URINARY SYSTEM

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URINARY SYSTEM Overview

  • Kidneys maintain the purity and constancy of internal fluids

  • Kidneys filter fluid from the bloodstream, allowing waste to leave the body in urine

  • Kidneys eliminate nitrogenous wastes, toxins, and drugs

  • Other regulatory functions of kidneys include controlling blood pressure and fluid balance, stimulating red blood cell production, and converting vitamin D to its active form

Organs of the Urinary System

  • Ureters: carry urine from the kidney to the urinary bladder

  • Urinary bladder: stores urine

  • Urethra: carries urine from the bladder to the exterior

Kidney's Structure

  • Kidneys are located against the dorsal body wall in the superior lumbar region

  • Each kidney is about 12cm long, 6cm wide, and 3cm thick

  • Kidney has a renal hilum, where blood vessels and nerves enter and exit

  • Sitting atop each kidney is an adrenal gland

  • Kidney has three protective layers: fibrous capsule, perirenal fat capsule, and renal fascia

Homeostatic Imbalance

  • Ptosis can cause problems if the ureters become kinked, leading to hydronephrosis (swelling of the kidney due to a build-up of urine)

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Kidney's Structure (continued)

  • When the kidney is cut lengthwise, three distinct regions become apparent: renal cortex, renal medulla, and renal pyramids

  • Renal cortex is the outer portion responsible for filtration of urine

  • Renal medulla is the interior portion responsible for filtering waste materials and eliminating fluid

  • Renal pyramids transport urine from the outer part of the kidney

  • Renal columns allow the cortex to be better anchored

  • Renal pelvis is a funnel for urine flowing to the ureter

Blood Supply

  • Approximately one-quarter of the total blood supply in the body passes through the kidneys each minute

  • Blood supply to the kidneys includes renal artery, segmental arteries, interlobar arteries, arcuate arteries, cortical radiate arteries, cortical radiate veins, arcuate veins, and interlobar veins

NEPHRONS

  • Nephrons are the structural and functional units of the kidneys responsible for forming urine

  • Each nephron consists of a renal corpuscle and a renal tubule

  • Renal corpuscle includes a glomerulus and a cup-shaped structure called Bowman's capsule

  • Podocytes are highly modified cells in the inner layer of the capsule that support the structure and function of the glomerulus

  • Renal tubule is about 3cm long and consists of different regions, including the proximal convoluted tubule and the nephron loop

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Distal Convoluted Tubule (DCT)

  • Receives urine from the glomerulus.

  • Secretion of wastes and ions takes place in the DCT.

  • Cortical nephrons, glomeruli, proximal and distal convoluting ducts, and loops of Henle stay limited to the cortex.

  • Juxtamedullary nephrons extend into the medulla.

    • Most nephrons are cortical nephrons located within the cortex.

    • Filtrate passes through the thick ascending limb of Henle and enters the DCT.

    • DCT reabsorbs calcium, sodium, and chloride and regulates urine pH by secreting protons and absorbing bicarbonate.

    • Juxtamedullary nephrons are situated close to the cortex medulla junction and their nephron loops dip deep into the medulla.

Collecting Ducts

  • Final component of the kidney that influences the body's electrolyte and fluid balance.

Afferent Arteriole

  • Brings blood to the glomerulus.

Efferent Arteriole

  • Takes blood away from the glomerulus.

Peritubular Capillaries

  • Vasa recta.

  • Long, hairpin-shaped set of blood vessels that run next to the loops of Henle.

  • Functions as an osmotic exchanger for the concentration