where renal artery and renal vein connect. Also where ureter exit.
Renal cortex
Around outside of middle. Form outer 1 cm and renal columns.
Renal medulla
Middle. Divided into pyramids.
Nephron
Microscopic unit of kidney; unit of urine production. Each kidney has about 1.2 million. 2 parts - Renal corpuscle and renal tubules
Renal corpuscle
The body of blood vessels. 2 parts - Glomerulus and glomerular capsule
Glomerulus
Cluster of bv in nephron. Surrounded by capsule. Filters out substances from blood.
Glomerular capsule
Catches filtrate (preurine)
Renal tubules
Tubes of a nephron. Contains - proximal convoluted tubule, nephron loop, distal convoluted tubule, and collecting duct.
Nephron Loop
Big U shaped loop in the middles of tubules
Proximal convoluted tubule (PCT)
The tubes with a lot of twists and turns close to the bundle of bv
Distal convoluted tubules (DCT)
The tubes with a lot of twists and turns farther away from the bundle of bv
Collecting duct
Collects all stuff from about 12 different nephrons and continues urine formation.
Steps of urine formation
Filtration (Corpuscle) takes substances from blood → filtrate
Reabsorption (PCT, Loop, DCT) filtrate → blood
Secretion (PCT, Loop, DCT) blood → filtrate
Water conservation (Collecting duct) filtrate → blood
Last filtrate is what urine is. Once it reaches the collecting duct, urine is not changed. Only transported!
Ureters
Transports urine. 2 Muscular tubes that run from the kidneys to the bladder. Empty about every 30 seconds.
Bladder
Stores urine. Muscular sac that lies behind the pubic symphysis. Smooth muscle that we do not control.
Urethra
Transports urine out of the body. Different lengths between males and females because males have a prostate and penis that it goes through.
Why are UTIs more common in females?
Female urethra is so short so it’s easier for bacteria to travel. Female urethra is also close to the anus.
Urine should not contain…?
Blood, WBCs, glucose, and proteins
Characteristsic of urine
pH can range from 4.5-8.2 but average is 6.0. Output is around 1-2 liters per day.
Hematuria
Abnormal presence of blood in urine
Polyuria
Excess output of urine
Oliguria
Low output of urine
Fluid gains
Driven by thirst.
But also metabolic water, food, and drink
Fluid losses
Primary through urine.
But also feces, expires air, subcutaneous transpiration, and urine.
How many ureters does a person have?
2
What is the area of a kidney where the blood vessels enter/exit and the ureter exits?
hilum
Which part of urine formation happens in the glomerulus?
filtration
Which tube carries urine from the bladder out of the body?
urethra