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Urinary
Fucking FINAL!
78
Anatomy
Undergraduate 2
05/04/2013

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Term
Excretion
Definition
The removal of organic waste products from body fluids
Term
Elimination
Definition
The discharge of waste products into the environment
Term
Homeostatic regulation of blood plasma
Definition
Regulating blood volume and pressure
Regulating plasma ion concentrations
Stabilizing blood pH
Conserving nutrients
Detoxification of poisons
Term
kidneys
Definition
Produce urine via nephrons
Term
The ureters
Definition
Transport urine from kidneys to bladder
Term
The urinary bladder
Definition
Temporary Stores urine (700-800 cc)
Term
The urethra
Definition
Transports urine out of body
Term
Reproductive and urinary structure in males
Definition
Transports semen and urine)
Term
Functions of Kidneys
Definition
Remove metabolic wastes from blood by filtration
Wastes eliminated as aqueous solution called urine
Regulate blood volume and blood pressure
Secrete hormone renin
Stimulate RBC production from RBM
Secrete erythropoietin (EPO)
Metabolize vitamin D
Convert it to active form (calcitriol)
Term
The Kidneys
Definition
Between T12 and L3
Somewhat protected by lower part of rib cage
Term
Hilus
Definition
indentation on medial surface
Term
retroperitoneal
Definition
Both kidneys and adrenal glands
Term
Hilus
Definition
Entry for renal artery and renal nerves
Exit for renal veins and ureter
Term
Renal Capsule/ Adipose Capsule
Definition
Kidneys held in place and protected by
Term
Renal Capsule
Definition
collagen fibers on kidney’s outer surface
Term
Adipose Capsule
Definition
thick layer of adipose tissue external to capsule
Cushions and attaches kidneys
Term
Renal Fascia
Definition
dense fibrous connective tissue
Connected to renal capsule and surrounding structures
Term
ptosis
Definition
Damage to fascia or adipose tissue can cause
Term
Ptosis
Definition
Kidneys drop to lower position
May prevent urine from exiting through ureter
Term
Cortex
Definition
Reddish brown outer portion of kidney
Contains nephrons
Extends into medulla as renal columns
Term
Medulla
Definition
consists of 6-18 renal pyramids
Base of each pyramid is next to cortex
Term
Renal Papilla
Definition
tip of each pyramid
Term
Major and minor calyces along with the pelvis
Definition
Drain urine to the ureters
Term
Kidneys
Definition
Recieve 20-25 percent of total cardiac ouput
Term
Kidney
Definition
recieves blood through renal artery
Term
Kidney
Definition
filter 1200 ml of blood flow
Term
Each kidney receives blood from a renal artery which branches into
Definition
Segmental arteries
Interlobar arteries
Arcuate arteries
Interlobular arteries
afferent arterioles
Term
afferent arterioles
Definition
carry blood to nephrons
Term
Segmental Arteries
Definition
recieve blood from renal artery
Term
segmental arteries
Definition
Divide into interlobar arteries:
which radiate outward through renal columns between renal pyramids
Term
segmental arteries
Definition
Supply blood to arcuate arteries:
which arch along boundary between cortex and medulla of kidney
Term
afferent arterioles
Definition
branch from each interlobular artery and deliver blood to capillaries supplying individual neprhons.
