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76 Cards in this Set

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  • Back
What are the functions of the urinary system?
1. Excretion 2. Regulates BP and blood volume. 3. Regulates ion conc. of blood. 4. Regulates Ph level 5. Regulates RBC production. 6. Regulates Vit D synthesis
Urinary system regulates pH in what part of the body?
Extracellular fluids.
How does the Urinary system regulate RBC production?
By secreting the hormone Erythropoieten.
What is the formula for urine?
(Filtration + Secretion) - Reabsorption
What are the three important processes of the urinary system?
Filtration
Secretion
Reabsorption
The medulla separates into what?
Renal pyramids.
What structure does the work of the kidney?
The nephron
What is the site of urine formation?
The nephron.
Most of the structure of the kidney is made of what?
The cortex.
How many nephrons are in one kidney?
1.5 million
What is a capillary network located inside the bowmans capsule?
Glomerulus
The loop of henle is composed of what three things?
Thin descending limb
Thin ascending limb
Thick ascending limb
What are the two types of nephrons?
Cortical and Juxtamedullary
What kind of loop of henle does the cortical nephron have?
Short one
What kind of loop of henle does the juxtamedullary nephron have?
Long one
The nephron leads to what?
The excretory ducts.
The nephron is composed of what 6 things?
Renal corpuscle
Bowmans capsule
Glomerulus
Proximal convoluted tubule
L of H and Distal convoluted tubule.
What are the collecting ducts or excretory ducts?
They drain the nephron. They are at the end of the DCT.
What do afferent arterioles do?
They bring blood into the glomerulus.
What is the glomerulus and what does it do?
It's a capillary bed that sits in the bowmans capsule. It is the site of blood filtration.
What do efferent arterioles do?
Take blood away from glomerulus.
The efferent arterioles branch into __________.
Capillaries called peritubular capillaries.
The peritubular capillaries surround what?
Proximal and distal convoluted tubules.
What is the vasa recta?
Specialized branches of peritubular capillaries.
The vasa recta extend to the _______ and surround ________.
Medulla, loop of henle.
What is filtration?
Removal of substances from glomerula blood.
What is the fluid called that enters the nephron?
Filtrate
How permeable is the membrane of the glomerulus?
VERY permeable.
What is GFR?
Glomerular filtration rate. The amount of filtrate produced each minute.
Normal GFR is ______.
180 L per day.
What is the normal urine production?
1-2 L per day.
What does the filtration membrane exclude?
Blood cells and large proteins.
What is the benefit of the glomerulus BP being so high?
It generates a pressure gradient that forces substances out of blood and into bowmans capsule.
What is reabsorption?
Reclaiming filtered substances.
The substances that are reabsorbed move into ________.
The peritubular capillaries.
How much water is reabsorbed?
97-99%
How much Cl- is reabsorbed?
97-99%
How much K+ is reabsorbed?
Some. It depends on body needs.
What are the other "some" minerals that are reabsorbed?
Mg, HCO3, Sulfate, phosphate, and nitrate.
How much glucose should be reabsorbed?
100%- none should remain in urine.
How much protein should be reabsorbed?
100% on small proteins. A person may still have a small protein level in urine.
How much of vitamins are reabsorbed?
100% unless in excess of what body needs.
Minerals are absorbed by what kind of transport?
Active
What is the most important segment for Na reabsorption?
The proximal tubule.
How much of Na is removed from the proximal tubule by active transport?
70%
What is reabsorbed in the proximal tubule?
Glucose and AA
What areas of the loop have low permeability to Na and Cl?
Descending and ascending limb.
Which area has a low permeability to water?
Thick ascending limb.
Depending on aldosterone, what things are reabsorbed in the convoluted tubule?
Na, Cl, HCO3, and H2O
The collecting duct is permeable to H2O under what circumstances?
If ADH is present.
Where does secretion occur?
In distal tubule and collecting tubule.
Why is secretion done at the beginning of collecting ducts?
To maximize the secretion.
What kind of substances are secreted?
Ammonia, K+, and H+
How does the body get rid of ammonia?
It binds to glutamic acid. The ammonia is excreted and the glutamic acid stays in the body.
The limbs of the loop of henle are connected by what?
Interstitial tissue.
GRF calculation
GFR = M/P
M=
Mass of creatinine excreted over time.
P=
Plasma concentration of creatinine.
Micturition is also known as?
Urination
Total bladder volume is?
500ml
Threshold is?
200-300ml
When pressure receptors in bladder detect stretch, AP's are sent where?
To the spinal cord and then to the brain.
Signals to the brain tell the urethral sphincter to ________.
Relax
What part of the brain makes the conscious decsion to void?
The cerebral cortex.
What part of the brain makes the unconscious decision to urinate?
The pons and medulla.
How does urine exit the body?
It is squeezed out by muscles of the bladder and abdomen.
What kinds of things can cause urine retention?
Obstruction, tumor, stone, nerve damage or psychological stress.
Where is the drinking center located?
In the hypothalamus.
What two things regulate aldosterone secretion?
Renin and angiotensin.
Renin is an enzyme from the kidney that activates the liver protein called ___________.
Angiotensinogen.
Renin converts angiotensinogen into _____________.
Angiotensin I
Another enzyme converts Angiotnesin I to ______.
Angiotensin II
What does angiotensin II stimulate?
Aldosterone secretion.
Aldosterone increases Na reabsorption in the distal convoluted tubule. This leads to?
Increase in H2O, blood volume and BP.
When aldosterone is not present, what happens?
Decrease in water to the urine.
What stimulates renin secretion?
A sudden decrease in BP.