Chapter 16 Part 1 - The Kidneys Flashcards
What do the kidneys do?
Excrete waste products (such as urea) and regulate blood water potential of the blood.
What happens as blood passes through the capillaries in the cortex (outer layer) of the kidneys?
Substances are filtered out of the blood and into long tubules that surround the capillaries - ultrafiltration.
What happens to useful substances after ultrafiltration?
Selective reabsorption of useful substances such as glucose and the right amount of water back into the blood.
What happens to the remaining unwanted substances after ultrafiltration?
They pass along to the bladder and are excreted as urine.
Where are the kidneys?
At the back of the abdominal cavity, 1 on each side of the spinal cord.
How many kidneys do we have?
2
What is a nephron?
Functional unit of the kidney - the long tubules along with the bundle of capillaries where the blood is filtered.
What are the long tubules along with the bundle of capillaries where the blood is filtered called?
Nephrons.
How many nephrons are there in each kidney?
Around 1 million in each kidney.
Fibrous capsule
Outer membrane protecting the kidney.
Cortex
Lighter coloured outer region made up of renal (Bowman’s) capsule, convoluted tubules and blood vessels.
Medulla
Darker coloured inner region made up of loops of Henle, collecting ducts and blood vessels.
Renal pelvis
A funnel shaped cavity that collects urine into the ureter.
Ureter
A tube that carries urine to the bladder.
Renal artery
Supplies the kidney with blood from the heart via the aorta.
Renal vein
Returns blood to the heart, via the vena cava.
Describe the structure of a nephron
A narrow tube up to 14mm long, closed at 1 end with 2 twisted regions separated by a long hairpin loop.
What is each nephron made up of?
- Renal (Bowman’s) capsule
- Proximal convoluted tubule
- Loop of Henle
- Distal convoluted tubule
- Collecting duct
What are the blood vessels associated with each nephron?
- Afferent arteriole
- Glomerulus
- Efferent arteriole
- Blood capillaries
Renal (Bowman’s) capsule
- The closed end at the start of the nephron.
- Cup-shaped.
- Surrounds a mass of blood capillaries (the glomerulus).
- Inner layer of renal capsule is made up of specialised cells called podocytes.
Proximal convoluted tubule
- Series of loops surrounded by blood capillaries.
- Its walls are made up of epithelial cells which have microvilli.
Loop of Henle
- Long, hairpin loop extending from the cortex into the medulla and back again.
- Surrounded by blood capillaries.
Distal convoluted tubule
- Series of loops surrounded by blood capillaries.
- Walls made of epithelial cells, but it is surrounded by fewer capillaries than the proximal convoluted tubule.
Collecting duct
- Tube into which a number of distal convoluted tubules from a number of nephrons empty.
- Lined by epithelial cells.
- Becomes increasingly wide as it empties into the pelvis of the kidney.
Afferent arteriole
- Tiny.
- Arises from renal artery.
- Supplies nephron with blood.
- Enters the renal capsule of the nephron where it forms the glomerulus.
Glomerulus
- A many-branched knot of capillaries from which fluid is forced out of the blood.
- The glomerular capillaries recombine to form the efferent arteriole.
Efferent arteriole
- Tiny.
- Leaves renal capsule.
- Smaller diameter than afferent arteriole so causes an increase in blood pressure within the glomerulus.
- Carries blood away from renal capsule and later branches to form the blood capillaries.
Blood capillaries
- A concentrated network of capillaries that surrounds the proximal convoluted tubule, loop of Henle and the distal convoluted tubule and from where they reabsorb mineral salts, glucose and water.
- They merge together into venules that in turn merge to form the renal vein.
Where in the nephron is blood filtered?
At the start
Explain the process of ultrafiltration
1) Blood from renal artery enters smaller arterioles in the cortex of the kidney.
2) Each arteriole splits into a glomerulus.
3) This is where ultrafiltration takes place.
4) The afferent arteriole that takes blood into each glomerulus and the efferent arteriole takes the filtered blood away from the glomerulus.
5) The efferent arteriole is smaller in diameter than the afferent arteriole, so blood in the glomerulus is under high pressure.
6) The high pressure forces liquid and small molecules in the blood out of the capillary and into the Bowman’s capsule.
7) The liquid and small molecules pass through three layers (the glomerular capillary endothelium, basement membrane and the epithelium of the Bowman’s capsule) to get into the Bowman’s capsule and enter the nephron tubules.
8) Larger molecules like proteins and blood cells can’t pass through, so stay in the blood. The substances that enter the Bowman’s capsule are known as the glomerular filtrate.
9) The glomerular filtrate passes along the rest of the nephron and useful substances are reabsorbed along the way.
10) Finally, the filtrate flows through the collecting duct and passes out of the kidney along the ureter.
Where does blood go from the renal artery?
Arterioles in the cortex of the kidney.
What does each arteriole split into?
A glomerulus.
What is a glomerulus?
A bundle of capillaries looped inside a hollow ball called a Bowman’s capsule.
Where does ultrafiltration take place?
Glomerulus.
What is the arteriole that takes blood into each glomerulus called?
Afferent arteriole
What is the arteriole that takes blood away from each glomerulus called?
Efferent arteriole
Which arteriole (afferent or efferent) is smaller in diameter?
Efferent
What does it mean as a result of the efferent arteriole having a smaller diameter than the afferent arteriole?
Means that blood in the glomerulus is under high pressure.
What does the high pressure of blood in the glomerulus do?
Forces liquid and small molecules in the blood out of the capillary and into the Bowman’s capsule.
What does the liquid/small molecules that are forced out of the blood pass through to get into the Bowman’s capsule and enter the nephron tubules?
3 layers - the glomerular capillary endothelium, basement membrane and the epithelium of the Bowman’s capsule.
What are the 3 layers that need to be passed for filtration?
- Glomerular capillary endothelium
- Basement membrane
- Bowman’s (renal) capsule epithelium
Excretion
Removes waste products from metabolism (urea and creatinine).