Urinary System and Reproductive Anatomy Flashcards
External Anatomy of the Kidney
- Size of a bar of soap
- Contains Hilum
Hilum of the Kidney
Where the Ureter, Renal Artery and Vein, Lymphatic Vessels and Nerves, enter and exit the Kidney
What surrounds the Kidney?
Tough, Fibrous Renal Capsule
Perirenal or Perinephric Fat
Protective layer of adipose tissue surrounding the Renal Capsule
Internal Anatomy of the Kidney contains what 2 regions?
Outer Cortex and Inner Medulla
Within the Inner Medulla
- Renal Pyramids
- Renal Columns
Renal Columns do what?
Separate the Renal Pyramids
Renal Columns and Renal Cortex are made up of the same what?
Tissue type
Nephron begins where?
In the Cortex and extends into and through the Medulla
Nephron
Functional Unit of the Kidney
Urine formed in the Nephron flows first into the what?
Minor Caylx
After Urine flows into the Minor Caylx, where does it go next?
Major Caylx
After Urine reaches the Major Caylx, where does it flow?
Through the Renal Pelvis to the Ureter
After Urine flows through the Renal Pelvis to the Ureter, where does it go?
Into the Urinary Bladder, through the Urethra and out the body
Each afferent Arteriole divides into a capillary network, called what?
Glomerulus
The capillaries derived from the Afferent Arteriole dividing reunite to form a what?
Efferent Arteriole
An Efferent Arteriole forms what?
Network of Peritubular Capillaries
Peritubular Capillaries around the Loop of Henle
Vasa Recta
Structure of the Nephron consists of what?
- Initial filtering component
- Tube sepcialized for secretion and reabsorption
What is the Initial Filtering component of a Nephron?
Renal Corpuscle
What is the Tube specialized for secretion and Reabsorption in a Nephron?
Renal Tubule
Function of the Nephron
Produces Urine in the process of removing waste and excess substances from the Blood
Fluid filtered by the Renal Corpuscle enters the PCT as what?
Filtrate
Structures in the Renal Corpuscle
- Glomerulus
- Glomerular Capsule (Bowman’s Capsule)
The Glomerulus is what?
Tangled Capillary bed
Glomerular Capsule (Bowman’s Capsule)
Cup-like structure that tightly surrounds the Glomerulus and is continuous with the Renal Tubule
Bowman’s Capsule is composed of what?
A Visceral and Parietal Layer
Space between the Visceral and Parietal layer of Bowman’s Capsule is what?
Capsular Space
The Parietal layer of Bowman’s Capsule is composed of what?
Simple Squamous Epithelium and plays no role in filtration
Blood is filtered within the what?
Renal Corpuscle
The Visceral layer of Bowman’s Capsule is composed of what?
Podocytes
After Blood is filtered in the Renal Corpuscle, the Filtrate moves from where?
Capsular space into the Renal Tubular
Podocytes share a what?
Basement Membrane with the Endothelial Cells of the Glomerular Capillaries
Podocytes have what kind of extensions?
Feet-like extensions called Pedicels that wrap around the Glomerulus Capillaries
Filtration Slits
Slit-like gaps between Pedicels
The Renal Tubule extends distally from where?
Bowman’s Capsule
3 Portions of the Renal Tubule
- PCT
- DCT
- Loop of Henle
What does the Renal Tubule Absorb?
Most filtered water and useful solutes
What does the Renal Tubule secrete?
Waste ions and Hydrogen
Specialized cells of DCT
Macula Densa Cells
Play a role in monitoring ionic concentration and flow rate of the Tubular Fluid
Macula Dense Cells
Specialized Cells of the Afferent Arteriole
Granular JG Cells
Secrete Renin in response to a drop in Pressure detected by stretch receptors in the Vascular walls
Granular JG Cells
Granular JG Cells also secrete Renin when stimulated by what?
Macula Densa Cells
What makes up the Juxtamedullary Apparatus
Macula Densa and Granular JG Cells
The Juxtamedullary Nephron extends deep into the what?
Medulla and contributes to the Countercurrent Multiplier Mechanism
The Cortical Nephron’s Glomeruls is in the what?
Outer portion of the Cortex
The Cortical Nephrone has a what?
Short Loop of Henle that penetrates only into the Outer region of the Medulla
Flow of Urine
Minor Caylx→Major Caylx→Renal Pelvis→Ureter→Urinary Bladder→Urethra→Outside the Body
Glomerular Filtrate
Fluid that enters the Capsular space from the Glomerular Capillaries
3 Barriers of the Filtration Membrane
- Fenestrated Glomerular Endothelium
- Basement Membrane
- Slit Diaphragm
Fenestrated Glomerular Endothelium
Epithelial lining of the Glomerular Capillaries
Basement Membrane
Shared Basement Membrane between the Endothelium and Podocytes
The Basement Membrane in the Filtration Membrane consists of what?
Network of collagen and other structural Proteins
Slit Diaphragm
Mesh-like barrier made of various Proteins that extends across the Filtration Slit
The Mesh-work of the Slit Diaphragm is synthesized by what?
Podocytes
One of the most important barriers to the Filtration of Protein
Slit Diaphragm
Blood Cells, Platelets, and Plasma Proteins are what?
