Module 5: Renal/Urinary system Flashcards
how much percent of males is water
60%
how much percent of females is water
55%
extracellular fluid makes how much of TBW
1/3
intracellular fluid makes how much of TBW
2/3
how much blood flows through the kidneys every minute
1200mL
how much urine does a person produce daily
800-2000mL
what is urine
waste product excreted to maintain balance within the body
what makes up normal urine
water, salts, metabolites and small proteins
what is found in abnormal urine
large proteins, RBCs, glucose
main components of the urinary system are
2 kidneys, 2 ureters, urinary bladder and urethra
the structure of the kidney allows for
blood to be brought in close proximity to the nephron for filtering, allows blood to leave the kidney and a pathway for urine to be stored and excreted
where are the kidneys located
between T12-L3 vertebrae
what passes through the hilum
blood vessels, lymphatics, nerves and ureter
what gland sits on top of the kidney
adrenal
retroperitoneal means
located on posterior abdominal wall covered on anterior side by peritoneum
three regions of the kidney
cortex, medulla and pelvis
what is the protective layer of the kidney
fibrous capsule
the inner medullar is divided
into pyramids and each pyramid ends in a papilla
the outer cortex is
a continuous layer and contains renal columns
how many lobes are in each kidney
5-11
a kidney lobe contains
one pyramid and all the cortex that surrounds it
kidney lobes are mainly made from
approx 1 million nephrons
function of nephrons
filter blood and create urine
urine travels–>
papilla–> minor calyx–> major calyx–> renal pelvis–> ureter
function of afferent arteriole in nephron
deliver blood from the arteries to the glomerulus
what is the glomerulus made of and what is it function
glomerular capillaries and is the site of filtration
function of efferent arteriole in nephron
carries blood from the glomerulus to the peritubular capillaries
function of peritubular capillaries
allow us to change our mind of what we want filtered and reabsorb stuff we want back in the blood which carry blood to veins
flow of blood from the cortex to be filtered
abdominal aorta–> renal artery–> series of arteries–> afferent arteriole–> glomerular capillary
flow of blood away from the cortex after being filtered
glomerular capillary–> efferent capillary–> peritubular capillaries–> series of veins–> renal vein–> inferior vena cava
nerve supply in kidneys
innervation is from a network of autonomic nerves and ganglia called the renal plexus
nephron is
microscopic functional unit of the kidney
renal corpuscle
where blood and nephron meet/ site of filtration
proximal convoluted tubule
close to renal corpuscle and wiggly
nephron loop
loop at bottom of nephron
distal convoluted tubule
further away from renal corpuscle and wiggly
collecting duct
runs down and papilla’s connect to it
types of nephron
cortical and juxtamedullary
what nephron is the most abundent
cortical (85%)
where do cortical nephrons mainly lie
cortex
function of juxtamedullary nephron
extend deep into medulla and are important for the formation of concentrated urine
each nephron is comprised of
a glomerular capsule, renal tubules and a collecting duct
structure of glomerular capillaries
thin walled single layer of fenestrated endothelial cells
what are vasa recta and where are they found
extensions that follow nephron loop deep into the medulla only found within juxamedullary nephron
the renal corpuscle contains
glomerulus enclosed by the glomerular capsule and is where capillary and nephron meet and is the site of filtration
two layers of the glomerular capsule
outer parietal layer of simple squamous cells and inner visceral layer of podocytes
podocytes
surround the glomerular capillaries which have branches called pedicels
function of pedicels
filtration slits that filter blood
filtration barrier is also known as
the blood-urine barrier or glomerular capsular membrane
what does the blood-urine barrier allow free passage of
water and small molecules
what does the filtration barrier restrict passage of
proteins and RBCs
three layers of the filtration barrier from blood side to nephron side
fenestrated endothelium of glomerular capillary, fused basement membrane and filtration slits between the pedicels of the podocytes
urine=
filtered- reabsorbed + secreted
function of PCT
bulk reabsorption
structure of PCT
cuboidal epithelial, dense microvilli, highly folded basolateral mitochondria and leaky epithelium