Urinary System Flashcards
What does the ureter connect?
Kidney to bladder
What does the urethera connect?
Bladder to the body exit
What is nephrology?
Study of anatomy/physiology/pathology of the kidneys
kidneys
Ureters
urinary bladder
Urethra
uterus
ovary
Rectum
Inferior vena cava
abdominal aorta
esophagus
diaphram
What hormones do the kidneys produce?
Calcitrol (vit D)
Erythroprietinn (RBC)
What does retroperiotoneal mean?
back of the body
What provides protection to the kidneys?
The lower ribs
Renal hilum
adrenal glands
ureter
Renal cortex
renal medulla
renal column
renal pyramid
Collecting duct
papilliary duct
minor calyx
major calyx
renal pelvis
ureter
What is the path of urine drainage?
- Collection duct
- Papilliary duct
- Minor Calyx
- Major calyx
- Renal Pelvis
- Ureter
- Bladder
How many calyces per kidney?
8-18 minor
2-3 major
What is the parenchyma
Functional portion of kidneys
What makes up the parenchyma?
Renal cortex + pyramids
How does blood flow through the kidneys?
RSIAC, AGEP, PC(r)AIR
- Arteries (Renal, segmental, interlobar, arcuate, cortical radiate)
- (Arterioles/Capiliaries/A/C) afferent, Glomerular, Efferent, peritubular
- Veins (Peritubular, cortical radiate, arcuate, interlobar, renal)
- Ria should ingest a chocolate, 2. And get extra protein 3. Proteins cravings are internal requests
What are the 2 parts of a nephron?
- Renal corpuscle
- Renal tubule
What does the renal corpuscle do?
Filters the blood
What do the renal tubules do?
Return good stuff from blood back to body
What are the 2 types of nephrons?
- Cortical
- Juxtamedullary
What does the nephron do?
- Glemerular filtration
- Tubular secretion
- Tubular reabsorption
What makes up the renal corpuscle?
The glomerulus
glomerulus
cortical nephron
Juxtamedullary nephron
minor calyx
How does fluid flow through a cortical nephron?
- glomerular capsule
- proximal convoluted tubule
- nephron loop
- distal convoluted tubule
- collecting duct
What is the role of the cortical nephron?
Creates urine
What is the purpose of a juxtamedullary nephron
enables the kidney to secrete very concentrated urine
How does fluid flow through a juxtamedullary nephron?
- Glomerular capsule
- proximal convoluted tubule
- nephron loop
- Distal convoluted tubule
What are the 2 main components of the renal corpuscle?
- Glomerulus
- Glomerular capsule
What is the glomerulus?
- mass of capillaries
Where does filtrate go in the glomerular capsule?
between the visceral and parietal layers
What is the structure of glomerular endothelial cells?
- They have large pores and are leaky
Why are the endothelial cells of the glomerular ‘leaky’?
- Prevents filtration of bood cells whist alowing blood plasma to pass through
What is the purpose of the membranes of the glomerulus?
prevents filtration of medium/larger proteins
What are pedicels?
Formed by podocytes
control substance movement
pedicel
What are the 3 parts of the renal tubule?
- Proximal convoluted tubule
- nephron loop
- distal convoluted tubule
Where do collecting ducts empty?
papillary ducts
Explain the physiology of the renal tube
- Glomerular filtration
- Tubular reabsorption
- Tubular secretion
How does the production of dilute urine differ from concentrated urine?
- ADH controls the amount of water lost in pee
What is haemodialysis?
removal of wastes and excess electrolytes from patient’s blood
Describe the structure of the ureters
thick-walled
narrow
Why does the bladder not backflow when full?
No valve at opening
Ureters enter obliquely, these openings are compressed when the bladder is full
What are the 3 layers of the ureters?
- Mucosa
- Muscularis
- Adventitia
Describe the structure of the mucosa
- Transitional epithelium
- Underlying laminate propria
How does the mucosa behave when the ureters are full?
it stretches
Describe the structure of the muscularis
- Inner longitudinal and outer circular layers of smooth muscle
What is the role of the muscularis?
- contracts when urine in ureter
- helps propel urine to bladder
Describe the structure of the adventitia
Superficial layer containing blood vessels, lymph vessels and nerves
What is micturition?
The act of peeing
Which muscles contract and relax when you pee?
relax: internal urethral spincter
contract: detrusor muscle
detrusor muscle
What is the difference in size for male and female urethras?
Male: 20cm
Female : 4cm
What are the 2 tissue layers in the urthera?
- deep mucosa
- superficial muscularis
What are the 3 anatomical regions in the male urethra?
- Prostatic urethra
- Intermediate urethra
- Spongy urethra
Why are women more likely to have STIs?
Shorter urethra tract than males
rectum
postatic urethra
intermediate urethra
spongy urethra
prostate
What are the 2 types of catheters
- foley (<30days)
- intermittant (<1day)