Additional Material Testable on Final Flashcards
Urinary System (Structures)
-Kidney’s (2)
-Ureters (2)
-Bladder
-Urethra
Urinary System (Functions)
- Regulation of volume & composition of body fluids
- Regulation of electrolyte/ion balance
- Regulation of acid-base (pH) balance
- Hormone production & secretion
- Waste excretion
- Regulation of blood glucose levels
Regulation of the volume & composition of body fluids (Maintenance of normal body fluid levels is important for)
Maintenance of normal body fluid levels is important for:
-Maintaining normal cell volume
-Normal function of cardiovascular system
Urinary system does this by:
-Regulating excretion of water & NaCl
-Enzyme secretion (renin) which results in water retention
*Retaining water INCREASES blood pressure
*Elimination water DECREASES blood pressure
Maintenance of normal body fluid levels is important for?
-Maintaining normal cell volume
-Normal function of cardiovascular system
Urinary system maintains body fluid levels by?
-Regulating excretion of water & NaCl
-Enzyme secretion (renin) which results in water retention
Retaining water _______________ blood pressure
INCREASES
Elimination water______________ blood pressure
DECREASES
Regulation of Electrolyte/Ion Balance (Urinary System regulates several important ions including (but not limited to)
Urinary System regulates several important ions including (but not limited to):
-Hydrogen (H+)
-Sodium (Na+)
-Potassium (K+)
-Calcium (Cl2+)
-Chloride (Cl-)
-Bicarbonate (HCO3-)
-Phosphate (PO43-)
*If intake exceeds excretion, amount of that electrolyte in body increases
*If excretion exceeds Intake, amount of that electrolyte in body decreases
If intake exceeds excretion, amount of that electrolyte in body ______________.
Increases
If excretion exceeds Intake, amount of that electrolyte in body _______________.
Decreases
Regulation of Acid-Base (PH) Balance
-Many functions of body are very sensitive to pH therefore it must be maintained within strict homeostatic limits
-Kidneys play key role in regulating acid-base balance
-Kidneys regulate it by excreting hydrogen ions (H+) & reabsorbing bicarbonate
Hormone Production & Secretion (Kidney’s Secrete)
Kidney’s Secrete:
-Erythropoietin
-Calcitriol
-Renin
Hormone Production & Secretion *Erythropoietin
Stimulates red blood cell production
Hormone Production & Secretion *Calcitriol
Active form of vitamin D
Hormone Production & Secretion *Renin
enzyme that activates renin-angiotensin-aldosterone system (helps in regulation of blood pressure & NA+ & K+ balance)
Waste Excretion
-Kidney excrete metabolic by-products that are not needed by the body
-Formation and elimination of urine
which contains:
-Ammonia & urea
-Bilirubin
-Uric acid
-Creatinine
-Medications, toxins
Ammonia & Urea
Waste products from protein metabolism
Bilirubin
Waste product from breakdown of hemoglobin
Uric Acid
Waste product from breakdown of nucleic acids
Creatine
Waste product from skeletal muscle
Regulation of blood glucose levels
-With hypoglycaemia, kidneys can produce & release glucose into blood stream
Kidneys
-Retroperitoneal
-Located between T12 & L3, partially protected by ribs 11 & 12
-Renal Cortex: Superficial Layer
-Renal Medulla: Inner Portion
-Nephron: Functional unit of the kidney
Has 3 parts:
-Proximal Convoluted Tubule (PCT)
-Loop of Henle (nephron loop)
-Distal Convoluted Tubule (DCT)
-Renal artery & vein
-Kidneys get 20-25% of resting CO
Renal Cortex
Superficial Layer of Kidney
Renal Medulla
Inner Portion of Kidney
Nephron
Functional unit of kidney
Nephron has 3 parts
-Proximal Convoluted Tubule (PCT)
-Loop of Henle (nephron loop)
-Distal Convoluted Tubule (DCT)
Urine production & Flow (Blood flow)
-Blood enters kidney (renal artery) & branches into smaller and smaller vessels
-Afferent arteriole leads into glomerulus
-Glomerulus: A tangled ball-like network of capillaries (pl. glomeruli)
-At level of glomerulus, water & solutes in blood plasma are filtered through capillary walls, into glomerular (Bowman’s) capsule space & into renal tubule
-Blood flows out of glomerulus into efferent arteriole
-Efferent arteriole leads to another capillary network - peritubular capillaries
-Peritubular capillaries merge to ultimately form renal vein which leaves kidney
Glomerulus
Tangled ball-like network of capillaries (pl. glomeruli)
Urine production & Flow (the Glomerulus)
-At level of glomerulus, water & solutes in blood plasma are filtered through the capillary walls, into glomerular (Bowman’s) capsule space & into renal tubule
-Fluid enters capsular space is called glomerular filtrate
As filtered fluid moves along the renal tubule & connecting duct:
-Most of the water & usful solutes are reabsorbed & returned to blood in peritubular capillaries
-Wastes are drawm from peritubular capillaries & are secreted into fluid for removal from body
-Urine: fluid produced by kidneys that contains wastes & excess materials
Urine
fluid produced by kidneys that contains wastes & excess materials
Glomerular is also known as?
