Urinary System Flashcards
What are the 4 overall steps of the urinary system?
- a pair of kidneys produce urine
- a pair of ureters transport urine to the urinary bladder
- urinary bladder temporarily stores the urine
- urethra conducts urine to the exterior
What are functions of the kidney?
- produces urine
- eliminate nitrogenous waste (protein metabolism)
- maintains electrolytes and water balance
- releases renin for regulation of blood pressure
- releases erythropoietin for stimulation of RBC production
Where are the kidneys?
in the posterior abdominal wall behind the peritoneum on each side of the vertebral column (T12-L3)
What 4 parts of the abdomen do the kidneys occupy?
epigastric, hypochondriac, lumbar and umbilical regions
Why is the right kidney slightly lower than the left?
due to the presence of the liver
What is the left kidney closer to?
the median plate
What does the transpyloric plane pass through?
- upper part of the hilum of the right kidney
- lower part of the hilum of the left kidney
What are the 4 external features of the kidney?
- 2 poles (superior and inferior)
- 2 surfaces (anterior and posterior)
- 2 borders (medial and lateral)
- hilum
From the deepest to most superficial, what are the 4 capsules/coverings of the kidney?
- fibrous (true) capsule
- perirenal fat
- renal fascia (false capsule)
- pararenal fat
What passes through the kidney hilum from anterior to posterior?
- renal vein
- renal artery
- renal pelvis
Why is the true capsule of the kidney fibrous?
due to condensation of the organ stroma
What does the perirenal fat of the kidney do?
give support to the kidney
What are the 5 anterior relations of the right kidney?
- suprarenal area
- hepatic area
- duodenal area
- colic area
- jejunal area
What are the 6 anterior relations of the left kidney?
- suprarenal area
- gastric area
- splenic area
- pancreatic area
- colic area
- jejunal area
What are the 4 posterior muscle relations of both kidneys?
- diaphragm
- psoas major
- quadratus lumborum
- transversus abdominus
What are the posterior nerve relations of both kidneys?
subcostal, iliohypogastric and ilioinguinal nerves
What is the only difference between the posterior relations of both kidneys?
right kidney is related to 1 rib and the left is related to 2
What is the kidney proper composed of?
outer cortex and inner medulla
Where is the outer cortex of the kidney proper?
just below the renal capsule and extends between the renal pyramids and renal columns
What is the inner medulla of the kidney proper composed of?
5-11 dark conical masses called renal pyramids
What do the apices of renal pyramids form?
renal papillae that invaginate the minor calyces
What does a minor calyx do?
surround the renal papillae of each pyramid and collect urine from that pyramid
Where does the renal sinus open?
at the medial border of the kidney as hilus
What does the renal sinus contain?
- greater part of the renal pelvis, major and minor calyces
- renal vessels
- lymphatics and nerves
- fat
What is a nephron?
the structural and functional unit of the kidney
What does each nephron consist of?
a glomerulus and a tubule system
What is a glomerulus?
a tuft of capillaries surrounded by Bowman’s capsule
What does a renal tubular system consist of?
- PCT
- loop of Henle
- DCT