urinary system Flashcards

1
Q

what are the functions of the urinary system?

A
  • storage of urine (nitrogenous waste)
  • excretion of urine
  • regulate blood volume
  • regulate ion balance/acid-base balance
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2
Q

what are the major organs of the urinary system?

A
  • kidneys
  • ureter
  • urinary bladder
  • urethra
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3
Q

describe the anatomy of the kidneys

A
  • kidneys are bean-shaped organs
  • located in retroperitoneal position (posterior abdomen) and protected by floating ribs
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4
Q

how are the kids stabilized and protected?

A
  • in addition to the ribs, the kidneys are protected by adipose tissue and a tough fibrous capsule
  • two layers of adipose: perinephric fat (deep, near fibrous capsule), paranephric fat (more superficial)
  • fibrous capsule (or renal capsule) is outer surface of the kidney. maintains shape and protects from trauma and pathogens
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5
Q

describe the basic structure of the kidney

A
  • renal cortex is the outer layer (deep to fibrous capsule). deep to that is the renal medulla
  • the concave medial surface is the hilum. ureter and renal artery/vein enter and exit kidney here
  • extensions of renal cortex between renal medulla are renal columns and divide medulla into renal pyramids
  • each pyramid ends in a renal papilla, or rounded tip. each papila empties into a mino calyx. two or three minor calices empty into the major calyx
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6
Q

how does the kidney receive its blood supply?

A
  • renal arteries branch several times, travel through renal columns to afferent arterioles
  • the afferent arterioles form a capillary network called the glomerulus
  • once some blood plasma is filtered, exits via efferent arterioles
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7
Q

what is a nephron?

A
  • smallest functional unit of the kidney
  • produces urine through: filtration, resorption, and secretion
  • millions of nephrons in each renal pyramid
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8
Q

what are the two kinds of nephrons?

A
  • cortical: 85%
  • juxtamedullary: 15%
  • juxtamedullary nephrons: very long loops; contribute to ability to concentrate urine
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9
Q

what are the two main parts of the nephron?

A
  • glomerulus + glomerular capsule = renal corpuscle
  • renal tubules : contains proximal convoluted tubule, nephron loop (loop of henle), distal convoluted tubule, collecting duct
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10
Q

what is the renal corpuscle?

A
  • designed for filtration of blood
  • glomerulus is a capillary bed
  • afferent arterioles bring blood in
  • glomerular capsule captures filtrate pushed out of capillaries
  • blood exits out efferent arterioles
  • filtrate (water, salts, waste) travels through renal tubule
  • bowman’s capsule is also called the glomerular capsule*
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11
Q

describe the structure of renal tubules?

A

filtrate enters tubules from the renal corpuscle. travels through tubule:
- proximal convulated tubule: reabsorption and secretion
- loop of henle: reabsorption and secretion
- distal convulated tubule: secrete ions mostyl but some reabsorption of water
- collecting ducts: extends to papilla. once filtrate exits collecting duct, it is urine

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12
Q

describe the flow of urine out of the kidney

A
  • urine is made in the pyramids
  • the remaining structures just transport the urine to the ureter
  • travels through papilla to minor calyx, major calyx, renal pelvis and to ureter
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13
Q

what is the urinary tract?

A
  • transports urine to outside of body. the kidney is not part of the urinary tract
  • includes: ureters, bladder, urethra
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14
Q

what are the ureters?

A
  • urine exits kidneys via ureters, which are fibromuscular tubes
  • they are retroperitoneal (behind the parietal peritoneum
  • ureters go from kidney to bladder, located in pelvis
  • urine is transported from the kidney to the bladder by both gravity AND peristaltic waves (smooth muscle in ureter wall)
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15
Q

what are kidney stones?

A
  • aka renal calculus
  • mineral filtering through the kidneys accumulate to form crystals
  • identified by location (kidney, ureter, or bladder) or by type. more common in men
  • extremely painful
  • related to dehydration, abnormal pH of urine, oversaturation of calcium, uric acid or oxalate, blockage of urine flow, bacteria infection
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16
Q

what is the urinary bladder?

A
  • the bladder is a expandable muscular sac that stores and expels urine
  • lies on pelvic floor posterior to pubic symphysis
  • trigone, a stationary region that directs urine to urethra is located posteriorly between openings for ureters
  • wall is composed of mucosa internally and detrusor muscle (smooth muscle). detrusor muscle contracts to expel urine
17
Q

what is the urethra?

A
  • fibromuscular tube lined with smooth muscle/mucosa – drains urine from bladder
  • thickening of detrusor muscle forms internal urethral sphincter at bladder-urethra junction (involuntary)
  • external urethral sphincter surrounds urethra with skeletal muscle sheet, inhibits urine (voluntary)
  • male urethra longer than female, also carries semen
18
Q

what is micturition (urination)?

A
  • expulsion of urine from bladder
  • controlled by the pons
  • when bladder is distended (full), stretch receptors send signals to pons
  • detrusor muscle is stimulated to contract, squeeze out urine to urethra
  • internal sphincter relaxation is involuntary
  • external sphincter relaxation voluntary