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47 Cards in this Set

  • Front
  • Back

Function of Urinary System

- excretion of metabolic waste


-maintenance of water-salt balance


-maintenance of acid-base balance


-secretion of hormones

Nitrogenous wastes

-Urea


-Creatinine


-Uric Acid

Urea

- by product of amino acid metabolism


-ammonia from the liver combines with CO2 to form urea

Creatinine

- by product of creatine phosphate breakdown

Uric Acid

-by product of breakdown of nucleotides


-build up causes gout

Maintenance of Water-Salt Balance

- blood volume is associated with salt balance


- salt causes osmosis into the blood, more water= higher blood pressure


- kidneys regulate blood pressure through water and salt regulation


-regulates potassium, bicarbonate and calcium ions

Maintenance of Acid-Base Balance

- kidneys maintain acid base balance of the blood by keeping the urine pH level normal (6)


- does this by excretion of hydrogen ions and reabsorption of bicarbonate


-urine pH is around 6 due to high acid diet

Secreted Hormones

-Renin


-Erythropoietin

Renin

-released by kidney, which leads to the secretion of aldosterone from the adrenal cortex


-aldosterone promotes the reabsorption of sodium ions

Erythropoietin

- secreted by the kidneys when oxygen level is low


-stimulates red blood product which activates vitamin D for calcium absorption

Kidneys

- located in lumbar regions


- behind peritoneum


- covered by a tough capsule


- concave side of the kidney is called the hilum, where the renal artery and vein are located

Ureters

- conduct urine from kidney to bladder


- 3 layered wall; mucosa, smooth muscle, outer connective tissue


- conveys urine by peristalsis

Bladder

-stores urine


-expandable due to the structure: middle layer of circular muscle, 2 layers of longitudinal muscle


-lined with transitional epithelium

Internal Sphincter

-one of two sphincters in the bladder


- smooth muscle


- around the opening of the urethra


- involuntary control

External Sphinctor

-one of two sphincters in the bladder


- composed of skeletal muscle


-voluntary control

Urethra

- conducts urine out of the body


- short in females, more likely for urinary tract infections


- in males, associated with the prostate gland, connected with the reproductive system

Urination

- when bladder fills up to 250mL, the receptors in the wall stretch


- stretching sends impulses to the spinal cord


-motor nerve impulses from the spinal cord causes the bladder to contract, then micturition occurs

Micturition

-emptying of the bladder

Overriding urination

- in older children and adults, brain controls the micturition reflex, which can delay urination till appropriate

Nephron

- functional unit of the kidney


- approx 1 million nephrons


- composed of a system of tubules, which provides them their own blood supply


-regulates the concentration of water and solutions of waste materials by filtering the blood

Glomerular Capsule

- cuplike structure


- surrounds glamorous at beginning of nephron


- inner layer is lined with special cells called podocytes that cling to the glomerular capillaries and form pores for passage of small molecules

Glomerulus

-capillary network within glomerular capsule of a nephron


-location of glomerular filtration


-afferent arterioles leads into the glomerulus


- blood leaves by efferent arteriole

Proximal Convoluted Tubules

-region of nephron near the glomerular capsule --lined with cuboidal epithelial cells packed with microvilli which increase the surface area for reabsorption

Loop of Henle

-U shaped tube


-lined with simple squamous epithelium


-conducts urine within each nephron


-reabsorbs water and important nutrients in the filtrate


-extends to the medulla

Distal Convoluted Tubules

-lined with cuboidal epithelial cells but no microvilli, so does not reabsorb


-helps molecules from the blood into the tubule


-DCT of several nephrons enter one collecting duct

Collecting Ducts

-carry urine to the renal pelvis

Renal Vein

- branch off the inferior vena cava


- carry deoxygenated blood from the kidneys to the heart



Renal Artery

- branch off from the aorta into the kidneys


- carries blood from the heart to the kidneys

Capillary Network

-recieves blood from the efferent arteriole


-surrounds the nephron


- then blood goes into the venule that joins the renal vein

Cortex

-Outer region of the kidney


-contains 1 million blood filtering nephrons

Renal Pelvis

- collects urine from the nephrons, carried by the collecting ducts


-narrows into the upper end of the ureters

Glomerular Filtration

-blood enters glomerulus from afferent arteriole


- high blood pressure causes water and small molecules to be filtered in to the glomerular capsule


- large molecules will not be able to pass through the capillary wall


-Filtered: water, nitrogenous wastes, salt


-Not Filtered: blood cells, plasma

Glomerular Filtrate

- composed of the same substance as blood plasma, minus the cells and large plasma proteins


-remaining processes must reabsorb desirable substance and allow wastes to pass

What is reabsorbed into the blood stream?

-Reabsorbed: most water, nutrients, required salts


-not reabsorbed: some water, nitrogenous waste, excess salts



What are the 3 steps of water being reabsorbed?

1. Reabsorption of salt


2. Establishment of solute gradient


3. Reabsorption of Water

Reabsorption of Salt

-99% of sodium filtered is reabsorbed


-67% reabsorbed by PCT, 25% by ascending limb of loop of Henle, rest by collecting duct and DCT

Established of a Solute Gradient

-salt diffuses out of lower part of ascending limb of loop of Henle


- upper part of ascending limb transports more salt out


-creates high osmotic pressure in the medullary tissue, contributed by urea which leaks from the the lower collecting ducts


-end result- concentration gradient favouring reabsorption of water



Reabsorption of Water

- water leaves the DCT because of gradient


-water also leaves the descending limb of loop of Henle


- filtrate enters collecting ducts, this fluid is isontic to the cells in the renal cortex


- filtrate passes down collecting duct encountering high osmotic gradient again


- water diffuses out of collecting duct, and urine in the duct becomes hypertonic to blood plasma

Diuretic

-chemicals that increase urine flow




Diuretic Examples

Alchol- shuts off ADH (hormone that increases water absorption, so less urine), dehydration causes hangover


Caffeine- Increases glomerular filtrate rate, decreases tubular reabsorption of sodium


Diuretic Drugs- inhibit active transport of sodium at loop of Henle or DCT

Hemodiaylsis

artificial kidney machine or continous ambulatory peritoneal dialysis

How successful are kidney transplants?

97% success rate when received from a related, 90% from non relative

Diabetes, hypertension, inherited condition

-caused by progressive renal disease

Kidney Stones

-caused by UTI, enlarged prostate, pH imbalance, indigestion of too much calcium

Cystitis

inflammation of bladder

Pyelonephritis

infection of kidneys

Urethritis

inflammation of urethra