Urinary System Flashcards

1
Q

What are the 3 macroscopic parts of the kidney

A

Upper pole
Lower pole
Hilum

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2
Q

What are the layers of the kidney

A

Fibrous capsule ( thin tough outer layer)

Cortex ( middle layer where functional units are)

Medulla ( inner layer where macroscopic collecting system is)

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3
Q

Define the renal pyramids aka
Medulla pyramids

A

Smaller portion located in the medulla
Each pyramid is a small group of collecting tubules ( renal papilla)

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4
Q

Define minor calyx

A

Medium sized tubule that drains many microscopic collecting tubule

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5
Q

Define major calyx

A

Large collecting tube that drains several minor calyces

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6
Q

Define the renal pelvis

A

Largest collecting area of kidney

Drains all major calyces

Attaches to ureter

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7
Q

Define renal columns and renal sinuses

A

Space between renal pyramids and calyces

Very vascular

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8
Q

Define the nephron

A

Smallest single functional unit of a kidney

Primarily located in cortex but do reach the medulla

1 million per kidney

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9
Q

What are the parts of the nephron (6)

A

Glomerulus
Bowman’s capsule
Proximal convoluted tubule
Loop of henle
Distal convoluted tubule
Collecting tubule

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10
Q

Define the glomerulus &. What occurs

A

small capillaries where the exchange of water, electrolytes, and uric waste occurs

Part of circulatory system and the nephron

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11
Q

Define bowman’s capsule

A

Small collecting tube surrounding the glomerulus

Most proximal part of collecting system

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12
Q

Define proximal convoluted tubule & what happens

A

Long tubule extending down toward medulla of kidney

Some re absorption of water and mineral occur here

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13
Q

Define loop of henle

A

Where collecting tubules drops into the medulla and changes direction towards cortex

Includes descending and ascending limbs

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14
Q

Define distal convoluted tubule

A

Long tubule extending back up into cortex

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15
Q

Define collecting tubule

A

Extends down toward medulla

Drain several distal convoluted tubules into minor calyx

Many collecting tubules together form a renal pyramid

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16
Q

Where is the top of the kidney located

A

Level of T11/ T12

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17
Q

Where are the mid kidneys located

A

Level of L1/ L2

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18
Q

Where id the bottom
Of the kidneys located

A

Level of L3

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19
Q

How are the kidneys oriented in the body

A

30 degree angle

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20
Q

Where are the adrenal glands located

A

Upper pole of the kidneys

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21
Q

What are the functions of adrenal glands

A

Produces adrenaline
Part of endocrine system

Has no related urinary function

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22
Q

What are the functions of the ureter

A

“Push” urine from kidneys to bladder

23
Q

Where are the ureters located

A

Begin @renal pelvis of each kidney

Extends down to cross the sacrum and enter urinary bladder

24
Q

What are the 3 parts of ureters

A

Ureteropelvic junction
Pelvic brim
Ureterovesical junction

25
Define the ureteropelvic junction (UPJ)
Constricted area of proximal uteter just inferior to renal hilum
26
Define the pelvic brim
Constricted area of ureter where ureter crosses the lower sacrum and iliac artery
27
Define the ureterovesical junction (UVJ)
Constructed area of ureter where ureter enters the bladder Posterior surface on lateral view
28
Where is the urinary bladder located
Sub peritoneal cavity Superior and slightly posterior to Pubic bone
29
What is the function of the urinary bladder (5)
Urine reservoir Excretion of urine Urge to void capacity (250 cc) Pain capacity (500 cc) Total capacity (1000 cc)
30
What is the structure of the bladder
A muscular sac with a mucus membrane interior
31
What happens when the bladder is emptying
Rugae fold / bladder collapses
32
What muscle makes the bladder walls
Detrusor muscle
33
What attaches the bladder to the pelvic floor
Trigone muscle
34
What do the UVJ ( ureterovesical junction) form on the urinary bladder
The back corners of trigone
35
What does the internal urethral orifice form
Front corner of trigone
36
What kind id muscle is the internal urethral sphincter
Involuntary muscle
37
What kind of muscle is the external urethra sphincter
Voluntary muscle
38
During filling which way does the bladder expand
Superiorly from the trigone
39
Detrussor muscle allows the bladder to do what during filling
Expand
40
What keeps urine in?
Urethral sphincters contracting
41
What happens to the bladder during urination
It collapses towards trigone
42
How does the detrussor muscle force urine out
Contracts
43
What does the urethral sphincter do to allow urine flow
Relaxes
44
What are the 4 main renal functions
1. Remove nitrogenous waste from blood and body 2. Regulate water and balance in body 3. Regulate electrolyte and pH balance in body 4. Assist in maintaining blood pressure
45
What are 2 renal function test
BUN & creatinine
46
What is the most accurate test for renal function
Glomerular filtration rate (GFR)
47
Define nephrolithiasis
Heavy mineral deposits resulting in stones
48
Define renal failure
Could be chronic or acute Declining function can be caused by excretion of albumin , reduced filtration
49
What is immediate treatment for renal failure
Hemodialysis Peritoneal dialysis Kidney transplant
50
Define a UTI
More common in women 40% are hospital occured infections
51
Define micturition
Aka voiding Voluntary unrination
52
Define incontinence
Aka enuresis Involuntary urination
53
Define Anuria
No urine production
54
Define nephroptosis
Abnormal inferior displacement of kidneys