Urinary System Flashcards

1
Q

Urinary system

A
  • Consists of 2 kidneys
  • 2 ureters
  • the bladder
  • the urethra
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2
Q

Kidneys

A
  • formation of urine
  • To excrete waste products
  • To regulate volume, electrolytes, & pH of blood & tissue fluid
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3
Q

Renal fascia

A

fibrous connective tissue membrane covering kidneys

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4
Q

Kidney location

A
  • Upper abdominal cavity; retroperitoneal on either side of the vertebral column
  • Upper portion rest on the lower surface of the diaphragm
  • Enclosed & protected by the lower rib cage
  • Embedded in adipose tissue – protective cushion
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5
Q

Medulla (pyramids)

A

Inner tissue layer made up of loops of Henle & collecting tubules

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6
Q

Cortex

A

Outer tissue layer is made of renal corpuscles & convoluted tubles

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7
Q

what collects urine

A

calyces at the hilus

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8
Q

Renal pelvis

A

a cavity formed by the expansion of the ureter within the kidney at the hilus
funnel shaped extensions (calyces) enclose the papillae of the renal pyramids

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9
Q

urine flows from the ______
to ______
to the ______
out into the ______

A

pyramids
calyces
pelvis
ureter

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10
Q

Each kidney contains about 1 million

A

nephrons

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11
Q

Nephrons

A

Functional unit of the kidney- consists of

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12
Q

Renal corpuscle

A
  • Glomerulus

- Bowman’s capsule

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13
Q

Glomerulus

A

capillary network that arises from the afferent arteriole & empties into the efferent arteriole

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14
Q

Bowman’s capsule

A
  • encloses the glomerulus
  • expanded end of the renal tubule
  • inner layer made of podocytes, very permeable, outer layer not permeable
  • space between the layers contains renal filtrate which comes from the blood & will become urine
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15
Q

Renal tubule

A
  • consists of proximal convoluted tubule
  • loop of Henle
  • distal convoluted tubule & collecting tubule
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16
Q

Distal convoluted tubule & collecting tubule

A
  • collecting tubules unite to form papillary ducts

- empty urine into the calyces of the renal pelvis)

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17
Q

Two sets of ____ provide for two ____ of exchanges

A

capillaries

sites

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18
Q

Two sets of capillaries provide for two sites of exchanges between

A

the blood & tissues in the process of urine formation

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19
Q

BLADDER

A
  • Muscular sac below the peritoneum
  • Mucosa
  • Trigone
  • Detrusor muscle
  • Internal urethral sphincter
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20
Q

Bladder location

A
  • behind the pubic bone

- in women below the uterus; in men above the prostrate gland

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21
Q

Mucosa

A
  • transitional epithelial tissue folded into

- Reservoir - can hold 800mls + of urine

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22
Q

Trigone

A
  • triangular area on the bladder floor
  • bounded by opening of the ureters & urethra
  • does not expand
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23
Q

Detrusor muscle

A

smooth muscle layer, spherical

24
Q

Internal urethral sphincter

A

involuntary

surrounds the opening to the urethra

25
URETERS
- 2 ureters - Extend from the hilus of the kidney to the lower posterior side of the bladder Peristalsis of the smooth muscle layer propels the urine toward the bladder
26
_____ of the smooth muscle layer ____ the urine toward the ____
Peristalsis propels bladder
27
URETHRA
- Takes urine from the bladder to the exterior of the body; urinary meatus - Has the external urethral sphincter
28
Female urethra
- approximately 1-1.5 inches long | - anterior to the vagina
29
Male urethra
- 7-8 inches long | - passes through the prostrate gland & penis
30
FORMATION of URINE
- Glomerular filtration | - Tubular reabsorption
31
Glomerular filtration
takes place from the glomerulus to Bowman’s capsule
32
Tubular reabsorption
takes place from the filtrate in the renal tubule to the blood in the peritubular capillaries; ( 99% is reabsorbed, 1% becomes urine)
33
REABSORPTION
- 4 processes that occur in the proximal convoluted tubule (microvilli) - Active transport - Passive transport - Osmosis - Pinocytosis
34
Active transport
reabsorbs glucose, amino acids, vitamins & +ions
35
Passive transport
- (-) ions follow the (+) ion
36
Osmosis
H2O, minerals & sodium ions
37
Pinocytosis
small proteins are reabsorbed | engulfed by the membrane of the convoluted tubule
38
Tubular secretion
takes place from the blood in the peritubular capillaries to the filtrate in the renal tubule
39
Hormones that affect reabsorption
are aldosterone, atrial natriuretic peptide, antidiuretic hormone & parthyroid hormone
40
URINE ELIMINATION
- Ureters - Peristalsis of smooth muscle layer propels urine toward bladder - Bladder
41
Bladder in urine elimination
- the smooth muscle layer (Detrusor muscle) in the wall contracts - the internal urethral sphincter relaxes - the external urethral sphincter is voluntarily relaxed & the bladder is emptied
42
URINATION REFLEX
- Stimulus - Sensory impulses to the spinal cord - Motor impulses - Internal urethral sphincter - External urethral sphincter
43
Stimulus
-stretching of the Detrusor by accumulating urine, (200-400 mls)
44
Motor impulses
return to the detrusor muscle, which contracts
45
Internal urethral sphincter
relaxes
46
External urethral sphincter
provides voluntary control
47
Amount of urine
1-2 liters/24hours
48
Colour of urine
straw/amber | clear/cloudy
49
Constituents of urine
urine is approx 95% water
50
pH of urine
4.6-8.0
51
Specific gravity of urine
1.010-1.025
52
Nitrogenous waste of urine
waste products
53
Other functions of the kidneys
- Acid-base balance - Secretion of renin - Secretion of erythropoietin in response to hypoxia - Activation of vitamin D
54
Acid-base balance
- if the body fluids are too acidic | - If body fluids are too alkaline
55
If the body fluids are too acidic
- the kidneys excrete H+ions - return HCO3-ions to the blood - the pH is raised back to normal
56
If body fluids are too alkaline
- kidneys return H+ions to the blood | - excrete HCO3-ions
57
EFFECTS of AGING
- The # of nephrons in the kidney decrease (half the original number by the age of 70-80 yrs - Kidneys lose some of their concentrating ability - GFR decreases - Bladder decreases in size - Increased risk of infection