Urinary - Kidneys Flashcards

1
Q

What level of the spine is the urinary system at?

A

T12 and L3

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2
Q

Why is the right kidney slightly lower than the left?

A

Due to liver

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3
Q

What is the renal hilum?

A

Entry and exit point for ureters, renal blood vessels and nerves

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4
Q

What’s on top of each kidney?

A

Adrenal glands

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5
Q

What are the coverings of the kidneys?

A
  • fibrous capsule
  • perirenal fat capsule
  • renal fascia
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6
Q

What is the fibrous capsule?

A

A thin membranous sheath that covers each kidney - innermost layer

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7
Q

What is the perirenal fat capsule?

A

Fat that surrounds each kidney and cushions against blows

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8
Q

What is the renal fascia?

A

Outermost layer that surrounds kidneys and adrenal glands. Helps anchor organs in place

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9
Q

What are the regions of the kidney?

A
  • renal cortex
  • renal medulla
  • renal pelvis
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10
Q

What does the calyces do?

A

Funnel urine towards renal pelvis

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11
Q

What is the renal pelvis?

A

Funnel for urine

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12
Q

For each minute, how much blood passes the kidneys?

A

One quarter

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13
Q

Can nephrons be replaced when damaged?

A

No

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14
Q

What is the responsibility of nephrons?

A

Process waste products from the blood to form urine

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15
Q

What are the two main structures of nephrons?

A
  1. Renal corpuscle
  2. Renal tubules
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16
Q

What is the structure of renal corpuscle?

A
  • glomerulus
  • bowman’s capsule (or glomerular capsule)
17
Q

What is the glomerulus?

A

Network of tiny blood capillaries where blood filtration begins

18
Q

What is the glomerular (Bowman’s) capsule?

A

Cup shaped structure surrounding the glomerulus

19
Q

What are the subdivisions of the renal tubule?

A
  1. Proximal convoluted tubule (PCT)
  2. Nephron loop (loop of Henle)
  3. Distal convoluted tubule (DCT)
20
Q

What are peritubular capillary beds?

A
  • Small blood vessels surrounding renal tubules
  • arise from arterioles of the glomeruli
  • reabsorbs nutrients and water from renal tubules that needs to go back into bloodstream
21
Q

What is the collecting duct?

A
  • Separate from nephrons
  • carry tubular fluid through renal medulla towards renal pelvis and ureters
22
Q

What are the two types of nephrons?

A

Cortical & juxtamedullary

23
Q

What type of nerves do both nephrons contain? What do these nerves do?

A

Renal nerves - adjust blood flow and bp at glomeruli

24
Q

What does nitrogenous waste include?

A
  • creatinine
  • ammonia / urea
  • uric acid
25
Q

What is uric acid?

A

Produced from breakdown of the body’s cells and food

26
Q

What is creatinine?

A

Produced by muscles from the breakdown of creatine (substance that provides energy for the muscles)

27
Q

What is ammonia? Urea?

A

A toxic waste product from the breakdown of proteins. Converted into urea by liver (less toxic waste product)

28
Q

What is a urea test for?

A

Assess protein balance

29
Q

What does low levels of ammonia/urea indicate?

A
  • malnutrition
  • kidney dysfunction
30
Q

What does high levels of ammonia/urea indicate?

A
  • excessive protein intake
  • increased protein breakdown in the body
31
Q

Where are cortical nephrons found?

A

Cortex

Responsible for reabsorption of water and solutes from filtrate. Less involved in concentrating urine

32
Q

Where are juxtamedullary nephrons found?

A

Boundary of the cortex and medulla

Essential for conserving water in the body and concentrating urine

Releases renin (regulates bp)