Urinary Flashcards

1
Q

What do kidneys filter out the blood?

A
Remove waste (Urea)
Test urine - Urinalysis
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2
Q

What 3 Nitrogenous wastes from blood are removed?

A

Ammonia, Urea, Uric Acid

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3
Q

What is Ammonia a product of?

A

Digestion of proteins

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4
Q

What is Urea a product of?

A

Protein metabolism

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5
Q

What is Uric Acid a product of?

A

Break down of purines

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6
Q

What is the main nitrogenous waste in blood?

A

Urea

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7
Q

Urinary system regulates?

A

Blood volume
Blood pressure
Water excreted in the urine

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8
Q

Location, position, and appearance of the left kidney?

A

Vertebral level T12-L3
Below diaphragm, posterior to spleen
Larger, Bean shape

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9
Q

Location, position, and appearance of the right kidney?

A

Posterior abdomen
Below diaphragm, posterior to liver, lower
Smaller, Slimmer, Bean shape

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10
Q

2 major regions of the kidney?

A

Peripheral rim of cortex

Central Medulla

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11
Q

Central Medulla location and appearance?

A

Inner most part of kidney

Appear striated

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12
Q

How many lobes do human kidneys have?

A

7-11

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13
Q

The kidney lobe consist of?

A

Renal pyramid

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14
Q

Describe the Minor Calyces job?

A

Collects urine from pyramid

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15
Q

Describe the Major Calyces?

A

Surrounds the apex of renal pyramids

Urine formed in kidney passes here before renal pelvis

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16
Q

What enters through the Renal Artery?

A

Oxygenated blood

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17
Q

What leaves through the Renal Vein?

A

Deoxygenated blood

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18
Q

What leaves through the Ureter?

A

Pee

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19
Q

Blood flow from Aorta-Kidney-Inferior vena cava?

A
  1. Abdominal Aorta
  2. Left or Right Renal artery
  3. Segmental arteries
  4. Interlobar arteries
  5. Arcuate arteries
  6. Interlobular arteries
  7. Nephron
  8. Afferent arterioles
  9. Glomerulus
  10. Efferent arterioles
  11. Peritubular capillaries
  12. Interlobular vein
  13. Arcuate vein
  14. Interlobar vein
  15. Segmental vein
  16. Renal vein
  17. Inferior vena cava
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20
Q

What does it mean to be diuretic?

A

Increased passing of urine

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21
Q

What hormones play roles in the kidneys functionality?

A

Erythropoietin
Calcitriol
Renin

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22
Q

How much do the kidneys filter a day?

A

50 gallons

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23
Q

How much is reabsorbed?

A

70%

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24
Q

Uriniferous Tubule is made of what 2 major areas?

A

Nephron and collecting ducts

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25
Q

Detail the structures within the Uriniferous Tubule?

A

Divided into the proximal tubule, the intermediate (thin) tubule, the distal tubule and the collecting duct.

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26
Q

3 key steps to function of Uriniferous Tubule?

A

Filtration, Reabsorbtion, Secretion

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27
Q

Explain what these steps mean and what is happening during each step?

A

Filtration - Fluid squeezed out of Glomerular capillary bed

Reabsorbtion - Most nutrients, water and ions are returned to the blood of the peritubular capillaries

Secretion - Moves additional molecules into tubule from blood of peritubular capillaries

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28
Q

2 Major areas of Nephron?

A

Renal corpuscle and renal tubule

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29
Q

What are the 3 key tubular regions of the Nephron’s Tubular Section?

A

Proximal convoluted tubule, the loop of Henle, and distal convoluted tubule

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30
Q

What happens in the distal convoluted tubule?

A

Reabsorb many ions and water

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31
Q

What happens in the proximal convoluted tubule?

A

Reabsorbs filtered glucose into peritubular capillaries

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32
Q

What happens in the loop of Henle?

A

Recovery of water and sodium chloride from urine

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33
Q

What are collecting ducts of kidney?

A

Collects urine from nephron and moves urine into the renal pelvis and ureters

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34
Q

How does ADH play a role with the collecting ducts?

A

Antidiuretic hormone binds to receptors on cells in the collecting ducts of the kidney and promotes reabsorption of water back into the circulation

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35
Q

Ureters structure and function?

A

Narrow tubes that carry urine from the kidney to the bladder. Muscles in the Ureters walls tighten and relax to force urine downward.

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36
Q

Sphincter muscle?

A

Two muscles used to control the exit of urine in the urinary bladder through the urethra

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37
Q

Difference between sexes bladder?

