24 Urinary System Flashcards
Study of urinary stystem
urology/nephrology
Kidneys (excretory organ) “renal”
balance H2O, electrolytes, sodium, located in high in abdominal cavity, anchored to posterior abdominal wall, protected partially by ribs, and layer of fat
Indentation where ureter and blood vessels join kidney
Hilus
Collects urine and channels it down into ureter
Pelvis
20%-25% of blood is sent to kidneys for
Filtration, through renal artery and renal vein
Sympathetic nerves enter kidney and control
blood flow; vasoconstrict= decrease in urine formation
Urin flows downward by
peristalsis/gravity
Kidney stones blocking ureter=
urine backflow=swelled up kidneys=damage
Bladder
1 L; base of abdominopelvic cavity; has pleats-rugae;smooth muscle-detrusor muscle squeezes urine out urethra
Area of bladder prone to infection
Trigone
Release of urine
stretch receptors->spinal chord-> impulse-> detrusor muscle contracts -> relaxes internal spincter-> voluntary control over external sphincter
Urinary retention/urinary incontinence
Inability to void or to empty the bladder
Urethra
Expels urine, males-reproductive/urinary; females-urinary only
Flow of fluid out of glomerulus
Blood pressure forces fluid out of glomerulus into capsule->tubule after collecting duct-> renal pelvis
Flow of fluid out efferent arteriole
efferent arteriole-> peritubular capillaries-> venules-> renal vein-> heart
Formation of fluid (45 gal/day)
1) Glomerular filtration
2) Tubular reabsorption
3) Tubular secretion
Formation of fluid- Glomerular Filtration
when blood pressure forces fluid out of glomerulus walls of capillary into bowman’s capsule
Glomerulus
acts as strainer, lets water, sodium, chloride pass through, while RBCs and proteins stay in capillary
Formation of Fluid- Tubular Reabsorption
peritubular capillaries reabsorb H2O, Na, Cl->blood through diffusion(^-v concentration) and active transport(atp)
Formation of Fluid- Tubular Secretion
add waste to fluid thats going to be eliminated
Aldosterone
secreted by adrenal cortex, causes sodium to be released from distal convoluted tubule=^blood pressure and volume (corrects v bp/vol)
Release of Aldosterone
Renin activates angiotensinogen to form angiotensin 1, angiotensin converting enzyme changes angiotensin 1 to angiotensin 2 which stimulates the adrenal cortex to release aldosterone
AntiDiuretic Hormone
reabosorb H2O from collecting duct=^Bp/V
No ADH
in diabetes insipidus (pee a lot); polyuria(pee^), polydipsia (^thirst)
Atrial Natriuretic Peptide
decrease in aldosterone, no absorption of sodium or water; corrects ^bp/V
urine excreted
1-1.5 quarts/day
Specific gravity
solute/solution; used to measure concentration of urine; can be concentrated 4x
Proteins getting out of glomerulus
edema(tissues) ascities (abdomen); v proteins= v oncotic pressure= water left out in tissues/abdomen
Nephrotic sydrome
enlargement of pores of glomelular capilaries=proteins leaking of glomerulus
Kidney (renal) failure
kidneys unable to remove toxins from blood (uremia)
Uremia treated by
dialysis that removes impurities in blood; caused by nephrotoxins, antifreeze, e coli