Excretory System Flashcards

1
Q

why do we need the excretory system, what diff processes produce wastes

A
  • removal of emtabolic wastes
  • most bodily activities produce metabolic wastes including mineral salts that have to be removed
  • aerobic respiration produces carbon dioxide and water

deamination of amino acids in liver produces nitrogenous wastes (urea and ammonia)

  • excretion is removal of indigestible material like dietary fiber
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2
Q

what different organs are involved in excretion

A
  • lungs, liver, skin and kidneys
  • lungs: carbon dioxide and water vapor fuse from blood and are continuously exhaled

Skin: contains sweat glands to excrete water and dissolved salts and small quantity of urea, also helps to reg body temp

Liver: processes nitrogenous wastes, hemoglobin, and other chem for excretion

*urea produces in liver diffuses into blood for excretion by kidneys

*bile salts excreted in bile pass out with feces

kidneys: function to filter, maintina osmolarity of blood, excrete mucerous products and toxic chemicals and conserve glucose water and salt

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3
Q
A
  • bean shaped and located behind stomach and liver
  • each contains appro 1 million nephrons
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4
Q

what is the structure of the kidney

A
  • 3 regions: outer cortex, innder medulla and renal pelvis
  • nephron consists of bulb called bowmans capsule which enbraces a capillary bed called glomerulus
  • bowmans capsule leads to long coiled tubule broken into: proximal convoluted tubule, loop of henle, distal convoluted tubule and collecting duct
  • loop of henle and collecting duct run through the medulla while convoluted tubule and bowmans cupsule are in cortex
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5
Q

how does urine flow

A
  • concentrated urine in collecting tubules flows into the pelvis of the kidney, a funnel like region that opens directly into ureter
  • ureter from the kidneys empty into urinary bladder where urine colelcts until expelled via the urethra
  • most of the nephron is surrounded by a complex peritubular capillary network that facilitates reasborption of amino acids, glucose, salts and water
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6
Q

what are the 3 processes of urine formation

A

filtration, secretion and reabsorption

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7
Q

explain filtration what drives it?

A
  • blood pressure forces 20% of the blood plasma entering the glomerulus through capillary walls and into the surrounding bowmans capsule via diffusion
  • the fluid and small solutes entering the nephron are called filtrate which is isotonic with blood plasma
  • particles too large to filter through glomerulus like blood cells and albumin remain in the circulatroy system
  • filtration is riven by hydrostatic pressure, as a result having inc blood pressure can lead to kidney damage over time since that combines with hydrosttic pressure
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8
Q

explain secretion

A
  • nephron secretes wastes such as acids, ions and other metabolites form interstitial fluid into filtrate be passive and active transport
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9
Q

explain reabsorption

A
  • essential substances (glucose, salts and amino acids) and water are reabsorbed from the filtrate and returned to the blood
  • reabsorption occurs primarily in proximal convoluted tubule and is an active process
  • movement of mol is accompanied by passive movement of water bc water passively follows the solute
  • results in formation of concentrated urine which is hypertonic to blood
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10
Q

what is the primary function of the nephron: what part of nephron is mainly responsible for this

A
  • prim function is to clean the blood plasma of unwanted substances as filtrate passes through the kidney
  • blood plasma contains wanted and unwanted substances so reabsorption is selective to transport wanted substances back into plasma and rest to be excreted in urine
  • primary site of reabsorption is the proximal convoluted tubule
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11
Q

what is the primary site for water, sodium and lotassion loss regualtion

A
  • ascending loop of henle, collecting duct and descending loop of henle
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12
Q

what is the primary role of the distal convoluted tubule

A
  • secretion of substances into filtrate
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13
Q

explain the different permeabilities of parts of loop of henle for water absorption and electrolyte concentration

A
  • descending loop very permeable to water but not ot ions or urea

thin ascending limb of loop of henle: impermeable to water but permeable to ions allowing for passive diffusion

  • thick ascending limb of loop of henle: sodium potassium and chloride are actively reabsorbed from urine
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14
Q

what is the prupose of the selective permeability of tubules

A
  • establishes an osmolarity gradient in surrounding interstitial fluid
  • tissue osmolarity increases from cortex to inner medulla

* sodium and chloride ions are responsible for maintaining the gradient

  • osmolarity of urine (conc of dissolved particles) is established in the renal tubule by counter current multiplier system in which energy is used to create conc gradient
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15
Q

explain the counter current multiplier system

A
  • causes the interstitial space in medulla of kidney to be hyperosmolar with respect to dilute filtrate flowing through renal tubule
  • as filtrate in collecting ducts passes through medulla water flows out via osmosis, water is removed by capillaries in medulla permitting the concentration of urine
  • permeability of distal convoluted tubule is regulated by ADH (vasopressin) which inc permeability of the collecting duct to water so more water can be absorbed

*if have too much ADH can retain too much fluid

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16
Q

what is aldosterone

A
  • steroid hormone that causes increased transport of sodium and potassion ions along distal convoluted tubule and collecting duct
  • results in decreased excretion of sdium ions and inc excretion of potassion in urine
  • also causes additional water reabsorption: does not affect renal blood flow
17
Q

what is ADH

A
  • anti diuretic hormone (vasopressin)
  • peptide hormone with same net effect of inc water reabosrption as aldosterone
  • directly affects water absorption by distal convoluted tubule and collecting ducts opening additional aquaporins
  • causes a decrease in urine output and corresponding inc in blood pressure (like alsosterone)
  • allows humans to compensate for periods of dehydration or other causes of low blood pressure
18
Q

what are diuretics

A
  • drugs that increase urine production: can target different parts of the kidney to cause the same net effect
  • loop diuretics inhibit sodium reabsorption in ascending loop of nephron
  • thiazide diuretics inhibit the sodium chloride transporter in distal convoluted tubult

*both have net effect of increasing amount of water present in urine (inc in urine excretion)

19
Q

how is pH maintained and what tests can be done to test body pH

A
  • body pH maintained at 7.4 by removal of carbon dioxide in lungs and hydrogen ions by kidney
  • can be tested be arterial pH, arterial pressure of carbon dioxide and plasma bicarbonate
20
Q

what are the 2 types of acid base disorders

A
  • respiratory disorders: affect blood acidity by causing changes in PCO2
  • metabolic disorders: affect blood acidity by causing changes in HCO3-
21
Q
A
22
Q

how are changes in PCO2 and HCO3- compensated for

A
  • PCO2 compensation are performed by the respiratory system and can be changed quickly
  • compensation for HCO3- are performed by kidneys and can take longer to manifest
  • the cause of acidosis or alkalosis (respiratory or metabolic) will dictate how a patient is treated medically