chapter 7 Flashcards
urinary system
nitrogenous wastes that urinary system gets rid of:
urea, creatinine, and uric acid
functions of the kidney:
-filter nitrogenous wastes from urine
-filter about 200 quarts of blood every day to form 2 quarts of urine
-maintain the proper balance of water, electrolytes, and acids
-release hormones
-degrade and eliminate hormones from blood stream
renin hormone
enzyme important in adjusting blood pressure
erythropoietin (EPO) hormone
stimulated red blood production in bone marrow
calciferol hormone
active form of vitamin D necessary for the absorption of calcium from the intestine
organs of the urinary system:
kidney, ureter, urinary bladder, urethra
how kidneys produce urine
-blood enters the kidney through the right & left renal arteries
-arterioles carry blood to the capillaries
-glomeruli filter the blood
-glomerulus (bowman) capsule surrounds each glomerulus
-renal tubule attached to each bowman capsule
what are the three steps in the formation of urine?
glomerular filtration, tubular reabsorption & tubular secretion
glomerular filtration
water, sugar, salts
tubular resbsorption
water, sugar, sodium
tubular secretion
acids, potassium, drugs
arteriole
small artery
calyx/calix
cuplike collecting region of the renal pelvic
catheter
tube for injecting or removing fluids
cortex
outer region of kidney
creatinine
nitrogenous waste excreted in urine due to muscle metabolism
electrolyte
chemical element that carries an electrical charge when dissolved in water
filtration
process whereby some substances pass through a filter
glomerular capsule(bowman capsule)
enclosing structure surrounding each glomerulus
glomerulus
tiny ball of capillaries in kidney
hilum
depression in kidney where blood vessels & nerves enter & leave
kidney
one of two bean-shaped organs that filter nitrogenous waste from bloodstream to form urine
meatus
opening or canal
medulla
inner region of an organ
nephron
functional unit of the kidney where filtration, reabsorption & secretion take place
nitrogenous waste
a substance containing nitrogen and excreted urine
potassium (K+)
an electrolyte regulated by the kidney
reabsorption
renal tubules return material necessary to body back into bloodstream
renal artery
blood vessel that carries blood to kidneys
renal pelvis
central collection region in the kidney
renal tubules
microscopic tubes in the kidney where urine is formed after filtration
renal vein
blood vessel that carries blood away from the kidney
sodium (Na+)
electrolyte regulated in blood and urine in kidneys(sodium chloride)
trigone
triangular are in the urinary bladder
urea
major nitrogenous waste excreted in urine
ureter
one of two tubes leading from the kidney to the urinary bladder
urethra
tube leading from urinary bladder to the outside of the body
uric acid
nitrogenous waste excreted in urine
urinary bladder
hollow, muscular sac that holds and stores urine
urination(voiding & micturition)
process of expelling urine
cali/o & calic/o
calyx (calix)
cyst/o
urinary bladder
glomerul/o
glomerulus
meat/o
meatus
nephr/o
kidney
pyel/o
renal pelvis
ren/o
kidney
trigon/o
trigone
ureter/o
ureter
urethr/o
urethra
vesic/o
urinary bladder
albumin/o
albumin (protein)
azot/o
nitrogen
bacteri/o
bacteria
dips/o
thirst
kal/o
potassium
ket/o & keton/o
ketone bodies, acetones
lith/o
stones
natr/o
sodium
noct/o
night
olig/o
scanty
-poietin
substance that forms
py/o
pus
-trispy
to crush
ur/o
urea
-uria
urination, urine condition
urin/o
urine
-lithiasis
condition of stones
-lithotomy
incision for removal of stones
urinalysis
-test of your urine
-used to detect and manage a wide range of disorders, such as urinary tract infections, kidney disease & diabetes
tests included in urinalysis
-color, appearance & pH
-protein, glucose, phenylketonuria & specific gravity
-ketone bodies, sediments & bilirubin
glomerulonephritis
inflammation of glomeruli in kidney
interstitial nephtitis
inflammation of connective tissue inbetween renal tubules
nephrolithiasis
kidney stones
nephrotic syndrome
excessive amount of protein in urine
polycystic kidney disease (PKD)
kidney contains masses of cysts
pyelonephritis
inflammation of renal pelvis
renal cell carcinoma
malignant tumor of kidneys in adults
renal failure
increase of waste due to failure of filtration
renal hypertension
high blood pressure as a result of renal disease
Wilms tumor
malignant tumor in kidney in children
bladder cancer
malignant tumor on urinary bladder
diabetes insipidus (DI)