NOT filtered in the Glomerulus
Substanes Present in the Glomerular Filtrate
- Organic Molecules
- Nitrogenous Waste
- Ions
- Water
Types of Organic Molecules
Glucose and AA’s
Types of Nitrogenous Waste
- Urea
- Uric Acid
- Creatinine
Types of Ions
- Na+
- Cl-
- K+
Calculating NFP
NFP= [GBHP]-[CHP+BCOP]
If GFR is too fast
Body loses needed substances meaning most filtrate is lost in the Urine
If GFR is too slow
The Body reabsorbs too many substances, including wastes
Blood Creatinine level is what?
Indirect way to measure GFR because it is primarily filtered, minimally secreted and NOT reabsorbed
99% of water filtered by the Glomerulus is what?
Returned to the Blood
Active Transport
Requires energy, typically from ATP to “pump” a substance against its concentration gradient
Passive Transport
Does NOT require energy because substances flow down the concentration gradient
Type of Passive Transport
Facilitated Transport
Facilitated Transport
Passive process by which the transport of substances is “facilitated” by a channel or carrier and because they are still flowing down the concentration gradient, this does NOT require energy
How is water reabsorbed in Tubular Reabsorption?
Osmosis through channels in the Membrane
Where is water reabsorbed in Tubular Reabsorption?
Distal Tubule and Collecting Duct
How are Organic Compounds Reabsorbed in Tubular Reabsorption?
Glucose, AA’s, etc. diffuse from Epithelial Cells down their concentration gradients on Passive transporters and are reabsorbed by Blood Capillaries
Where are Organic Compunds reabsorbed in Tubular Reabsorption?
Proximal part of the Tubule
How and where are Organic Compounds secreted in Tubular Reabsorption/Secretion?
By facilitated diffusion down the Electrochemical gradient and then exit the Kidneys
How are ions reabsorbed in Tubular Reabsorption?
Na+/K+ pump that pumps out 3 Na+ for every 1 K+ back into the Cells (active Transport)
Where are ions reabsorbed in Tubular Reabsoprtion?
Distal Tubule and Collecting Duct
How and where are Ions secreted in Tubular Reabsorption/Secretion?
Leakage channels in the membrane of cells where Na+ and K+ ions escape and then exit the Kidneys
How are wastes reabsorbed in Tubular Reabsorption?
Osmotic Pressure and Active Transport of the Tubular Epithelial Cells
Where are Wastes reabsorbed in Tubular Reabsorpion?
Proximal Tube of the Nephrone
How and where are wastes secreted in Tubular Reabsorption/Secretion?
In the Kidneys
Majority of water and solute reabsorption happens where?
PCT
Compounds and Ions reabsorbed in the PCT
- ALL Glucose and AA’s
- MOST Bicarb Ions
- ABOUT HALF of H2O, Na+, K+ and Cl-
Wastes Secreted by the PCT
- Ammonia (NH3)
- Creatinine
- Urea and Substances like Medication
Ammonia (NH3)
Poisonous waste product derived from deamination
Deamination
Removing Amino functional group of various AA’s
Creatinine
Breakdown product of Creatine Phosphate in muscle
Blood level of Creatinine rising means what?
Kidney is NOT filtering Blood properly
Normal Blood Creatinine Level
1mg/dL
Urea and Substances like Medications are filtered where?
At the Glomerulus and secreted by PCT Cells into the Tubules
Obligatory Water Reabsorption
Water typically is reabsorbed by the Kidney together with solutes, especially Na+
Facultative Reabsorption
In the Collecting Duct, water is reabsorbed, especially in states of dehydration, independent of Solute reabsorption
Transport Maximum (Tm)
Upper limits on how fast a transporter can work
Water moves by Osmosis into the Interstitial fluid in the what?
Descending Limb of Henle
The Descending Limb of Henle is what?
Impermeable to Na+ and Cl-
Tubular fluid becomes increasing more what?
Concentrated as it travels down the Descending Loop
The Ascending Loop of Henle is more what?
Permeable to Na+ and Cl-
The Ascending Loop of Henle is NOT what?
NOT permeable to H+
Countercurrent Multiplier Mechanism sets up what?
A Medullary Osmotic gradient which is critical for concentrating the Urine in the Collecting Duct
The Hairpin turn of the Vasa Recta slow the blood flow, providing what?
Exchange of Na+ and H2O between Capillary Blood and the Interstitium
The hairpin turn of the Vasa Recta slowing the Blood flow and providing the exchange of Na+ and H2O between Capillary Blood and the Interstitium prevents what?
The washout of the Medullary concentration gradient
Ca2+ is reabsorbed in the what?
Distal Convoluted Tubule (DCT) via the Parathyroid Hormone (PTH)
The Collecting Duct regulates what?
Acid/Base Homeostasis by secreting H+ and reabsorbing HCO3
Collecting Duct is the site of action for what?
Aldosterone and Antidiuretic Hormone (ADH)
Aldosterone is secreted by what?
Adrenal Cortex under the influence of AT2
Aldosterone does what?
Increases BP by reabsorbing Na+ and H2O
Aldosterone also has the effect of what?
Secreting K+
Antidiuretic Hormone (ADH) is secreted by the what?
Posterior Pituitary to increase Facultative water reabsorption by inserting water aquaporins into the Cell Membrane of the Collecting Duct
ADH stimulates the secretion of what?
- Increased Blood Osmolarity
- Decreased Blood Osmolarity
- AT2