Urinary System Flashcards
main structures of urinary system (5)
Kidney –> renal pelvis –> ureter –> urinary bladder –> urethra
path of kidney vessels
renal artery –> afferent arteriole –> glomerulus –> efferent arteriole –> peritubular capillary plexus/vasa recta –> veins
Three areas of kidney nephrons
renal corpuscle
proximal tubule, nephron loop, distal tubule
juxtaglomerular apparatus
makes up the renal corpuscle (3)
glomerulus, glomerular space, glomerular capsule
what makes up the renal corpuscle
glomerulus and bowman’s capsule
filtration apparatus of the kidney (where blood supply meets nephron)
renal corpuscle
capillary plexus between afferent and efferent arterioles
glomerulus
what does the glomerulus contain (3)
fenestrated endothelium
intraglomerular mesangial cells
podocytes
produce internal half of basal lamina of glomerulus for filtration of elements of blood
fenestrated endothelium (lamina rara interna)
two types of intraglomerular mesangial cells
phagocytic
contractile - regulate capillary blood flow
branched interdigitating cells covering external surface of the capillary, with numerous foot processes separated by slit pore diaphragm
podocytes
lamina rara externa
where are renal corpuscles found
renal cortex
barriers for filtration at renal glomerulus (3)
endothelium
basal lamina
podocyte slit diaphragm
slit diaphragm limits filtration based on _____
charge
Bowman’s capsule consists of (2)
Layer of simple squamous epithelium surrounding glomerulus
Bowman’s space
visceral layer of Bowman’s capsule is made of ____
parietal layer surrounds _____
podocytes
glomerulus
Bowman’s space collects ____ and sends it to the ____
ultrafiltrate
proximal tubule
What are the 3 renal tubules
proximal tubule
nephron loop (loop of Henle)
distal tubule
tissue of proximal tubule
cuboidal epithelium with brush border
four parts of loop of Henle
thick descending limb
thin descending limb
thick ascending limb
thin ascending limb
distal tubule contains the ______ which is adjacent to the afferent arteriole and part of the juxtaglomerular apparatus
macula densa
path of ultrafiltrate
Bowman’s space -> proximal tubule -> thick descending limb of nephron loop -> thin descending limb -> thin ascending -> thick ascending limb -> distal tubule
Three parts of juxtaglomerular apparatus
macula densa
juxtaglomerular cells of afferent
arteriole
extraglomerular mesangial cells
what does the macula densa do?
senses Na+ in filtrate of distal tubule and communicates with JG cells
JG cells contain _____ which activates RAAS to _______ and ______
renin
vasoconstriction (increase BP)
stimulate aldosterone secretion (increase blood volume)
where are the collecting tubules?
connected to the distal convoluted tubule
cells in the cortical region of the collecting tubules (2)
principal cells - sensitive to ADH and permeable to water
intercalated cells - type A and type B for acid/base balance
type A intercalated cells make urine ____
type B intercalated cells make urine ____
more acidic
more basic
what’s found in the papillary region of collecting tubules
ducts of bellini - confluence of collecting tubules
collecting _____ open into renal papilla
ducts
flow of urine from renal papilla
renal papilla –> minor calyx –> major calyx –> renal pelvis –> ureter
renal vessels receive _______ per minute
20% of total blood volume
arterial supply of renal vessels
renal artery -> afferent arteriole -> glomerulus -> efferent arteriole
efferent glomerular arteriole that drains cortical nephrons:
efferent glomerular arteriole that drains glomeruli of juxtamedullary nephrons:
peritubular capillary plexus
vasa recta
venous drainage of kidney
renal vein
lower urinary tract consists of (4)
renal pelvis
ureter
urinary bladder
urethra
receives urine from calyces
renal pelvis
urogenital region of embryo develops from
intermediate mesenchyme from dorsal wall of embryo
the urogenital ridge develops in week ____ and gives rise to (2)
4
nephrogenic cord - urinary system
gonadal ridge - genital system
urinary system develops (before/after) genital system
before
3 sets of successive kidneys that develop
pronephroi
mesonephroi
metanephroi
only structures to persist from pronephroi
pronephric ducts (run caudally into cloaca)
successive kidneys-
few clusters in neck region that quickly degenerate:
pronephroi
successive kidneys-
develop cuadal to pronephroi; create urine between weeks 6-10; structures degenerate except the mesonephric tubules
mesonephroi
mesonephric tubules persist as
efferent ducts of the testes
mesonephroi consist of (2)
pronephric ducts develop into ____
glomeruli and mesonephric tubules
mesonephric ducts
primordia of permanent kidney that starts to develop at 5th week and functions at _____
metanephroi
9th week
2 sources from which permanent kidneys develop
ureteric bud
metanephrogenic blastema
mesonephric tubules open up into ______ –> ______
mesonephric ducts –> cloaca
aka metanephric diverticulum
outgrowth from mesonephric duct, near cloaca
ureteric bud
stalk of ureteric bud forms ____
cranial part of bud forms _____
ureter
collecting tubules that continually divide (major/minor calices)
branching of metanephric diverticulum depends on induction from
surrounding mesoderm (metanephrogenic blastema)
how many nephrons formed at birth?
2 million
nephrons are derived from _____
collecting tubules are derived from _____
THESE TWO STRUCTURES NEED EACH OTHER TO DEVELOP NORMALLY
metanephrogenic blastema
ureteric bud
as abdomen and pelvis grow, kidneys ______ and rotate ______
“ascend”
medially almost 90 degrees
kidneys have contacted adrenal glands and are in final position by week __
9
divides cloaca into dorsal rectum and ventral urogenital sinus
urorectal septum
3 parts of urogenital sinus
vesical part
pelvic part
phallic part
vesical part of urogenital sinus forms:
most of bladder
pelvic part of urogenital sinus forms
urethra in neck of bladder (prostatic part in males and entire urethra in females)
phallic part of urogenital septum forms
female and male erectile tissue
bladder is continuous with allantois, which condenses to form ____
urachus
urachus later closes to form
medial umbilical ligament
________ absorbed and ureters come to open on bladder
mesonephric ducts
urethra is derived from ______ of _____
endoderm of urogenital sinus
absence of kidney (left usually absent and right hypertrophied)
unilateral renal agenesis
associated with oligohydramnios and incompatible with postnatal life
bilateral renal agenesis
poles of kidney are fused
horseshoe kidney
incomplete division of ureteric primordium results with single kidney and 2 ureters, or complete division results in double kidney with bifid or separate ureters
supernumerary kidney or ureter