Urinary System Flashcards
Urinary system plays a role in blood pressure regulation. ______ cells synthesize renin, which initiates converstion of ______ to ______
juxtaglomerular
angiotensin
angiotensin 1
Urinary system also has an endocrine function. Peritubuluar capillary endothelial cells and interstitial cells of the cortex and medulla synthesize _____
erythropoietin
Kidneys have a thin connective tissue capsule with 2 layers: an inner layer of _____ and an outer layer of ______ ____ ___
myofibroblasts
dense irregular CT
Kidneys are divided into an outer ____ that receives 90% of the blood supply and an inner _____
cortex
medulla
the functional unit of the kidney is the _____ or _____ + collecting tubule called the _____ tubule
nephron, nephron
uriniferous
The _____ of the kidney is the concave region of the kidney where the renal pelvis is located that continues arteries, veins, lymph, and nerves
hilum
The ____ is a cone shaped expansion of the upper end of the ureter. It is continuous with ____ renal calyces, which branch into ____ calyces, which end at the _____ of the medullary pyramids
pelvis
major
minor
papilla
The cortex is the superficial kidney layer consisting of primarily renal ____ and ____ tubulues
corpuscles
convoluted
There are no renal corpuscles in the _____
medulla
Renal _____ are extensions of cortical tissue that run between adjacent renal pyramids
columns
____ ____ are groups of straight tubules that extend from the base of each renal pyramid into the cortex
medullary rays
There are no _____ in the renal medulla
glomeruli
Renal pyramids form the bulk of the renal medulla and consist primarily of the ______ and _______
thin limbs of henle
collecting tubules
The renal ___ is located at the apex of each renal pyramid. The tip of it is ____ and projects into the minor calyx lumen
papilla
perforated
Renal _____ is the connective tissue of the kidney and is sparse
interstitium
The interstitiam is mostly fibroblasts and _____ cells. Fibroblasts near peritubular capillaries produce ____
mononuclear
erythropoietin
In the medulla there are ____ along blood vessels supplying the loops of henle and ____ cells
pericytes
interstitial
Interstitial cells are found between loops of henle and _____ ducts and vasa recta. They are elongated nuclei with ____ droplets and may synthesize _____ 1 which is converted to _____ 2 in the liver and is a vasodilator
collecting
lipid
medullipin
medullipin
The renal lobule is an area of cortex surrounded on either side by an _____ ____. This area has many ____, and all drain into the same collecting duct
interlobular artery
nephrons
The two types of nephrons are _____ and _____
cortical
juxtomedullary
4 things nephrons consist of :
renal corpuscle
Proximal convoluted tubule
loop of henle
distal convoluted tubule
Cortical nephrons are in the outer part of the cortex. They have ____ loops of henle and many ____ ____
short
peritubular capillaries
Juxtamedullary nephrons have ____ loops of henle that run in association with ____ ____ far down in the medulla. These are responsible for establishing the interstitial concentration gradient in the ____
long
vasa recta
medulla
What is the pathway from glomerulus to collecting duct?
glomerulus–>proximal convoluted tubule–thin limb-loop of henle—distal convoluted tubule–collecting duct
the medulla is divided into an inner and outer zone. The outer zone is divided into inner and outer stripe. The ____ stripe has no thin limbs and only thick limbs. The ____ stripe has thin limbs and thick limbs
outer
inner
The inner medulla consists of ___, and ___, but no ____
collecting ducts and thin limbs,
no thick limbs
___ nephrons do not protrude into the inner medulla while ____ nephrons do.
corticol
juxtamedullary
The renal artery enters the kidney at the ____ and leads into ____ arteries
hilum
interlobar
Interlobar arteries run between renal ________ and divide into ____ arteries that travel along the corticomedullary junction and feed into ____ arteries
pyramids
arcuate
interlobular
Interlobular arteries enter cortical tissue and travel between adjacent ____ ____. These then lead into ____ (glomerular) arterioles, enter the glomerulus, and leave as _____ arteriorles
medullary rays
afferent
efferent
The blood circulation of the kidney is as follows: _____–>_____–>_____—>_____—>______
afferent arteriole capillaries of glomerulus efferrent arteriole capillary network venule
Efferent arterioles associated with cortical nephrons leave the golmerulus and give rise to extensive _____ ____ networks high in the cortex and ____ ___ near the corticomedullary junction
peritubular capillary
vasa recta
There are/are not anastamoses between interlobar arteries
are not-
the can cause focal necrosis
____ ___ arise from efferent arterioles supplying juxtamedullary nephrons. These are long, thin vessels that follow a straight path into the ____ and renal ____ where they form capillaries and loop back, increasing in diameter toward the ____ boundary
vasa recta
medulla, papilla
corticomedullary
Vasa recta are closely associated with ____ ____ and supply nutrients and oxygen
henle’s loops
Capillaries play a critical role in ____ exchange with the interstitum
countercurrent
____ veins are formed by a convergence of superficial cortical veins which drain the outermost cortex layers
stellate
___ cortical veins drain the deeper regions of the cortex
deep
____ veins receive both stellate and deep cortical veins. These join ___ veins which empty into ___ veins. These converge to form a branch of the renal vein, which exits at the kidney ____
interlobular
arcruate
interlobar
hilum
The renal corpuscle consists of the ____ and ____
glomerulus, bowman’s capsule
The bowman’s capsule has a ____ layer of simple squamous epithelium that lines the outer wall. There is also a ____ layer of modified simple squamous epithelium composed of _____ that covers the glomuerula capillaires
parietal
visceral
podocytes
____ space is the area between the visceral and parietal layers
bowman’s
the _____ pole is the area of bowman’s capsule where the afferent and efferent glomerular arteriole enters and leaves the glomerulus
vascular
the ____ pole is the area of bowman’s capsule where the urinary space becomes continous with the proximal convoluted lumen
urinary
The filtration barrier of the renal corpuscle is ____-____-____
fenestrated epithelium-basement membrane-podocytes
The ___ ____ is a capillary tuft that extends into bowman’s capsule
renal glomerulus
Capillaries of the renal glomerulus are lined by ____ _____
fenestrated endotheliunm
The endothelium of the renal glomerulus sits on a thick basal lamina that is shared with _____
podocytes
The interstitial tissue located between glomeruluar capillaries is composed of ____ cells and an amporphous extracellullar _____
mesangial
matrix
mesangial cell functions: 1. ____ support for capillarires 2. _______ turnover of glomeruluar basement membrane material (ie large protein molecules, debris) 3. _____-regulate blood flow by decreasing the filtration surface area.
mechanical
phagocytic
contractile
Mesangial cell functions cont… 4: source of _____ and ____ that cause constriction of afferent and efferent arterioles. 5. respond to ____ and _______
prostoglandins endothelins
angiotensin 2, atrial natriuretic peptide
Mesangial cells can proliferate and synthesize _____ material and _____
matrix
collagen
Immunoglobulins and complement molecules can enter mesangial matrix and induce ____ production by mesangial cells
cytokine
Proximal convuluted tubules can be identified histologically by a _____ brush border
disrupted