Urinary System - Downing Flashcards
What are the five functions of the urinary system?
- Elimination of wastes (urine production)
- Fluid balance
- Salt balance
- Acid-base balance
- Endocrine
What are the three components of the Renal Parenchyma?
- Parenchyma
- Cortex
- Renal corpuscles
- Medullary rays
- Medulla
- Renal pyramids
- Area cribrosa
- Renal columns (cortical material)
- Cortex
What is the difference between a lobe and a lobule of the kidney?
- Lobe
- Grossly visible
- Medullary pyramid and surrounding cortical tissue
- Lobule
- Microscopic
- Straight tubules in medullary rays + surrounding cortical tissue
What defines the outer border of a lobule in the kidney?
Interlobular arteries & veins
What are medullary rays?
- collections of straight running tubules in the center of lobes of the kidney
- converge at the medulla
What does a nephron consist of?
- Renal corpuscle
- Bowman’s capsule
- Glomerulus
- Tubular portion
- Proximal convoluted tubule
- Loop of Henle
- Distal convoluted tubule
- (hooks up to collecting duct)
What kind of blood vessels are associated with the Glomerulus?
ARTERIES!
- Vascular apparatus; entirely arterial
- Afferent and efferent arterioles
- Fenestrated capillaries within capsule
What are podocytes?
- Visceral layer of Bowman’s capsule
- continuous with parietal layer
- Primary and secondary processes
- Slit pores
What is the function of mesangial cells?
- Cleaning GBM
- GBM turnover
- if blocked
- Support
How do you distinguish between the cortex and medulla of the kidney?
- Cortex
- Outer darker area
- Contains renal corpuscles and medullary rays
- Medulla
- Appears lighter, inner area
- Contains 6-18 medullary pyramids
- Bases of pyramids lie adjacent to cortical tissue
- Tips of pyramids (renal papillae) point toward the minor calyces of the renal pelvis
What is the vascular supply to and from the kidney?
- Renal Artery
- Interlobar Arteries
- Arcuate Arteries
- Interlobular Arteries
- branches to afferent arterioles
- efferent vessels
- peritubular vascular network
- Vasa recta (from efferent near corticomedullary junction)
- Arteriolae rectae (descending)
- Venae rectae (ascending)
- drains into Arcuate Vein
How do you distinguish between major & minor calyces of the kidney?
minor calyces converge to form several major calyces which in turn converge to form the renal pelvis
How do you identify Proximal tubules on histologic slides?
- Bulk of cortex
- Fuzzy (striated/brush) luminal border
- Eosinophilic
- Apical canaliculi (tiny invaginations)
- Lateral membrane folding
- Basal folds containing mitochondria
How do you identify a Distal straight tubule on histologic slides?
- Abrupt transition to simple cuboidal epithelium
-
Less eosinophilic and larger lumen than proximal tubule
- ‘cleaner’ apical and lateral borders
- More nuclei around circumference of tubules
- Basal membrane folds & mitochondria
What is the function of the collecting tubules?
- Water resorption; under influence of ADH
- Acid-base balance