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Urinary System Ch. 17
Urinary System Ch. 17
88
Anatomy
Undergraduate 3
11/29/2011

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Term
What does the Urinary System do for us?
Definition
It maintains composition, pH & volume.. of body fluids. It removes metabolic wastes & excess chemicals, excretes foreign substances.
Term
What are the 4 organs that compose the urinary system?
Definition
1) kidneys!!
2) bladder
3) ureters
4) urethra
Term
What are the general functions of the 4 organs?
Definition
Kidneys - remove substances from blood and form urine
Ureters: transport urine from kidneys
Urinary bladder: collects urine
Urethra: urine outta body
Term
Kidneys. Which kidney is higher than the other?
Definition
Left is slightly higher.
Term
Kidneys. What's the term for their location in relation to the abdomen? What does that mean?
Definition
Retroperitoneal. Meaning they sit posterior to the organs encased in peritoneal membrane.
Term
Parts of kidney:
Definition
renal capsule (outer) - fibrous connective tissue

renal cortex - forms a shell around medulla, forms renal columns.

renal medulla - forms renal pyramids. CONTAINS FUNCTIONAL UNITS of kidney.

renal pelvis - leads into ureter.

Major & minor calyces - collecting areas for urine.
Term
What is a NEPHRON?
Definition
Basic structural/functional unit of kidney.
Term
What are functions of the kidneys?
Definition
Rid body of metabolic wastes.
Control rate of RBC production (secrete erythropoietin).
Regulate blood pressure (through renin).
Regulate calcium absorption.
"Hemodialysis" - regulates blood to be cleaned across an artificial membrane.
Term
Arcuate arteries are found where?
Definition
At the junction of the cortex & medulla of the kidneys. derr.
Term
Renal arteries receive how much of body's blood? (pumped from the heart)
Definition
15 to 30% woahhh.

Enter renal arteries, into hilum and then branch into interlobar arteries.
Term
Each kidney contains HOW MANY functional units, aka nephrons.
Definition
1 meeeeeellion!
Term
Nephron consists of renal BLANK and renal BLANK.
Definition
renal CORPUSCLE and renal TUBULE
Term
Renal corpuscle consists of 2 parts:
Definition
1) Glomerulus (capillaries)
2) Bowman's capsule (cup surrounding glomerulus)
Term
What enters and what exits the renal corpuscle?
Definition
Afferent arteriole enters.
Efferent " exits. derr.
Term
Renal corpuscle is made of what kind of epithelium?
Definition
Squamous epithelium.
2 layers of it.
1) Visceral (inner) layer - podocytes
2) Parietal (outer) layer - continuous with renal tubule
Term
Podocytes of the renal corpuscle.
Definition
These give off primary processes which in turn give off secondary processes.
("Pedicels" are 2nd processes that line the glomerulus)

Podocytes form SLIT PORES (?)
Term
Renal tubule leads away from BLANK.
3 parts of the tubule...
Definition
from CORPUSCLE.

