Urinary system Flashcards

1
Q

Components of the urinary system

A

Components include: Kidneys, Ureters, Urinary Bladder, Urethra

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2
Q

Function of the urinary system

A

elimination of nitrogenous wastes produced by protein catabolism, maintenance of ionic and osmotic balance w/in body

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3
Q

Mechanism of operation for the kidney

A

(ultra)filtration of blood plasma followed by reabsorption of most water and small molecules (e.g., glucose) and secretion of certain ions (mostly divalents)

Results in different end-product concentration compared to plasma

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4
Q

Accessory function of the urinary system

A

erythropoietin release; this is a hormone which stimulates RBC production

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5
Q

Sequence of flow of the urinary system

A

Urine produced in kidneys, drains toward hilum (“dent” in kidney bean shape), entering renal pelvis where it leaves the kidneys.

Upon exiting kidney, urine enters ureters which carry it to the urinary bladder (muscular-walled sac serving as reservoir for urine storage).

Urethra drains urinary bladder to exterior.

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6
Q

Basic structural unit of the kidney

A

nephron (millions)

made of renal tubule or kidney tubule

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7
Q

Hilum

A

depression thru which urine exits and blood vessels enter (and exit) the kidney

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8
Q

Renal pelvis

A

expansion of the upper part of ureter within the hilum, divided into large and small cups (major and minor calyces)

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9
Q

Collecting ducts

A

empty into calyces, these are structures into which renal tubules drain (many nephrons empty into a single collecting duct)

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10
Q

Structure of the kidney

A

As a gross structure, the kidney is surrounded by a dense CT capsule which gives off trabeculae extending toward the interior that produce a lobular organization.

Divided into an outer cortex and an inner medulla. (contain diff portions of the nephron)

The medulla contains the loops of Henle (found only in mammals and some birds) and the collecting ducts.

Reptiles/amph/fish can only equilibrate fluids because loop of Henle concentrates.

Medullary rays extend into cortex

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11
Q

Renal corpuscle structure

A

blind end of nephron; consists of a thin capsule of simple squamous epithelial tissue (Bowman’s Capsule) surrounding a ball of capillaries (glomerulus).

Blood plasma filters from glomerular capillaries into Bowman’s capsule, thereby entering the renal tubule.

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12
Q

Filtration barrier of the nephron

A

capillary endothelium (fenestrated; exchange of dissolved molecules) + relatively thick (to support capillaries) glomerular basement membrane (functions in support of capillary network) +

Bowman’s Capsule epithelium (simple squamous cells = podocytes).

Podocytes look like leaves; interlock with adjacent podocytes

Filtration slits lie between podocytes, but are closed by a slit membrane (diaphragm = 5-6 nm thick; composed of basal lamina; porous but prevents passage of large molecules).

Block out plasma proteins, allow glucose (small molecules) to filter through

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13
Q

Mesangial cells

A

= lie in extracellular matrix between glomerular capillaries, serve a phagocytic function; also can expand or contract to locally modify filtration.

In between loops

Expand: less blood flow, contract: dilate, more flow.

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14
Q

Describe the proximal convoluted tubule location, histology. What does the PCT function in?

A

Takes a winding path thru the cortex; leads from Bowman’s capsule to descending loop of Henle.

To distinguish from distal convoluted tubule:

In c.s., tubules are more numerous since proximal tubule is longer

Consists of larger, more triangular cells in proximal tubules with spherical nucleus and indistinct lateral borders (simple cuboidal epithelium)

Microvilli are present on the lumenal surface (forms brush border)

Proximal tubule is active in reabsorption of water, NaCl, glucose, amino acids, vitamins, etc.

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15
Q

What is the loop of henle composed of?

A

Thick descending portion, actually is a continuation of proximal tubule simple cuboidal
Thin descending portion simple squamous
turn
Thin ascending portion simple squamous
Thick ascending portion, leads into distal convoluted tubule simple cuboidal

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16
Q

How does the epithelium of the loop of henle change?

A

Thick portion is lined by simple cuboidal, thin portion is lined by simple squamous.

17
Q

What does the loop of Henle do?

A

Functions to concentrate urine by removing water(first) and NaCl (later)

18
Q

How far do the loops of Henle descend into the medulla?

A

These loops extend variable distances into medulla, depending on position of renal corpuscle. (upper cortex, don’t extend very far into medulla, vise versa)

19
Q

Describe distal convoluted tubules function and histology

A

Takes a winding path to empty into collecting duct

Lined by cuboidal cells with relatively distinct lateral borders; lack brush border

Functions in Na2+ reabsorption

Tend to stain pale

20
Q

Medulla and medullary rays contain mostly this.