Bowmans
Glomerulr Filtration Rate (GFR)
-Amount of filtrate formed per min
-GFR is indicator of kidney function
-GFR is fairly constant under normal conditions
-Increased GFR = Increased urine production
-Decreased GFR = Decreased urine production
Fluid enters the capsular space is called ____________
Glomerular Filtrate
Increased GFR = _________________
Increased urine production
Decreased GFR = _________________
Decreased urine production
Regulation of GFR
In general, body will regulate GFR by:
-Adjusting blood flow into and out of glomerulus
-Altering capillary surface area available for filtration
There are 3 ways the body controls GFR
- Renal auto-regulation
- Neural regulation
- Hormonal regulation
Renal Auto-Regulation of GFR
-Myogenic Mechanism
-Tubuloglomerular Feedback
Myogenic Mechanism
-Increase in BP Increases renal blood flow which increases GFR
-Stretches walls of afferent arterioles
-Stretching triggers contraction of smooth muscles in walls of afferent arterioles
-Vasoconstiction reduces blood flow & reduces GFR to previous level
-Opposite happens with decrease in BP
Tubuloglomerular Feedback
-Increase in BP increases renal blood flow which increases GFR
-Also increases Na+, Cl-, & water in tubular fluid
-The increased Na+, Cl-, & water in tubular fluid triggers vasoconstriction of afferent arteriole
-Vasoconstriction reduces blood flow and decreases GFR to previous level
-Opposite happens with decrease in BP
Neural Regulation of GFR
-Kidney gets SyNS innervation
-SyNS activation causes vasoconstriction (both afferent & efferent)
-With increasing SyNS activation, vasoconstriction of afferent arteriole is greater which decreases GFR
-This reduces GFR & helps redirect blood flow to other tissues
Hormonal Regulation of GFR
Angiotensin II
-Strong vasoconstrictor (both afferent and efferent)
-Reduces GFR
Atrial Natriuretic peptide (ANP)
-Released by heart in response to atrial stretching (i.e. increased blood volume)
-Increases GFR
Angiotensin II
-Strong vasoconstrictor (both afferent and efferent)
-Reduces GFR
Atrial Natriuretic peptide (ANP)
-Released by heart in response to atrial stretching (i.e. increased blood volume)
-Increases GFR
Hormonal Regulation of Re-Absorbtion & Secretion
-Re-absorbtion & secretion occur once filtrate (fluid that comes out of glomerulus) is formed
-Normally, most water & solutes return to the body & many wastes (H+, ammonium, medications) are secreted onto tubule for elimination
5 hormones affect the re-absorbtion & secretion of water & ions by the renal tubules
- Angiotensin II
- Aldosterone
- ANP
- ADH
- PTH
Renin-Angiotensin-Aldosterone System
-Decreased BP -> Kidneys secrete renin (an enzyme)
-Renin converts angiotensinogen (made by liver) into angiotensin I
-Angiotensin I is converted to angiotensin II at lungs by angiotensin-converting enzyme (ACE)
Angiotensin II:
-Decrease GFR (afferent arteriole vasoconstriction
-Re-absorbtion of Na+ & Cl- ions & water
-Stimulates release of aldosterone
Aldosterone
Increase re-absorbtion of Na+, Cl-, & water
ANP
Increases excretion of sodium and water
ADH
Increases water reabsorption
Parathyroid Hormone
Increases re-absorbtion of calcium
Ureters, Bladder, & Urethra
-Collecting ducts (which receive urine from several nephrons), collect & form larger & larger pathways to level of the ureter (1 from each kidney)
-Peristaltic contractions in ureter move urine to bladder
-Bladder is a hollow muscular organ that sits posterior to pubic symphysis, anterior to rectum, & in females sits inferior to uterus
-Internal urethral sphincter: Controls flow of urine from bladder into urethra
-Urethra: Tube from floor of bladder to exterior
-External urethral sphincter: Part of pelvic floor mm., controls flow of urine out of urethra
Internal Urethral Sphincter
Controls flow of urine from bladder into urethra
Urethra
Tube from floor of bladder to exterior