Urinary System Flashcards

1
Q

Anatomy of urinary system

A

Kidney
ureter
urinary bladder
urethra

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2
Q

What does the kidney contain

A

Nephron
glomerulus
renal cortex
renal medulla

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3
Q

What is the hilum the entrance/exit for

A

Renal artery/vein
ureters
nerves
lymphatics

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4
Q

what is the renal cortex

A

outer component of kidney that contains renal columns that have blood vessels and fibrous tissue to anchor it

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5
Q

What is the renal medulla

A

The renal pyramids which contain microscopic using collecting tubules

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6
Q

What is the renal pelvis

A

the funnel shaped area connecting to ureter

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7
Q

What does the renal corpuscle contain

A

the glomerulus and glomerular capsule

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8
Q

Stages of renal blood flow

A
  1. renal artery
  2. afferent articles
  3. glomerulus
  4. efferent articles
  5. peritubular capillaries
  6. renal vein
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9
Q

3 layers of urinary bladder

A
  1. inner mucosa of transitional epithelium
  2. middle smooth muscle coat
  3. outer adventitia
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10
Q

8 ways kidney maintains homeostasis

A
  1. regulate blood electrolyte composition by excreting excessive ions into urine.
  2. regulate blood pH by excreting/conserving H+ ions or bicarbonate ions
  3. regulate blood volume by conserving or eliminating water.
  4. Regulate blood pressure (volume and RAAS ANP)
  5. Maintaining blood osmolarity by excreting excessive ions into urine
  6. Excreting waste products such as ammonia and urea
  7. Produces hormones - EPO calcitrol and enzyme renin which leads to production of angiotensin and aldosterone
  8. regulating blood glucose
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11
Q

What does RAAS stand for

A

Renin angiotensin aldosterone pathway

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12
Q

Formation of urine

A
  1. Glomerular filtration
  2. Tubular reabsorption
  3. Tubular secretion
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13
Q

Path of urine drainage

A
  1. Collecting duct
  2. major calyx
  3. minor calyx
  4. renal pelvis
  5. ureter
  6. Urinary bladder
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14
Q

4 waste products in urine

A
  1. Creatinine
  2. urea
  3. some electrolytes
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15
Q

How does tubular reabsorption occur

A
Passive transport (proximal convoluted tubule)
Active transport
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16
Q

Whats in urine

A
Water
ions
nitrogenous waste
sex hormones
dead cells
crystals - calcium urate
17
Q

3 way for movement of urine

A

Peristaltic contraction
hydrostatic pressure
gravity

18
Q

3 systems that affect urine production

A

cardiac
nervous
endocrine

19
Q

Function of aldosterone

A

released from adrenal gland works on nephron to increase tubular reabsorption of sodium and therefore water via osmosis

20
Q

Function of Antidiuretic Hormone (ADH)

A

produced in hypothalamus stored and released in pituitary gland, increases permeability. increased tubular reabsorption of water.

21
Q

Function of Atrial Natriuretic Peptide (ANP)

A

increases excretion excretion of sodium in urine

22
Q

Components required in micturition

A

Stimulus
Pathways
effectors

23
Q

subconcious/involuntary control

A
  1. nerve impulses sent to micturition centre in sacral spinal cord
  2. nerve impulse return from spinal cord
  3. effect - detrusor muscle contracts, internal urethral sphincter relaxes
24
Q

conscious/voluntary control

A
  1. nerve impulse sent to cerebral cortex of brain
  2. desire to urinate
  3. nerve impulse returns
  4. effects
  5. urination occurs
  6. nerve impulse from pons keeps reflex until emptied.
25
Q

2 main muscles in external sphincter

A

larator ani

coccygeus

26
Q

4 types of incontinence

A
  1. stress incontinence
  2. urge incontinence
  3. over flow incontinence
  4. functional incontinence
27
Q

what is the Glomerular filtration rate

A

refers to rate of filtration by glomerulus

28
Q

How is GFR calculated

A

estimating creatinine clearance (24 hour urine sample)