Chapter 9 (10) - Urinary System Flashcards
Urinary System
2 Kidneys, each with a ureter that leads to the bladder. From the bladder a urethra and meatus at the end of the urethra to let the urine out.
Excretory System
Balances water and electrolytes
- Removes waste from blood; excretes in urine
Kidneys
Retroperitoneal - Behind abdominal cavity, beside vertebrate
2 Functions:
- Form urine for excretion
- Retain essential substances in blood
- Water, Electrolytes, pH, Reabsorption
Kidney Anatomy
Renal Cortex - Outer portion, just inside renal capsule
Renal Medulla - Middle portion of the Kidney
Renal Pyramid - Made up of nephrons
Renal Hilum - Where Renal Artery, Vein, and Urethra enter/exit
Filters:
- Water, Salts (sodium, potassium), Sugar (glucose) - Nitrogenous Toxins: Urea, Creatine, Uric Acid
Renal Artery/Vein
Incoming Blood / outgoing blood, cleanest blood
Functional Unit of the Kidney
Nephron, about 1 million/kidney
Nephron Anatomy
- Renal Corpuscle
- Glomerulus:
- Capillaries - filtration of blood (by pressure)
- Bowman’s Capsule:
- Filtered Urine Captured
- 1st part of renal tubule
- Renal Tubule: Carries filtered fluid
- Proximal
- Loop of Henle
- Distal
- Collecting Duct
- Collecting Ducts Become:
- Renal Pelvis
- Ureter
- Bladder
- Urethra
Reabsorption w/in Kidneys occurs in:
Through a network of capillaries:
- Proximal Tube
- Loop of Henle
- Distal Tubule
Reabsorb - Water and substances needed for body
- Sodium, Glucose, Nutrients
Bladder
Hallow muscular organ that stores urine until excreted
Bladder Anatomy
- Trigone - Area where urethra is exiting and ureters are coming in
- Detrusor Muscle - Muscle in wall of bladder
- Sphincter Muscle - Around urethra, able to control and relax to urinate or contract to hold urine
- Micturition - Voiding (emptying bladder)
Cali (o) / Calic (o)
Calix
Cyst (o)
Bladder
Glomerul (o)
Glomerulus
Meat (o)
Meatus
Nephr (o)
Kidney
Pyel (o)
Renal Pelvis
Ren (o)
Kidney
Ur (o)
Urine
Ureter (o)
Ureter
Uria
of urine
Vesic (o)
Bladder, when describing something in relation to the bladder
ADH
Antidiuretic Hormone
ARF
Acute Renal Failure
BUN
Blood Urea Nitrogen
CRF
Chronic Renal Failure
ESRD
End-stage Renal Failure
ESWL
Extracorporeal Shock Wave Lithotripsy
IVP
Intravenous Pyelogram
K+
Potassium
KUB
Kidney, Ureter, Bladder
Na+
Sodium
pH
Power of Hydrogen concentration
SG
Specific Gravity
UA
Urinalysis
UTI
Urinary Tract Infection
Urinalysis
Urine Examination
- Physical, Chemical and Microscopic Properties
Foley Catheter
Anchored catheter for period of time
Findings from Urinalysis
- Acetone; Keytones: Diabetes, starvation, dehydration
- Protein: Damage to glomerulus with leakage of protein (proteinuria)
Pus (leukocytes): Bladder or kidney infection
Blood (RBC): Kidney stones, severe infection, tumor
Bilirubin: Indicates liver disease or gallbladder obstruction
Blood Uria Nitrogen (BUN)
Goes up when kidney function decreases or fails
Creatinine
Elevated when kidneys not filtering toxins
Electrolyte levels
Sodium, potassium and other electrolytes are abnormal when kidneys fail
KUB
Straight x-ray without dyes
IUP
X-ray with dye
Cystoscope
Put a scope in bladder through urethra
Retrograde Pyelogram (RP)
Injecting dye backward, bladder up
Voiding Cystourethrogram
X-ray taken during urination to examine the flow of urine through the system
Renogram
Kidney Scan
Hemodialysis
Mechanical filtration of blood for patients in kidney failure
Peritoneal Dialysis
Catheter in abdomen, filter blood through bag than machine
ESWL
Lithotripsy, breakdown of kidney stones
Urinary Tract Infection
Infection of bladder, urethra, or kidney (pyelonephritis)
- Dysuria, Urgency, Frequency
- Hematuria
Nephrolithiasis
Stones (calculi) of calcium which precipitate in urine and block ureter
- Hematuria and pain
Nephritis
Inflammation of the kidney
Pyelitis
Inflammation of the Renal Pelvis
Nephrosis
Protein leakage into urine resulting in edema
Hydronephrosis
Dilation of renal pelvis and calyces, due to obstruction of water
PCKD
Genetic disease causing multiple cysts in both kidneys; leading to high BP and kidney failure
Uremia
Excess of urea and other toxins in blood due to kidney failure
Renal Cell Cancer
Malignant tumor of kidney
Bladder Cancer
Malignant tumor in bladder
Cystocele
Herniation of bladder
Cystolith
Stone in the bladder
Albuminaria
Presence of albumin (protein) in urine
Anuria
Lack of urine formation
Dysuria
Painful urination
Enuresis
Urinary incontinence, typically at night
Hematuria
Blood in urine
Hydronephrosis
Dilated kidney due to obstruction
Ketonuria
Presence of ketones in urine
Nephroblastoma
Malignant tumor of kidney in children
Nocturia
Frequent urination at night
Oliguria
Decreased urine production
Uremia (Azotemia)
Toxins in blood (nitrogen based) due to kidney failure