Anatomy and Physiology Flashcards
What are the organs of the GU system?
- Two Kidneys
- Two ureters
- Bladder
- Urethra
What are the functions of the kidneys?
- Regulate ion levels in the blood
- Regulation of blood volume and pressure
- Regulation of blood pH
- Production of hormones
- Excretion of waste
What ions do the kidneys regulate?
- Sodium
- Potassium
- Calcium
- Chloride
- Phosphate
How do the kidneys regulate blood volume?
Returning water to the blood or eliminating it in urine
How do the kidneys regulate blood pressure?
Secrete enzyme renin which activates renin-angiotensin-aldosterone pathway, adjusting blood flow into/out of the kidney
How do the kidneys regulate pH?
- Regulate concentration of hydrogen ions in the blood
- Conserve blood bicarbonate ions
What are the two hormones produced by the kidneys?
- Calcitriol
- Erythropoietin
What is calcitriol?
- Active form of vitamin D
- Helps regulate calcium homeostasis
What is Erythropoietin?
Stimulates production of red blood cells
What waste products do the kidneys excrete?
- Ammonia and urea
- Bilirubin
- Creatinine
- Uric acid
- Drugs/environmental toxins
General description about the kidneys?
- Pair of reddish organs shaped like kidney beans
- About the size of a bar of soap
- Lie between peritoneum and back wall of the abdominal cavity
- Lies at the 12th thoracic and first three lumbar vertebrae levels
- R kidney lower due to liver
What is the Renal Hilum?
- Near the center of the medial border
- Indentation where ureter leaves
- Indentation where blood and lymph vessels and nerves enter/exit
What is the smooth, transparent renal capsule?
A connective tissue sheath that helps maintain the shape of the kidneys and serves as a barrier against trauma
What surrounds the renal capsule and cushions the kidney?
Adipose tissue
* also anchors the kidney to the posterior abdominal wall
What are the two main, internal regions of the kidneys?
- Renal cortex
- Renal medulla
What is the renal cortex?
Outer light-red region
What is the renal medulla?
Inner, darker red-brown region
What is the further anatomy of the internal regions of the kidneys?
- Cone-shaped renal pyramids are within the renal medulla
- Renal columns, extensions of the renal cortex, fill the spaces between the pyramids
Where does urine formed by the kidneys pass through?
From thousands of papillary ducts within renal pyramids into minor calyces (cuplike structures)
Where does urine go after the minor calyces?
Flows into major calyces —> then into renal pelvis (single large cavity) —> into ureters –> into bladder
How many minor and major calyces does a kidney have?
- Minor: 8-12
- Major: 2-3
What percent of resting cardiac output flows into the kidneys through left/right renal arteries?
- 20-25%
- 1200 ml blood/minute
What is the glomerulus?
Tangled capillary network
What is the pathway of blood through the kidneys?
Renal artery –> smaller vessels –> afferent artiorles –> glomerulus –> efferent artiorles –> peritubular capillaries –>peritubular veins –> smaller veins –> renal vein
What are the small arteries within the kidneys?
- Segmental
- Interlobal
- Arcuate
- Interlobular
What are the smaller veins within the kidneys?
- Interlobal
- Arcuate
- Interlobular
What are the functional units of the kidney?
Nephrons
- Number about a million in each kidney
What are the two parts of a nephron?
- Renal corpuscle
- Renal tubule
What is the renal corpuscle?
Where plasma is filtered
What is the renal tubule?
Where filtered fluid, called glomerular filtrate, passes
What happens to fluid as it moves through the renal tubule?
- Waste and excess substances are added
- Useful materials are returned to the blood
What are the two parts that make up the renal corpuscle?
- Glomerulus
- Glomerular (Bowman’s) capsule
What is the Glomerular (Bowman’s) capsule?
Double-walled cup of epithelial cells that surrounds the glomerular capillaries
What are the three main sections of the renal tubule?
- Proximal convoluted tubule
- Loop of Henle
- Distal convoluted tubule
Where does the renal corpuscle and convoluted tubules lie?
Within the renal cortex
Where does the Loop of Henle extend?
Renal medulla
Where does the proximal convoluted tubule attach?
Glomerular capsule
How is the Loop of Henle situated?
- First part begins in renal cortex
- Extends downward into renal medulla (called descending limb)
- Make hairpin turn and returns to renal cortex (called ascending limb)
Where does distal convoluting tubes empty into?
Common collecting duct