Urinary system Flashcards

1
Q

urinary system

A

kidneys, ureters, urinary bladder, urethra

remove metabolic wastes from blood out of the body

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2
Q

kidney location

A

high on posterior abdominal wall
left is higher than the right
retroperitoneal

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3
Q

renal capsule

A

tough fibrous shell around kidney

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4
Q

renal cortex

A

outer portion of kidney

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5
Q

renal medulla

A

inner portion of kidney

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6
Q

renal pyramids

A

cone shaped masses of tissue in renal medulla

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7
Q

renal pelvis

A

superior end of ureter, expanded to form funnel shape

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8
Q

major calyx (calyces)

A

divisions of renal pelvis (2-3)

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9
Q

minor calyx (calyces)

A

divisions of major calyx (4-6)

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10
Q

papilla

A

tip of renal pyramid

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11
Q

renal maintenance of blood

A
RBC formation (erythropoietin)
blood pressure (renin)
blood volume (ADH)
blood composition (osmolarity)
blood pH (bicarb)
vitamin D
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12
Q

nephron

A

functional unit of kidney; 85% are cortical, 15% are juxtamedullary; composed of renal corpuscle and renal tubule

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13
Q

renal corpuscle

A

glomerulus within Bowman’s capsule

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14
Q

renal tubule

A

proximal convoluted tubule (PCT)
descending loop of Henle
ascending loop of Henle
distal convoluted tubule (DCT)

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15
Q

blood flow (heart -> kidney)

A
aorta
renal artery
interlobar artery
arcuate artery
interlobular artery
afferent arteriole
glomerular capillaries
efferent arteriole
peritubular capillaries / vesa recta
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16
Q

vesa recta

A

long-hairpin shaped vessels that run parallel to the loops of Henle; slow rate of blood flow which helps maintain the osmotic gradient required for water reabsorption

17
Q

juxtaglomerular apparatus

A

point of contact between the afferent arteriole and the distal convoluted tubule; regulates glomerular filtration; macula densa, juxtaglomerular cells

18
Q

macula densa

A

cells in DCT in contact with afferent arteriole; dense spot

19
Q

juxtaglomerular cells

A

smooth muscle cells in afferent arteriole

20
Q

urine formation

A

glomerular filtration
tubular reabsorption
tubular secretion

21
Q

glomerular filtration

A

fenestrated glomerular capillaries filter water and dissolved materials from blood, leaving filtrate in Bowman’s capsule; proteins are NOT filtered

22
Q

hydrostatic pressure (renal)

A

glomerular capillaries 60mmHg

Bowman’s capsule 15mmHg

23
Q

oncotic pressure (renal)

A

glomerular 25mmHg

Bowman’s capsule 0mmHg

24
Q

amount of production

A

filter 125ml per minute; most reabsorbed

25
glomerular filtration rate
juxtaglomerular apparatus | blood pressure/volume
26
tubular reabsorption
1. process by which substances are transported from the glomerular filtrate to blood in peritubular capillaries 2. most occurs in PCT through active transport/osmosis 3. reabsorbed substances include: glucose (only in PCT), amino acids, water, ions, etc.
27
tubular secretion
1. process by which substances are transported from the blood in peritubular capillaries into the DCT. 2. maintains ion concentrations (Na+ and K+ are inversely related)
28
regulation blood concentration/volume
ADH promotes reabsorption of water through the collecting ducts (negative feedback); stimulus is based on osmolarity of ICE of superoptic nuclei in hypothalamus
29
excretion of wastes
by products from amino acid metabolism (urea) and nucleotide metabolism (uric acid); reabsorbed by tubules, but secreted back into urine
30
urine composition
95% water | 5% urea, uric acid, amino acids, electrolytes
31
ureters
1. small tubes that carry urine from kidneys to bladder through peristaltic movements 2. 25-29cm; retroperitoneal 3. 3 layers: inner mucosa (transitional epithelium), middle muscular (smooth muscle), outer serosa (fibrous CT)
32
bladder
1. within pelvic cavity, behind symphysis pubis 2. hollow, distensible, muscular (detrusor) with transitional epithelium covered with fibrous CT 3. function: storage of urine
33
urethra
1. tube that carries urine from bladder to outside 2. length: 4cm (F), 20cm (M) 3. internal (smooth m.) and external (skeletal m.) sphincters
34
micturition
process by which urine is expelled from he body
35
trigone
triangle formation within the bladder composed of the passageways to the ureters and urethra
36
urine process
``` Bowman's capsule PCT loop of Henle DCT collecting ducts minor calyx major calyx renal pelvis ureter urinary bladder urethra POTTY! :D ```
37
3 common diseases of urinary system
1. cystitis/ureteritis: bacterial infection; pain, frequency, urgency, possible fever 2. kidney stones: 75% calcium oxalate; can be seen on X-ray; pain management, lithotripsy, or surgery 3. pyelonephritis: kidney infection often resulting from bladder infection; same symptoms plus sharp flank pain