1) Proximal convoluted tubule (in cortex)
2) Nephron Loop (medulla portion)
3) Distal convoluted tubule (cortex portion)
Term
What do the 3 parts of the renal tubule lead to?
Definition
Collecting duct. (not part of the nephron) and that empties into minor calyx.
Term
Nephron loop is 3 things:
Definition
Descending limb
Loop of Henle
Ascending Limb
Term
Modified epithelial cells of ascending limb are densely packed. What are they called?
Definition
Macula densa.
Term
Wall of afferent arteriole has modified cells. What are these called?
Definition
Juxta-glomerular cells (JG cells)
Term
What two cell types form the JG apparatus?
Definition
Macula densa and JG cells.
Term
What is the function of the JG apparatus? And what else is it important for?
Definition
Monitor BP through afferent arteriole. & Important for secretion of renin.
Term
So the JG cells are in the afferent arteriole and the macula densa are in the distal convoluted loop. But those two areas connect to make what?
Definition
the JG apparatus! duh!
Term
How do we name the location of different renal corpuscles in relation to the medulla? (2 categories)
Definition
1) Cortical (as in, near cortex) OR
2) Juxtamedullary
Term
Afferent arteriole has LARGER OR SMALLER diameter than most arterioles?
Definition
larger
Term
Efferent arteriole has small diameter - why?
Definition
To create high pressure in glomerulus
Term
Capillaries of efferent arteriole called?
Definition
vasa recta (?)
Term
Urinary excretion =
Definition
Glomerular filtration + tubular secretion - tubular reabsorption
Term
Beginning of urine formation: Glomerular filtration. What does it filter?
Definition
It filters water and ions... whatever can pass thru it's fenestrae in capillaries. So proteins CANNOT pass through and thus, stay in body.
Term
What does the glomerular capsule receive? How is that different from other body tissues?
Definition
It receives the glom. filtrate (which in any other body tissue would be interstitial fluid)
Term
Glomerulus filters what EXACTLY? (long list)
Definition
water, glucose, amino acids (mini babies), urea, uric acid, creatine, Na, Cl, K, Ca, HCO3-2 (bicarbonate), phosphate, & sulfate ions.
Term
The concentrations of various ions in the BLANK determine BLANK
Definition
in the Glomerulus determines DISEASE.
Term
What's the driving force behind filtration? And what opposes this force?
Definition
Hydrostatic pressure. derr.
Colloid osmotic pressure opposes this force.
Term
So what are forces that FAVOR filtration? and OPPOSE filtration?
Definition
Favor: hydrostatic pressure within the glom. CHECK
Oppose: Capsular hydrostatic pressure so, osmotic pressure in the glomerulus (?)
Term
Sympathetic stimulation (ie. stress or exercise) --> VasoCONSTRICTION of afferent arteriole --> Decreased pressure and decrease in filtration --> You'll pee less.
Definition
ok. vasodilation in this area causes opposite effect.
Term
Parasympathetic stimulation (ie. chillin) --> VasoCONSTRICTION of now EFFERENT arteriole --> Increased pressure and increased filtration --> You'll pee more.
Definition
ok. vasodilation in this area causes opposite effect.
Term
Decrease in colloid osmotic pressure means:
Definition
Increase in filtration.
Term
Blockage, ex. kidney stone, increases BLANK and decreases BLANK.
Definition
increases capsular hydrostatic pressure.
decreases filtration.
Term
Where is filtrate reabsorbed?
Definition
renal tubule.
Term
Net filtration pressure?
Definition
+10 mm
Term
What's the second method of control of filtration?
Definition
Renin-Angiotensin System
Term
Renin reacts with angiotensinogen from the liver in blood to convert to angiotensin I
Definition
Term
Angiotensin I gets turned into II where?
Definition
Lungs.
Term
Angiotensin II is the active hormone.
Definition
Term
What are functions of angiotensin II?
Definition
Vasoconstricts Efferent arteriole increasing glomerular pressure

Stimulates aldosterone release from adrenal cortex. (Aldosterone stimulate sodium reabsorption at the nephron)

