Urinary System Flashcards
Anatomy of urinary system
Kidney
ureter
urinary bladder
urethra
What does the kidney contain
Nephron
glomerulus
renal cortex
renal medulla
What is the hilum the entrance/exit for
Renal artery/vein
ureters
nerves
lymphatics
what is the renal cortex
outer component of kidney that contains renal columns that have blood vessels and fibrous tissue to anchor it
What is the renal medulla
The renal pyramids which contain microscopic using collecting tubules
What is the renal pelvis
the funnel shaped area connecting to ureter
What does the renal corpuscle contain
the glomerulus and glomerular capsule
Stages of renal blood flow
- renal artery
- afferent articles
- glomerulus
- efferent articles
- peritubular capillaries
- renal vein
3 layers of urinary bladder
- inner mucosa of transitional epithelium
- middle smooth muscle coat
- outer adventitia
8 ways kidney maintains homeostasis
- regulate blood electrolyte composition by excreting excessive ions into urine.
- regulate blood pH by excreting/conserving H+ ions or bicarbonate ions
- regulate blood volume by conserving or eliminating water.
- Regulate blood pressure (volume and RAAS ANP)
- Maintaining blood osmolarity by excreting excessive ions into urine
- Excreting waste products such as ammonia and urea
- Produces hormones - EPO calcitrol and enzyme renin which leads to production of angiotensin and aldosterone
- regulating blood glucose
What does RAAS stand for
Renin angiotensin aldosterone pathway
Formation of urine
- Glomerular filtration
- Tubular reabsorption
- Tubular secretion
Path of urine drainage
- Collecting duct
- major calyx
- minor calyx
- renal pelvis
- ureter
- Urinary bladder
4 waste products in urine
- Creatinine
- urea
- some electrolytes
How does tubular reabsorption occur
Passive transport (proximal convoluted tubule) Active transport
Whats in urine
Water ions nitrogenous waste sex hormones dead cells crystals - calcium urate
3 way for movement of urine
Peristaltic contraction
hydrostatic pressure
gravity
3 systems that affect urine production
cardiac
nervous
endocrine
Function of aldosterone
released from adrenal gland works on nephron to increase tubular reabsorption of sodium and therefore water via osmosis
Function of Antidiuretic Hormone (ADH)
produced in hypothalamus stored and released in pituitary gland, increases permeability. increased tubular reabsorption of water.
Function of Atrial Natriuretic Peptide (ANP)
increases excretion excretion of sodium in urine
Components required in micturition
Stimulus
Pathways
effectors
subconcious/involuntary control
- nerve impulses sent to micturition centre in sacral spinal cord
- nerve impulse return from spinal cord
- effect - detrusor muscle contracts, internal urethral sphincter relaxes
conscious/voluntary control
- nerve impulse sent to cerebral cortex of brain
- desire to urinate
- nerve impulse returns
- effects
- urination occurs
- nerve impulse from pons keeps reflex until emptied.
2 main muscles in external sphincter
larator ani
coccygeus
4 types of incontinence
- stress incontinence
- urge incontinence
- over flow incontinence
- functional incontinence
what is the Glomerular filtration rate
refers to rate of filtration by glomerulus
How is GFR calculated
estimating creatinine clearance (24 hour urine sample)