Term
Interlobular Veins
Definition
Deliver blood to arcuate veins
Empty into interlobar veins:
which drain directly into renal vein
Term
Renal Nerves
Definition
Innervate kidneys and ureters
Enter each kidney at hilum
Follow tributaries of renal arteries to individual nephrons
Term
Sympathetic Innervation
Definition
Adjusts rate of urine formation:
by changing blood flow and blood pressure at nephron
Term
Sympathetic Innervation
Definition
Stimulates release of renin:
which restricts losses of water and salt in urine by stimulating reabsorption at nephron
Term
Nephron
Definition
Functional unit of kidney
Term
Cortex
Definition
most of nephron located in
Term
Loop of Henli
Definition
found partially or completely in medulla
Term
Afferent Arteriole
Definition
each neprhone recieves direct blood supply
Term
Peritubular capillaries
Definition
portion of nephrons surrounded by capillary bed
Term
Renal Corpuscle
Definition
Composed of glomerular ( Bowman’s) capsule and the glomerulus
Term
Renal Tubule Portions
Definition
Proximal convoluted tubule (PCT)
Loop of Henle
Distal convoluted tubule (DCT)
Term
Renal Tubule
Definition
surrounded by peritubular capillaries
is continuous with collecting system
Collecting duct
Papillary duct
Term
Nephron functions
Definition
Production of filtrate
Processed along renal tubule to become urine
Reabsorption of organic nutrients
Reabsorption of water and ions
Secretion of waste products into filtrate
Secretion of hydrogen and bicarbonate ions into filtrate
Adjusts pH of blood
Term
Cortical Nephrons
Definition
~85% of all nephrons
Located almost completely in the cortex
Bottom of loop of Henle in medulla
Term
Juxtemedllary Nephrons
Definition
Specialized to regulate water content of urine
Allows water conservation
Have specialized capillaries called vasa recta
Term
Blood Flow through Nephron
Definition
Blood enters glomerulus through afferent arteriole
Blood exits glomerulus through efferent arteriole
Blood travels from efferent arteriole to peritubular capillaries and vasa recta
Capillaries allow reabsorption of substances that are not excreted
Term
Glomerulus
Definition
loop of offnestrated capillaries
Term
Glomerular capsule
Definition
inner visceral layer and outer parietal layer
Term
renal corpuscle
Definition
first segment of nephron
Term
renal corpuscle
Definition
filters blood and produces glomerular filtrate
Term
Podocytes
Definition
cells of visceral layer of glomerular capsule
Term
parietal layer of glomerular capsule
Definition
formed by simple squamous cells
Term
Difference between glomerulus and capillaries
Definition
. Tangled cluster/ball of blood capillaries
2. Surrounded by glom capsule
3. kidneys have “podocytes in their capillaries whereas regular body capillaries have “fenestrated slits”.
4. Also kidneys filter other fluid that is in the renal corpuscle.
Term
Proximal Convoluted Tubule
Definition
Actively reabsorbs nutrients, plasma proteins and ions from filtrate
Responsible for most of reabsorption
Nutrients released into peritubular fluid and absorbed by peritubular capillaries
Term
Loop of Henle
Definition
Descending limb
Ascending limb
Each limb has a thick and thin section
Term
Distal Convoluted Tuble
Definition
Actively secretes ions, toxins, drugs
Reabsorbs sodium ions from tubular fluid
Term
Urine Production
Definition
maintains homeostasis
Term
Urine Production
Definition
Extreting Waste Products:
-urea
-Creatinine
-Uric Acid
Term
Urination
Definition
requires coupling micturition reflex with relaxation of external urethral sphincter
Term
Urination coordinated by micturition reflex
Definition
Initiated by stretch receptors in wall of bladder
Initiated when bladder fills with 200 ml urine
Term
Urethra
Definition
Extends from the urinary bladder to the exterior of the body
Term
Urethra
Definition
Passes through urogenital diaphragm
Forms external urinary sphincter
Skeletal (voluntary) muscle
Term
Urinary Bladder
Definition
Contains Rugae for expansion
Term
urinary bladder
Definition
reservoir for the storage of urine
Term
Urinary Bladder
Definition
can hold up to 500 ml urine
Term
Detrusor Muscle
Definition
contraction of this voids bladder
Term
3 layers of smooth muscle
Definition
how many and what kind of muscle are in the bladder wall
Term
Trigone
Definition
triangular region near urethra
Directs urine toward urethra
Term
Neck
Definition
contains internal urethral sphincter
Smooth muscle that controls discharge of urine
Term
Ureters
Definition
Pair of muscular tubes
Layer of smooth muscle in wall
Extend from renal pelvis to the bladder
Peristaltic contractions force urine toward the urinary bladder
Term
Renal Function
Definition
Filtration in the renal corpuscle
Nutrient reabsorption along the PCT
Active secretion at PCT and DCT
Loops of Henle regulate final volume and solute concentration
Term
Path of Urine Formation
Definition
Blood passes through the Afferent Arteriole
 Efferent Arteriole
Glomerulus - PCT  descending L of H
 Ascending L of H DCT
into the collecting duct
into the Minor Calyx  Major Calyx
 Final step is it moves into the URETER
into the Urinary bladder for temporary storage
 Tinkle
Term
water and solute loss
Definition
regulated by aldosterone and ADH
Term
Reabsorption
Definition
Sodium ions, bicarbonate ions, and urea are reabsorbed
Term
Secretion
Definition
pH is controlled by secretion of hydrogen or bicarbonate ions
Term
Normal Urine
Definition
Varies with the metabolic and hormonal events of the body
Reflects filtration, absorption and secretion activity of the nephrons
Urinalysis is the chemical and physical analysis of urine
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