Lecture 22 4/24/14 Flashcards

1
Q

Urinary System

A

part of the excretory system getting rid of the waste of the body, especially the nitrogenous waste, waste from protein breakdown. A lot of it will be excreted by the urinary tract.

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2
Q

Function of Urinary System

A

maintain homeostasis by controlling the volume and composition of blood. Venus dilation. Increase in blood fluid volume, veins dilate to accommodate

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3
Q

Major Components of Urinary System

A

2 Kidneys

2 Ureters

1 Bladder

1 Urethra

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4
Q

Description of Kidneys

A

Left Kidney is a little bit higher than the right kidney. Because the liver is a solid organ pushing the right kidney down. About the size of your fist. Filter blood to produce urine. 50 gallons filtrate a day.

Excrete about 1500 ml. But depending on how hydrated you are.

Bean-shaped organs about 4 inches long and about 2-3 inches wide. They are located retroperitoneal along with
the adrenal glands and the ureters. Partially protected by the 11th and 12th ribs.

Shrink wrapped against the posterior abdominal wall

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5
Q

Description of Ureters

A

Exhibit peristaltic waves.

Kidney stones; dump in the bladder, and has one tube that goes out of the body, the urethra.

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6
Q

Kidney Physiology

A

Blood Vessels to the kidneys are fairly large in diameter, that means a lot of blood flow going to the kidneys every minute.

No increase in blood pressure because of Venus Dilation. But we got increase in blood flow in kidneys, so a little increase in pressure, but also increases filtration rate, the fluid movement in the kidneys. More fluid movement the less chance to reclaim or re-grab that stuff traveling through the kidneys, and more of it ends up as having to go to the bathroom.

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7
Q

The 3 Layers Surrounding the Kidneys

A

Renal Fascia

Adipose Capsule

Renal Capsule

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8
Q

Renal Fascia

A

outermost layer of thin fibrous connective tissue that anchors the kidneys to the surrounding
structures.

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9
Q

Adipose Capsule

A

2nd layer, a mass of fatty tissue surrounding the capsule, which serves to protect the
kidney.

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10
Q

Renal Capsule

A

the innermost layer, made of a transparent thick fibrous membrane.

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11
Q

Microscopic Anatomy of the Kidney

A

Nephron

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12
Q

Nephron

A

the functional unit of the kidney. Approx. 1 million per kidney. The nephron consists of a microscopic renal tubule and it’s vascular component .

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13
Q

Two Types of Nephrons

A

Cortical Nephron

Juxtamedullary Nephron

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14
Q

Cortical Nephron

A

it’s glomerulus is located in the cortical region of the kidney.

Peritubular Capillary bed is next the cortical nephron

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15
Q

Juxtamedullary Nephron

A

located at the junction of the medulla and cortex of the kidney.

Vasarecta Capillary bed is a straight vessel.

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16
Q

Filtration of the kidneys happen where?

A

In the papilla of pyramids

17
Q

Blood Supply to the Kidneys

A

Approx 1200 ml of blood pass through the kidneys each minute.

18
Q

Blood Supply through the kidneys

A

Vasa Recta

The Bowman’s Capsule

19
Q

Vasa Recta

A

Loops of thin walled vessels that dip along with the loop of henle into the deeper regions of the cortex and into the medulla. Found predominantly with the juxtamedullary nephrons.

20
Q

The Bowman’s Capsule

A

The initial portion of the nephron that surrounds the glomerulus. Functions to filter water and solutes in the blood

21
Q

Juxtaglomerular Apparatus

A

Region where the distal convoluted tubule contacts the afferent arteriole.

Sensitive to Blood Pressure changes

Endocrine tissue.

22
Q

The macula densa and the juxtaglomerular cells together account for what?

A

Secretion of renin and erythropoietin

23
Q

Blood Supply from larger to smaller to smaller describe the regions

A

Renal Artery -> Segmental Artery (3-4) -> Interlobar Veins -> Then will be in cortex; anastomosis -> Arcuate Veins or Artery -> Interlobular Veins or Artery -> off of the interlobular you have the afferent arterioles and globuli

24
Q

Steps in Urine Production

A
  1. Glomerular Filtration

2. Tubular Reabsorption

25
Q

Glomerular Filtration

A

Forcing components of the plasma through the endothelial capsular membrane of the bowman’s capsule and into the proximal convoluted tubule.

26
Q

Factors involved in filtration

A

Blood Pressure

The Efferent Arteriole

27
Q

Blood Pressure Factor in Filtration

A

Forces water and other small solutes into the Bowman’s capsule. This fluid is now called filtrate

28
Q

The Efferent Arteriole Factor in Filtration

A

The efferent arteriole leaving the capsule is smaller than the afferent arteriole, so there is a resistance to outflow of blood from the capsule, thus forcing H2O, etc. to flow into the tubules.

29
Q

Factors opposing the production of filtrate

A

Capsular Hydrostatic Pressure

Blood Osmotic Pressure

30
Q

Capsular Hydrostatic Pressure Opposing the Production of Filtrate

A

filtrate that is already in the Bowman’s capsule and the proximal convoluted tubule push back against the components of the blood trying to enter the capsule.

31
Q

Blood Osmotic Pressure Opposing the Production of Filtrate

A

the increased number of solute molecules in the blood versus the smaller number of solute molecules in the filtrate pull water back toward the higher solute concentration in the plasma.

GFR (Glomerular Filtration Rate) – the amount of filtrate flowing into the capsule per unit time. This equals about 50 gallons per day and only about 1500ml leaves the body per day as urine.

32
Q

Tubular Reabsorption

A

The movement of filtrate from the tubules back into the blood of the vasa recta and peritubular capillaries

33
Q

Proximal Convoluted Tubule

A

60-70% of the volume of filtrate is reabsorbed here.

Almost 100% of the glucose and amino acids are reabsorbed back into the blood at this location. Sodium, potassium, magnesium, and bicarbonate ion are actively transported out of the filtrate here.

Osmotic pressure from the increase solute concentration outside the PCT draws H2O out of the PCT and into the Peritubular region

Highly Metabolic

34
Q

Descending Limb of the loop of Henle

A

The very thin descending limb of the loop of Henle is permeable to H2O but relatively impermeable to solutes. As the limb descends further into the medulla where the solute concentration is greater, more H2O is pulled out of the descending limb.

35
Q

Ascending Limb of the loop of Henle

A

The thick ascending limb of the loop of Henle is impermeable to H2O, but actively transports NaCl out of the tubule and into the peritubular space, so as the filtrate continues to rise toward the cortex of the kidney on its way to the DCT the mOsm/l concentration continues to decrease. However, because NaCl is actively transported out the ascending limb the mOsm/l concentration in this region (medulla) is very high (1200 mOsm/l)