A

Collecting ducts

21
Q

Histology and function of the collecting ducts.

A

Lie mainly within medulla and medullary rays extending into cortex

Lined by simple cuboidal/columnar cells with very distinct lateral borders

Main function is to reabsorb water

22
Q

What is the countercurrent multiplier system?

A

Countercurrent Multiplier System

Each region has a special permeability for water, ions, and/or urea

Interstitial spaces (between everything) accumulate ions and urea to build up a concentration gradient that is more concentrated the deeper into the medulla it is.

Parallel to nephrons lies a capillary network (vasa recta or peritubular capillaries) which has freely permeable walls, these capillaries passively participate in maintenance of the concentration gradient in the interstitium by removal of reabsorbed water and NaCl

23
Q

What is the juxtaglomerular apparatus composed of?

A

Composed of:

Modified smooth muscle cells of tunica media of afferent arteriole (Juxtaglomerular Cells)

Macula Densa

Mesangial cells that are closely associated with Juxtaglomerular cells = Lacis Cells - function is uncertain

24
Q

Macula densa

A

= specialized region of nephron epithelial cells at the junction of the ascending loop of Henle with the distal convoluted tubule; forms row of cells adjacent to glomerulus.

25
Q

Mesangial cells closely associated with the juxtaglomerular cells are called..

A

lacis cells

26
Q

The afferent arteriole and the macula dense have specific roles in the juxtaglomerular apparatus. What are they?

A

afferent arteriole: senses changes in blood pressure (blood volume)

Macula densa: detects changes in sodium concentration

27
Q

Decreased volume or decreased sodium concentration in the juxtaglomerular apparatus result in what?

A

stimulates JG cells to release renin which splits angiotensinogen (from liver) to form angiotensin I. Angiotensin I is converted to angiotensin II by converting enzyme (from lung).

28
Q

Angiotensin II

A

is the most powerful vasoconstrictor in the body

causes an increase in blood pressure, but a
decrease in blood flow thru glomerulus
(constriction in tunica media)

glomerular filtration rate decreases, as does urine production.

29
Q

Hormones that affect the kidney: aldosterone

A

steroid hormone released from adrenal cortex; acts to increase sodium reabsorption from distal convoluted tubule (Angiotensin II stimulates release of aldosterone)

Mineralcorticoid- zona glomerulosa

30
Q

Hormones affecting the kidney: ADH

A

released from posterior pituitary; acts to increase water reabsorption by increasing permeability of the collecting ducts to water

31
Q

Post-kidney urinary system consists of..

A

URETER = tube extending from renal pelvis to urinary bladder

URINARY BLADDER = sac-like structure serving to store urine

URETHRA = tube emptying bladder to exterior

32
Q

Describe the mucosa of the ureter

A

Mucosa = transitional epithelium + lamina propria of elastic areolar CT

Longitudinal folds are present in mucosa

No submucosa is present

33
Q

Describe the muscularis of the ureter

A

= bundles of smooth muscle fibers with interspersed CT; Smooth muscle arrangement is inner longitudinal, outer circular, and in lower end an outermost longitudinal is also present; these muscle layers are not clearly defined

Peristaltic contractions of the muscularis move urine into bladder

34
Q

Describe the adventitia of the ureter

A

Fibroelastic CT with blood vessels, lymphatics, nerves

35
Q

Histology of the urinary bladder.

A

Wall structure similar to ureter

Differences include:

Thicker transitional epithelium

Thick muscularis, same 3 poorly defined layers as in lower ureter; at neck of bladder there is a smooth muscle coat that forms an involuntary internal sphincter

Adventitia is covered by mesothelium = serosa

36
Q

Describe the male urethra

A

Male = relatively lengthy tube, shared with reproductive tract

Epithelium changes from transitional to stratified or pseudostratified columnar

Lumen has an irregular border - pits = Glands of
Littre which produce mucus

Surrounded at base of penis by skeletal muscle = external sphincter, otherwise muscularis is composed of 2 indistinct layers

37
Q

Glands of Littre

A

produce mucous in the male urethra

38
Q

Describe the female urethra

A

much shorter tube, separate from reproductive tract

Epithelium changes from transitional to stratified or pseudostratified columnar

External sphincter of skeletal muscle surrounds external urethral orifice