A & P (Ch. 42-46) Flashcards
Structure of Urinary System
- kidneys (2)
- ureters (2)
- bladder
- urethra
Are the kidneys intraperitoneal or retroperitoneal?
-retroperitoneal
Which kidney is higher?
-left
Which kidney is larger?
-left
Renal Fascia
-anchors kidneys to surrounding structures
Renal Fat Pad
-cushion of fat surrounding each kidney
Hilum
-concave notch in an organ where vessels and other structures enter
Renal Cortex
-outer portion
Renal Medulla
-inner portion
Renal Pyramids
-triangular divisions of medulla
Renal Papilla
- narrow, innermost end of pyramid
- releases urine through multiple ducts
Renal Columns
-where cortical tissue dips into medulla between pyramids
Calyces (major and minor)
- cuplike structure
- collects urine from renal papilla
- minor calyces flow into major calyces
Renal Pelvis
-expansion of upper end of ureter
What do renal arteries branch into before entering the kidney?
-segmental arteries
What do the segmental arteries branch into?
-lobar arteries
What do lobar arteries branch into?
- interlobar arteries
- extend towards cortex
Which arteries extend towards the renal cortex and form the arcuate arteries?
-interlobar arteries
What do the arcuate arteries branch into?
-interlobular arteries
What is the microscopic unit of the kidneys?
-nephron
What are the afferent arterioles that carry blood to the nephrons?
-afferent arterioles
How long are the ureters?
30cm
Where do the ureters run from?
-renal pelvis to bladder (trigone)
3 Layers of Ureters
1) mucus lining
2) muscular wall (peristalsis)
3) fibrous outer layer
Wall of Urinary Bladder
- smooth muscle
- fibres in all directions
Rugae
-folds in the mucus membrane of stomach
Trigone
- 2 ureters
- 1 urethra
Where is the bladder in females?
-anterior to uterus
Where is the bladder in males?
-rests on prostate
Function of Bladder
- reservoir for urine
- expels urine (aided by urethra)
Where does the urethra run from?
-floor of bladder to urinary meatus
What does the mucous membrane of the urethra allow for?
-UTI’s to move up
How long is the female urethra?
3cm
Male Urethra
- 20cm
- also part of reproductive system
- passes through prostate gland
Micturition
-aka: urination, voiding, emptying the bladder
At what volume does urination usually occur?
300 to 400 ml
How much urine can the adult bladder hold?
500 to 1000 ml
Urinary Retention
-urine produced in kidneys, but not voided from bladder
Urinary Suppression
-no urine produced in kidneys, but bladder is normal
Incontinuence
- urine voided involuntarily
- may be caused by spinal injury, stroke or age related
- can be treated
- may cause cystitis
Cystitis
- bladder infection
- amounts voided are small
- extreme urgency/frequency
- painful urination
Intestinal Cystitis
- overactive bladder
- not due to infection
- extreme urgency/frequency
- amounts voided are small
- can be treated
Nephron=
renal corpuscle + renal tubule
What does the nephron do?
-filters blood
How many nephrons are in each kidney?
-greater than 1 million
2 Main Parts of a Nephron
- renal corpuscle
- renal tubule
What is the 1st part of the nephron?
-renal corpuscle
Bowman’s Capsule
- cup shaped mouth of nephron
- surrounds glomerulus
Glomerulus
- network of very fine blood capillaries
- high BP in glomerural capillaries required to filter wastes of blood
Walls of Nephron
-simple cuboidal and simple squamous epithelium
Where does a nephron run from?
-renal corpuscle to collecting tubule
What regulates tubule function and growth?
-cilia
Renal Tubule=
proximal convoluted tubule \+ loop of henle \+ distal convoluted tubule \+ collecting tubule
Proximal Convoluted Tubule
- 1st segment off of bowman’s capsule
- twisty tube
Henle Loop
- thin distending limb with a hairpin turn, then ascending limb
- affects concentration of urine
Distal Convoluted Tubule
- last segment
- twisty tube
- contracts juxtaglomerural apparatus
- joins collecting tubule
Collecting Tubule
-straight extension of the renal tubule of several nephrons (minor calyx)
Which nephron components are in the medulla?
- loop of henle
- collecting tubule
Which nephron components are in the cortex?
- renal corpuscle
- proximal convoluted tubule
- distal convolutes tubule
Flow of Urine from Nephron to Urethra
- collecting tubules
- pyramids
- calyx
- renal pelvis
- ureter
- bladder
- urethra
3 Step Process of the Formation of Urine
1) filtration
2) reabsorption
3) secretion
What is the 1st step of the formation of urine?
-filtration
Where does the filtration of urine happen?
- renal corpuscle
- continually happening
What is the normal glomerural filtration rate?
125ml/min
180L glomerural filtrate/day
What is the 2nd step in the filtration of urine?
-reabsorption
Reabsorption
-movement of substances out of filtrate/urine to blood
How does reabsorption occur?
-passive and active transport
Which direction does absorption of urine happen?
-renal tubules to peritubular capillaries
What does reabsorption prevent?
-loss of substances that the body needs
What substances are reabsorbed via active and passive transport?
- water
- glucose
- amino acids
- urea Na+
- Cl-
Where does reabsorption occur?
- proximal convoluted tubule (mostly)
- some in the renal tubules
How is water from the 180L/day of glomerural filtrate reabsorbed into the blood?
-osmosis from proximal tubules
What is the 3rd step of the formation of urine?
-secretion
What is secretion?
- opposite of reabsorption
- movement of substances from blood into peritubular capillaries (urine forming in distal and collecting tubules)
How are H+ and K+ secreted?
-active transport
How is ammonia secreted?
-diffusion
The secretion of ___ is critical for pH (acid/alkaline) balance.
H+
What does the regulation of urine volume depend on?
-the amount of water and dissolved substances (salt) reabsorbed by convoluted tubules
What influences the regulation of urine volume?
- antidiuretic hormone (ADH)
- aldosterone
- atrial natriuretic hormone (ANH)
What does ADH influence?
- water absorption
- retains water (reduces water loss)
- decreases urine volume
Where is ADH produced?
-hypothalamus
What secretes ADH?
-posterior pituitary
What is aldosterone secreted by?
-adrenal cortex
Where is ANH (atrial natriuretic hormone) secreted?
-by atrial wall
What does ANH stimulate?
- tubules to secrete more sodium into urine
- water follows
- increased urine formation
ANH
-salt and water LOSING hormone
Aldosterone
-salt and water RETAINING hormone
What % of urine is water?
95%
How many litres of urine are excreted each day (24hrs)?
1-2 L
What colour should urine be?
- amber yellow
- clear (not cloudy)
What is the normal pH or urine?
6 (changes with diet)
Normal Characteristics of Urine
- amount
- colour/clarity
- pH
- specific gravity
What is the normal specific gravity (chemical particles) in urine?
1.005 to 1.030
What does a measurement outside of the normal specific gravity of urine indicate?
- dehydration
- diabetes
- heart or kidney failure
- infection
Anuria
-absense of urine
Oliguria
-small amounts of urine
Polyuria
-lg amounts of urine
What does functioning of the reproductive system ensure?
-survival of the genetic characteristics of a species
Male and female parented contribute ___ of their genetic material to create offspring.
-half
What is the function of the male reproductive system?
-to produce, transfer and introduce mature sperm into the female reproductive tract where fertilization can occur