Stimulates ADH release increasing water reabsorption at the nephron.
Term
What's released during high blood pressure?
Definition
Besides renin, ANP, stimulated by atrial stretching when the BP is high.
Term
What does ANP cause?
Definition
Sodium excretion at the nephron.
Term
Tubular reabsorption: Changes in composition of glomerular filtrate to urine are caused by reabsorption.
Definition
ok.
Term
Tubular reabsorption is controlled by epithelium of BLANK and BLANK
Definition
of renal tubule and collecting duct
Term
Where does most reabsorption occur?
Definition
at the Proximal Convulated tubule (PCT)
(has microvilli on epithelium to increase surface area for absorption)
Term
Peritubular capillary is under BLANK pressure and is BLANK permeable than normal capillaries
Definition
under LOW pressure and is MORE permeable
Term
Glucose reabsorption requires active transport and occurs at the BLANK
Definition
PCT
Term
Water is reabsorbed through BLANK (process)
Definition
osmosis
Term
Portions of the BLANK and BLANK are impermeable to water
Definition
distal convulated tubule & collecting duct
Term
What does it mean to have limited transport capacity?
Definition
It means membrane proteins can only transport a certain number of molecules into the cell in a period of time
Term
What is renal plasma threshold?
Definition
It is when the plasma glucose is elevated to the point where some glucose is excreted
Term
What is DIURESIS
Definition
increase in urine volume
Term
Some smaller proteins may enter the filtrate and are reabsorbed through endocytosis.
Definition
not sure about this one.
Term
Electrolytes can be reabsorbed to an extent but are also lost to urine due to limited ability for reabsorption.
Definition
ok.
Term
Sodium and Water reabsorption are closely related. cuz:
Definition
water keeps the solute levels lower in blood.
Term
Sodium is positively charged. So negatively charged ions also follow: chloride, phosphate, and bicarbonate.
Definition
ok.
Term
Where does most Na reabsorption occur?
Definition
the PCT
Term
What affects the solute concentration of urine?
Definition
aldosterone & ANP
Term
What acts as a water channel to reabsorb more water?
Definition
ADH from the post. pituitary causes AQUAPORINS (?) to insert into cell membranes
Term
What is the "countercurrent mechanism"?
Definition
It's what causes fluid movement through the nephron loop
Term
Ascending limb is impermeable to BLANK. only reabsorbs BLANK, BLANK, and BLANK
Definition
Ascending limb is impermeable to water, only reabsorbs sodium, chloride, and potassium
Term
Descending limb is impermeable to BLANK . only is permeable to BLANK.
Definition
Descending limb is impermeable to solutes. only is permeable to water.
Term
Urine is concentrated by:
Definition
the different permeabilities of ascending and descending limb of nephron loop
Term
Countercurrent multiplier? creates what?
Definition
Countercurrent multiplier creates osmotic gradient for water reabsorption
Term
Urea is:
Definition
a by-product of protein catabolism
(amount of urea reflects the amount of protein in the diet)
Term
About 80% of urea is reabsorbed
Definition
ok.
Term
Uric acid is:
Definition
a by-product of nucleic acid metabolism
Term
Both urea and uric acid contribute to:
Definition
water reabsorption
Term
How much water is in urine?
Definition
95% water.
Term
What's the range of volume daily of urine?
Definition
0.6 - 2.5 liters
Term
What is renal clearance?
Definition
rate at which a particular chemical is removed from blood
Term
Ureters. -how long -What are the ureter wall layers?
Definition
about 25 cm long (10 inches)
Wall is 3 layers: mucus coat, muscular coat, fibrous coat
Term
Presence of urine in BLANK initiates peristaltic wave
Definition
presence of urine in renal pelvis initiates the wave
Term
In females, the urinary bladder is anterior of the:
Definition
uterus and vagina
Term
What's the trigone?
Definition
region within bladder formed by ureters & urethra
Term
4 layers of the urinary bladder
Definition
mucus coat: transitional epithelium (stretchy)
submucos coat: connective tissue with elastic fibers
muscular coat: detrusor muscle (forms internal urethral sphincter)
serous coat: fibrous connective tissue
Term
Urethra is lined with what?
Definition
Mucus membrane.
Term
Urethra is:
Definition
thick layer of longitudinal smooth muscle layers. There are many urethral glands (mucus glands)
Term
Urethra is how long in females and males (males have 3 different sections):
Definition
In females, it's 4 cm (1.5 inches) long.
In males: Prostatic urethra: 2.5 cm, Membranous urethra: 2 cm, Penile urethra: about 15 cm (6 inches)
Term
Urinary meatus aka
Definition
external urethral orifice
Term
What is MICTURITION?
Definition
It is the urinary reflex
Term
What occurs during micturition (the urinary reflex)?
Definition
The detrusor muscle CONTRACTS. Internal & external urethral sphincters relax. Distension causes relax. Nerve centers in the pons & hypothalamus lift inhibition of reflex
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