A

Female sits below uterus

Men sits in front of rectum, above prostate gland

38
Q

Difference between sexes urethra?

A

Female urethra embedded within vaginal wall, shorter

Male urethra is longer

39
Q

How do we know we need to pee?

A

Nerve endings in the bladder wall send a message to the brain that you need to pee.

40
Q

What is the make up of urine?

A

Water, Urea, Sodium, Potassium, Chloride

41
Q

What can we learn from urine?

A

Urinary tract infections, kidney disease and diabetes

42
Q

Why use urinalysis?

A

To detect and manage a wide range of disorders

43
Q

Normal pee color?

A

Light yellow

44
Q

Abnormal pee color?

A

Brown, Red

45
Q

If abnormal, what could that mean?

A

Kidney failure, Infection, Food you eat

46
Q

Normal pee odor?

A

Mild - not too noticeable

47
Q

Abnormal pee odor?

A

Foul smelling

48
Q

Abnormal pee odor could mean?

A

Medical condition or disease

49
Q

Normal pH level of pee?

A

6 but ranges 4.5-8

50
Q

Glucose found in urine means?

A

High blood sugar (diabetes, kidney disease)

51
Q

Proteins found in urine means?

A

Kidney disease

52
Q

Ketones found in urine means?

A

Diabetic Ketoacidosis

53
Q

Bile Pigments found in urine means?

A

Liver dysfunction

54
Q

Red blood cells found in urine means?

A

A viral infection

55
Q

White blood cells found in urine means?

A

Bacterial urinary tract infection

56
Q

Casts found in urine means?

A

Kidney disease

57
Q

Where is ADH made?

A

Hypothalamus

58
Q

What hormone tells the kidney to hold fluid?

A

Antidiuretic

59
Q

Important parts of kidney?

A

Renal Cortex
Medulla Pyramids
Renal Column - In between pyramids

60
Q

How many entrance into kidney?

A

1 - Renal Artery

61
Q

Renal artery breaks into?

A

Segmental artery

62
Q

Segmental artery breaks into?

A

Lobar artery

63
Q

Lobar artery break into?

A

Interlobars

64
Q

Interlobars break into?

A

Arcuates

65
Q

Yellow dots on the kidney are?

A

Glomerular

66
Q

Nephron loop always in the?

A

Medulla

67
Q

Glomerular always in the?

A

Cortex

68
Q

Afferent brings everything into the?

A

Glomerulus

69
Q

Efferent leaves out of the?

A

Glomerulus

70
Q

Glomerulus job?

A

Filter

71
Q

Outline of pathway?

A
Uriniferous tubule
Nephron
Renal Corpuscle
Glomerulus
Glomerular Capsule
Tubular section
Proximal convoluted tubule
Loop of henle
Distal convoluted tubule
Collecting duct
72
Q

Collecting duct dumps into?

A

Minor Calyx

73
Q

All filtrate goes into?

A

Proximal Convoluted Tubule

74
Q

How does glucose cross membrane? Active or passive?

A

Passive - Facilitated diffusion

75
Q

How does water cross membrane? Active or passive?

A

Osmosis - Passive

76
Q

How does amino acid/sodium cross membrane? Active or passive?

A

Active - ATP

77
Q

Glucose cannot get in membrane without?

A

Protein who gets permission from insulin

78
Q

Proximal Convoluted Tubule reabsorbs how much sodium?

A

65%

79
Q

Proximal Convoluted Tubule absorbs?

A

Glucose, water, amino acid and sodium

80
Q

Proximal Convoluted Tubule reabsorbs how much water?

A

65%

81
Q

What % of Bicarbonate is reabsorb in Proximal Convoluted Tubule?

A

90%

82
Q

Proximal Convoluted Tubule reabsorbs how much chlorine and potassium?

A

50%

83
Q

Loop of henle does what?

A

Create gradient of higher sodium within medulla

84
Q

Loop of henle reabsorbs how much sodium?

A

25%

85
Q

Loop of henle reabsorbs how much water?

A

15%

86
Q

Loop of henle reabsorbs how much potassium?

A

40%

87
Q

what does Aldosterone tell us to reabsorbs and excrete?

A

Sodium, water and excrete potassium

88
Q

Aldosterone regulate pH by?

A

Secreting Hydrogen ion when pH of plasma is low

89
Q

When you reach the DCT, how much of water remains? chlorine?

A

20% and 10%

90
Q

Collecting duct role?

A

Collect urine - water

91
Q

What hormone helps collecting duct?

A

ADH

92
Q

Impact alcohol has on collecting duct?

A

Makes you pee which causes dehydration due to stopping hormone ADH