Urinary System Flashcards

1
Q

Location and position of the kidneys

A
  • sits on the posterior wall of abdomen
  • sit laterally to vertebrae T12-L3
  • adrenal glands sit on top of the kidneys
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2
Q

External Anatomy of Kidney: Renal Capsule

A
  • thin membranous sheath that covers the outer surface of each kidney
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3
Q

External Anatomy of Kidney: Hilum

A
  • location of the renal artery and vein
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4
Q

Internal Anatomy: Cortex

A
  • most superficial layer
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5
Q

Internal Anatomy: Medulla

A
  • Deeper Layer
    > renal column: cortical tissue extends into medulla
    > renal pyramid: medullary tissue
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6
Q

Internal Anatomy: Renal Papilla

A
  • is the apex of the pyramids and opens to minor calyx
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7
Q

Internal Anatomy: Minor calyx (calyces)

A
  • receives urine from the papillae (5-15 per kidney)
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8
Q

Internal Anatomy: major calyx

A
  • formed from multiple minor calyces (2-3 per kidney)
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9
Q

Internal Anatomy: Renal Pelvis

A
  • formed by the major calyces
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10
Q

The nephron is the what?

A
  • basic functional unit of kidney
  • 1 million per kidney
  • where urine will be formed before draining thru the other structures
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11
Q

Parts of the nephron

A
  1. Renal corpuscle
  2. Proximal convoluted tubule
  3. Loop of Henle
  4. Distal convoluted tubule
  5. Collecting duct
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12
Q

Renal Corpuscle

A
  • = glomerulus + glomerular capsule
  • glomerulus: network of specialized capillaries; site of blood filtration
  • glomerular filtrate: fluid and dissolved solutes filtered from blood into glomerular capsule
  • filtrate contains metabolic wastes, but also useful materials that need to be reabsorbed
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13
Q

Proximal convoluted tubule

A
  • first section of renal tubule
  • reabsorbs organic nutrients, proteins, ions, and water from filtrate
  • most reabsorption happens in this segment
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14
Q

Nephron Loop (Loop of Henle)

A
  • second section of renal tubule
  • travels through medulla
  • descending limb: reabsorption of water (water stays in body)
  • ascending limb: reabsorption of ions; impermeable to water
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15
Q

Distal convoluted tubule

A
  • third section of renal tubule; end of nephron
  • active transport of ions, acids, toxins
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16
Q

Collecting duct

A
  • receives fluid from several distal convoluted tubules
  • antidiuretic hormone (ADH): regulates permeability of collecting ducts to water —> controls concentration of urine
17
Q

Juxtaglomerular apparatus

A
  • clusters of cells next to glomerulus
  • manipulates blood volume/pressure
  • —> autoregulates rate of glomerular filtration
18
Q

Parts of the juxtaglomerular apparatus: macula densa

A
  • detects ion levels in bloodstream
    > controls dilation of afferent arteriole
    > signals for release of renin
19
Q

Parts of the juxtaglomerular apparatus: juxtaglomerular cells

A
  • secrete renin (increases blood pressure) and erythropoietin (stimulates red blood cell production)
20
Q

Blood Supply: Renal arteries

A
  • branches from the abdominal aorta
  • right renal artery = longer bc it passes behind inferior vena cava
21
Q

Renal artery branches: segmental arteries

A
  • initial branches from renal artery in (or before) renal sinus
22
Q

Blood Supply: afferent and efferent arterioles and peritubular capillaries

A
  • afferent arterioles: supply nephrons at glomerulus
  • efferent arterioles: drain blood from glomerulus; feed into capillaries
  • peritubular capillaries: surround renal tubule and involved in reabsorption
23
Q

Renal nerve plexus

A
  • postganglionic sympathetic fibers
  • alters artery smooth muscle tone: regulates rate of urine formation
  • releases renin: regulates composition of urine
  • no parasympathetic fxn for kidneys
24
Q

Ureters

A
  • smooth muscle tubules
  • extend from renal pelvis to bladder
  • peristaltic contractions propel urine
  • run from kidneys to the bladder
25
Kidney stones
- crystalline formations in urinary tract - caused by lack of hydration, abundance of stone-forming chemicals (e.g. calcium, phosphate, oxalate from high-fructose corn syrup)
26
The bladder
- most anterior organ in the pelvis - lies behind pubic symphysis/pubic bones - receives urine from kidneys via ureters - urine leaves via urethra
27
Trigone
- an area with no rugae, in btw openings for ureters and internal urethral orifice
28
Rugae
- mucosa forms rugae when empty
29
Smooth muscle
- walls consists of smooth muscles
30
Neck of the bladder
31
The Bladder — Females
- anterior to vagina - inferior to uterus (sits on top of bladder)
32
The Bladder — Males
- neck of the bladder is superior to prostate
33
Detrusor muscle
- smooth muscle in walls of bladder - expels urine upon contraction
34
The urethra
- extends from internal urethral orifice to external urethral orifice - shorter length in females than in males
35
Male urethral segments
- prostatic: from bladder thru center of prostate (extends from bladder to pelvic floor) - membranous: passes through muscular pelvic floor - spongy (aka penile): passes through penis to external orifice
36
Urethral sphincters
- internal: smooth muscle; involuntary control; btw bladder and urethra - external: skeletal muscle; voluntary control via resting muscle tone and relaxation
37
Urination — Storage Reflex of Micturition
- initiated by low stretch - increased sympathetic activity > inhibits detrusor contraction > internal sphincter contracts - stimulation of somatic motor neurons > external sphincter contracts (via pudendal nerve)
38
Urination — Voiding reflex of micturition
- initiated by high stretch - increased parasympathetic activity (and reduced sympathetic activity) > detrusor contracts > internal sphincter relaxes - reduced stimulation of somatic motor neurons > external sphincter relaxes