inadequate secretion or resistance of the kidney to the action of antidiuretic hormone
diabetes mellitus (DM)
inadequate secretion of insulin or improper utilization of insulin
blood urine nitrogen (BUN)
measurement of urea in urine
CT urography
scan with contrast that shows benign cyst on kidney
creatinine clearance test
measurement of creatinine released
x-ray stdies on urinary system
-CT urography
-kidney, ureters, & bladder (KUB)
-renal angiography
-retrograde pyelogram (RP)
-voiding cystourethrogram
voiding cystourethrogram
the bladder is filled with contrast material followed by an x-ray through the urethra
ultrasonography
imaging of urinary tract structures using high-frequency sound waves
radioisotope scan
imaging of kidney after injecting radioisotope into blood stream
magnetic resonance imaging (MRI) urography
changing magnetic field produces an image of an organ and surrounding structures
cystoscopy
direct visual examination of the urinary bladder with an endoscope
ADH
antidiuretic hormone
AKI
acute renal injury
ARF
acute renal failure
BILI
bilirubin
CAPD
continuous ambulatory peritoneal dialysis
cath
catheter, catheterization
CCPD
continuous cycling peritoneal dialysis
CKD
chronic kidney disease
Cl-
chloride (kidney excretion)
CrCl
creatinine clearance
CRF
chronic renal failure
C & S
culture and sensitivity training
cysto
cystoscopic examination
eGFR
estimated glomerular filtration rate
ERSD
end-stage renal disease
ESWL
extracorporeal shockwave lithotripsy
HCO3
bicarbonate (electrolyte conserved by kidney)
HD
hemodyalysis
IC
interstitial cystitis: chronic inflammation of bladder wall
IVP
intravenous pyelogram
K+
potassium (electrolyte)
KUB
kidney, ureter & bladder
Na+
sodium (electrolyte)
PD
peritoneal dialysis
pH
potential hydrogen, degree of acidity or alkalinity
PKD
phenylketonuria
sp gr
specific gravity
UA
urinalysis
UTI
urinary tract infection
VCUG
voiding cystourethrogram
pathway of urine from renal arteries to when urine leaves the body:
-glomerulus, glomerular capsule, renal tubule, renal pelvis, ureter, urinary bladder, urethra, urinary meatus
vesicoureteral reflux
backflow of urine from the bladder into the ureter
nocturia
frequent urination at night
dysuria
painful urination
oliguria
scanty urination
polyuria
excessive urination
anuria
no urination
pyuria
turbid (cloudy) urine caused by the presence of polymorphonuclear leukocytes & pus
albumimuria
leaky glomeruli can produce accumulation of protein in urine
hematuria
smoky-red color of urine caused by the presence of blood
glycouria
sugar in the urine, a sign of diabetes mellitus and a result of hyperglycemia
ketonuira
high levels of acids and acetones accumulate in urine as a result of abnormal fat breakdown
azotemia
excessive nitrogenous waste in bloodstream
polysipsia
condition of much thirst
urinary incontinence
inability to hold urine in bladder
enuresis
bedwetting
urinary retention
inability to release urine from bladder
ketosis
abnormal condition of ketone (acids) bodies in blood & body tissues
uremia
toxic condition of excess urea in bloodstream
diuresis
excessive production of urine (polyuria)
diuretic
drug/chemical that causes diuresis to occur
antidiuretic hormone
produced by pituitary gland that normally helps the renal tubules to reabsorb water back into bloodstream and help retain water in blood
hyponatremia
abnormally low levels of sodium in bloodstream
hyperkalemia
abnormally high concentration of potassium in blood
phenylketonuria (PKD)
occurs when there are high levels of phenylketones in urine and phenylalanine in the blood
sediment
abnormal particles present in urine (cells, bacteria, casts & crystals)
specific gravity
urine test that reflects the concentration of the urine
polycystic kidney
multiple fluid-filled sacs form in and on the kidney
pyelonephritis
inflammation of renal pelvis and parenchyma
essential hypertension
idiopathic high blood pressure
edema
swelling, fluid in tissues
stricture
narrowed area in a tube
abscess
collection of pus
secondary hypertension
high blood pressure caused by kidney disease or another disease
nephroptosis
prolapse of kidney
renal colic
severe pain resulting from a stone that is blocking a ureter or a kidney
continuous ambulatory peritoneal dialysis
dialysate (fluid) is injected into peritoneal cavity and drained out
retrograde pyelogram
contrast is injected into urinary bladder and ureters and x-ray pictures of urinary tract are taken
hemodialysis
a machine removes nitrogenous wastes from the patient’s blood