Ch. 26 - Urinary System Flashcards
What are some functions of the kidneys?
- regulate blood ionic composition (Na+, K+ Ca2+, Cl-)
- regulate blood pH, blood volume, BP, blood glucose level
- maintain blood osmolarity
- produce hormones
- excrete wastes and foreign substances
What is a hilum?
region through which ureter leaves
- where BV, lymphatic vessels and nerves enter/exit
What are the 3 layers surrounding each kidney?
renal capsule, adipose capsule, renal fascia
What is the difference between the renal capsule and renal fascia layers?
capsule - transparent membrane that is continuous with ureter; barrier for protection and maintains organ shape
fascia - dense irregular CT that holds kidney against back body wall
What are minor and major calyces?
minor - cuplike structures that collect urine from papillary ducts of papilla
both - empty into renal pelvis which empties into ureter
What are the 3 capillary beds of kidneys?
- glomerular capillaries (where blood is filtered)
- peritubular capillaries in cortex
- vasa recta in medulla
* both 2&3 carry away reabsorbed substances from filtrate
What are the 3 functions of a nephron?
filtration, reabsorption, secretion
What are the 2 major parts of a nephron?
renal corpuscle - filters blood
renal tubule - where filtered fluid passes through
What are parts of the renal corpuscle and what is its function?
glomerulus and Bowman’s capsule
- site of plasma filtration
What are the parts of the renal tubule and what is its function?
- PCT,
- loop of Henle (dips into medulla, descending/ascending limbs)
- DCT
- collecting ducts (where it empties; converge to form papillary ducts to drain urine to renal pelvis and ureter)
What are the 2 types of nephrons?
cortical and juxtamedullary
How do cortical and juxtamedullary nephrons differ?
cortical - short nephron loop, receives blood from peritubular capillaries, creates urine with similar osmolarity to blood
juxtamedullary - long nephron loop, receives blood from peritubular cap & vasa recta, thick/thin ascending limbs, secrete concentrated urine
What do efferent arterioles around the nephron give rise to?
peritubular cap & vasa recta
What does the glomerular capsule comprise of?
- visceral layer: consists of podocytes (modified simple sq cells)
- parietal layer: consist of simple sq e that forms outer wall of capsule
What is the JG apparatus?
macula densa + JG cells that regulate BP in kidney (with ANS)
What is the macula densa? JGC?
macula densa - where ascending loop contacts the afferent arteriole
JGC - smooth musc cells on wall of afferent arteriole
What are the 3 basic processes of nephrons/collecting ducts?
- glomerular filtration - portion blood plasma filters into kidney
- tubular reabsorption - water & substances are reabsorbed into blood
- tubular secretion - wastes are removed from blood and secreted in urine
What is the rate of excretion?
filtration + secretion - reabsorption
What is glomerular filtrate?
fluid that enters the capsular space
What is the filtration fraction?
fraction of plasma in kidney’s aff arteriole that becomes filtrate
What are the 3 barriers filtered substances must cross?
- glomerular endothelial cells
- basal lamina
- filtration slit formed by podocytes
What are mesangial cells?
contractile cells that increase glomerular filtration when relaxed
- located bt aff and eff arterioles, among glomerular cap
What is the purpose of the basal lamina? What is it composed of?
prevents filtration of larger proteins; collagen fibers and proteoglycans
What is the slit membrane? Filtration slits?
thin membrane that extends across filtration slit; permits passage of molec that have a smaller diameter; spaces between pedicels
What are the 3 pressures that compose net filtration pressure (NFP) ?
- glomerular BHP (GBHP)
- capsular hydrostatic pressure CHP)
- blood colloid osmotic pressure (BCOP)
What is GBHP?
BP in glomerular capillaries; promotes filtration by pushing water and solutes out of cap through filtration membrane
What is CHP?
hydrostatic pressure exerted against filtration membrane by fluid already in capsular space of glomerular capsule; opposes filtration
What is BCOP?
pressure due to presence of proteins in blood plasma; opposes filtration
What is the equation of NFP?
NFP = GBHP - CHP - BCOP