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32 Cards in this Set

  • Front
  • Back
Excretory Sytem or Urinary Systems organs are:
1. pair kidneys
2. pair of ureters
3. Urinary Bladder
4. Urethra
What do the kidneys do? and why?
Make urine

Why? to create stability of our blood plasma.
We make urine to....
adjust the quality and quantity ouf our plasma.
Who is on the high priority list in maintaining Homeostasis in the body?
Kidneys
Kidneys position?
*very dorsal (making them vulnerable)
*11-12 ribs
*Right Kidney lower
*Ureters too on the doral side
*Bladder sits on the floor of the pelvis.
Kidneys have an indentation to the medial side of them what is that called?
Hilus (all plumming comes from)
Hilus
1. Renal artery
2. Renal vein
3. Ureter
4. Nerve supply
5. lymphatic vessels
Root
all the plumming
Kidneys are surrounded and protected by?
Adipose tissue
Renal Fat or Renal fascia.

If fat were to decrease tremendously as in a starving person, a floating kidney can occur. Kincking vessels and or uretes and can cut off blood flow and uretes can cause extreme pain.
Kidneys are not located in a parietal peritoneum, giving them the name of?
Retroperitoneal
Ureters has two layers of muscle tissue causing the peristalsis to push urine out.
1. Lenght (allow to shorten)

2. Circular (constrict and dilate)
Where is bladder located?
Behind pubic bone, sitting on the floor of the pelvis.

Empty: below level of pubic bone.
Full: above level of pubic bone.
Ureters are connected to the bladder on the..
connect on the postirior side fairly down below.
A triangular are inside the bladder made up of ureters opening and exit of the urethra called?
Trigone
In the urethra you have tow sphicters. The Internal urethral sphicter and the External urethral sphicter. Which one can you control?
The external sphicter wrapped around with sk muscle. Where as the Internal sphincter is wrapped with smooth muscle. NO control over that one.
How do we make the External urethral sphicter work?
by a simple reflex (just like the knee jerk reflex. Called the "Micturition Reflex"
Micturiton Reflex?
Mechanism for emptying bladder. When urine fills bladder stretch receptors in the trigone sends nerve impulses through (Afferent fibers) synapsing to (Efferent fibers ) Motor neurons in the sacral segment of spinal cord and back to the muscle tissue making it contracts.
If spinal cord injury is in the sacral region will the bladder empty or become paralyze?
paralyze (won't empty)
Notice Afferent fibers goes up to the CNS too! What does this cause?
The urge to void (urinate). You decide when you are ready and when you are, impulses will go down brain stem, sc, synapsing to a motor neuron out to the bladder sending messages to the External urethral sphicter.
who sends the impulse to go up to the brain to make you feel the urge to void?
External urethral sphicter.
If pt has a SCI above the sacral segment will the bladder empty?
Will the pt be continent? (control of urge_?
YES!

b/c reflex is intact. But pt will not be continent b/c impulse will be disconnected from the brain and have no control over External urethral sphicter.
Inside the kidney consist of two parts?
1. Renal cortex (superficial outer layer)

2. Renal Medulla
Renal Medulla consist of two parts?
1. Pyramid (dark texture and lighter texture)

2. Columns (ligher shapes bt pyramid ) "very vascular"
Renal lobe?
pyramid--cortex--column
Nephron?
Renal tubules

basic functional unit of the kidneys.
Blood Vessels of Kidney?
Renal artery--Interlobar arteries--Arcuate arteries--Interlobular arteries--NEPHRON--Interlobular veins--Arcuate veins--Interlobar veins--Renal vein--- Inferior Vena Cava
Nephron
*3-4 cm long
* one layer (simple cuboidal epi)
*3 million of nephrons
*each one of them makes urine
Inside Bowman's Capsule is the microcirculation. What is it?
Bowman's capsule--Afferent aterioles--glomerular capillaries--Efferent arterioles---out to peritubular capillaries
podocytes?
Cells that wrap aroud hte capillaries of the glomerulus to change the degree of (capillary filtration)>?
Efferent arterioles what does it do?
make capillary leak out like mad (like kinking a water hole)
Filtrate will go down the nephron. What are the names from beggining to end.
Bowman's capsule--PCT--Descending limb of loop of Henle--Ascending limb of loop of Henle--DCT--Collecting Duct
Two different type of Nephrons?
1. Cortical nephron
2. Juxtamedullary nephron
(longer look and concentrates or urine).