Shared Flashcard Set

Details

Dental Histology - Urinary 1
Exam 2
27
Medical
Professional
10/14/2008

Additional Medical Flashcards

 


 

Cards

Term
Kidney
Definition
-compound tubular gland
-secretes urine
-filter and excretes:    nitrogenous + other waste
-body fluids + electrolytes balanced by fltration and         excretion
-blood homeostasis maintained byreabsorbing:
        small molecules, ions, and water 
-key role in regulating blood pressure, hemopoiesis,         and activation of vitamin D 
Term
Kidney Strucutre (General)
Definition
-bean shaped
-convex and concave surfaces
-covered by fiberous connective tissue capsule
-hilum is depression on concave surface
    -artery enters and ureter and veins leave
-comprized of 3 regions:
        1. renal sinus
        2. medulla
        3. cortex
Term
Renal Sinus
Definition
-lined by transitional epithelium
-immedietly inside the hilum
-contains upper parts of urter
    (renal pelvis, major calyces, minor calyces)
-connective tissue
    (arteries, veins and nerves)
-minor calyces (funnel-shaped) surround renal papilla                                              (tip of renal pyramid)
-minor calyces drain into major calyces empty into           renal pelvis (dilated upper end of ureter) 
Term
Components of Renal Sinus
Definition
1. Renal Pelvis
2. Major Calyces
3. Minor Calyces
4. Arteries, veins, and nerves
5. Connective Tissue 
Term
Renal Cortex and Medulla
Definition

 

 

each has elements of the

other region protruding

into it

Term
Renal Cortex
Definition
-composed of cortical labyrinth
-contains medullary rays
        -outward extensions of strutures found in                         medullary pyramids
        -oriented perpendicular to the corticomedullary                 border
 
Term

Components of Cortical Labyrinth

of

Renal Cortex 

Definition
1. Renal Corpuscles
2. Proximal Convoluted Tubules
3. Distal Convoluted Tubules
4. Begining of Collecting Tubules 
Term

Components of Medullary Rays

of

Renal Cortex

Definition
1. Collecting Tubules
2. Proximal Straight Segement of the Loop of Henle
3. Distal Straight Segment of the Loop of Henle 
Term
Renal Medulla
Definition
-adjacent to renal sinus
-largely consists of medullary pyraminds
-has renal columns (consist of cortical labyrinth)
       -inward extensions of cortical labyrinth                                 components
      -occur between adjacent pyramids
 
Term

Components of Medullary Pyramids

of

Renal Medulla

Definition
1. Collecting tubules:  
            terminate as papillary ducts
 
2. Loop of Henle
           a. Descending straight limb
           b. Bend or curve
           c. Ascending straight limb
 
3. Interstitium:   
            contains vasa recta
Term
Renal Interstitium
Definition
-between the tubules and vessels in both renal cortex        and renal medulla
-more extensive in renal medulla
       -secretory intersitial cells occur there
Term
Renal Lobe
Definition

A single medullary pyramid

 

+

 

Cortical labyrinth that surrounds it 

Term
Renal Lobule
Definition
-areas of the renal cortex
-consists of:
        medullary ray
        associated cortical labyrinth
-components:
        collecting tubules
        all the nephrons which drain them
Term
Uriniferous Tubule
Definition
-fundamental functional unit of the kidney
-100,000's in each kidney
-nephron includes all of the uriniferous tube
        EXCEPT:
            collecting tube 
Term

Parts of the Uriniferous Tubule

(7 total) 

Definition
1. Renal Corpuscle
2. Proximal Convoluted Tubule
3. Proximal Straight Descending Limb
4. Curvature of the Loop of Henle
5. Distal Straght Ascending Limb
6. Distal Convoluted Tubule
        -contains macula densa
7. Collecting Tubule
        -begins as arched connecting tubule
        -straightens + passes through medullary pyram
        -ends as papillary duct
Term
Renal Corpuscles
Definition
-spherical structure
-scattered throughout cortical labyrinth
-comprised of:
    -a tuft of small blood vessels (glomerulus)
    -a capsule 
-has 2 sites where structures enter or leave
    1. Vascular Pole: blood vessels enter/leave   
    2. Urinary Pole: urinary filtrate drains 
     
Term
Renal Glomerulus
Definition
-enclosed by a renal capsule
-corpusule supplied with afferent glomerular arteriol     that divides to create glomerular tuft of capillaries
-capilaries re-unite to form efferent glomerular             arteriole (leaves the corpuscle)
       an unusual vascular pattern:
           a capillary network (glomerulus) has an                    arteriol entering it and another one leaving it
 
Term
Filtration of Renal Glomerulus
Definition
-hydrostatic pressure is responsible
-filtrate leaks out and enters capsular space
        (urinary lumen) 
-filtration = transference of materials from blood in         the glomerular capillaries through the laye rof the     capsule which surrounds them 
Term
Renal Capsule
Definition
Glomerulus = fist
Capsule = ballon that surrounds it
 
-consists of 2 layers of epithelium
(continuous with each other)
    -Inner: visceral, consists of podocytes (large                 cuboidal cells with processes called pedicels)
   Potential Space (capsular lumen/urinary space)
    -Outer: parietal, consists of simple squamous             epithelium
Term
Urine Formation
Definition
-water and solutes pass from glomerular capillaries             through inner layer into capsular lumen
-filtrate flows out of capsule into beg of long tubule
-capsular lumen open directly into lumen of proximal         convoluted tubule
-parietal layer of capsule continuous with cells                 forming the lining of the proximal convoluted             tubule 
Term
Renal Corpuscles Basic Summary
Definition
-renal copuscle surrounded by parietal layer of             capsule
-central region of corpuscle contains capillaries and         visceral layer
        -so close = cannot be distinguished with LM
-central region contains mesangium 
        -supporting connective tissue
-capsular space lied between central (cellular region)     and outer parietal layer of capsule
 
Term
Filtration Barrier
Definition
-consists of:
    -endothelium of the glomerular capillaries
    -visceral layer of renal capsule
    -thick basement mem thats between them
-diaphragms = fenestrations in capillaries
-podocytes form visceral layer
    -have cuboidal cell body containing nucleus
    -thin process/extensions arise here
        -tips of processes are in contact with outer                 surface of basement membrane
    -cytoplasm may contain microfilaments/tubules 
Term

Layers through which filtered materials pass as they migrate

from blood

into capsular lumen

Definition
1. Fenestrated gloerular endothelium
    -lacks diaphragms
2. Thick basement membrane
    -derived from fusion of basal lamina of                 endothelium and podocytes
   -lamina densa lies b/w a lamina lucida on each         side
   -lamina densa = type IV collegen and laminin in a     matrix containing proteoglycan heparan sulfate
3. Filtration slits (slit pores)
    -narrow opening b/w adjacent pedicles
    -closed by thin filtraiton slit membrane
    -diaphragm consists of protein nephrin anchored     to actin filaments by CD2AP 
    -pedicles attahced to basement mem by                 alpha3beta1 integrin 
Term
Filtration after the layers
Definition
-after passing through they r in capsular lumen
-regarded as the initial urinary filtrate
 
They do NOT pass through the podocyte cell body which is NOT part of the filtration apparatus. 
Term
Major features of Normal Glomerular Filtration
Definition
1. high permeability to water and small solutes
           -due to highly fenestrated endothelium
2. impermeability to proteins
           -larger = less permeable
 
Albumin excluded b/c large ionic molecule 
Term
Mesangium
Definition
-area of fiberous connective tissue
 
-NOT part of filtration apparatus
 
-materials passing form blood directly to capsular lumen do NOT pass through mesangium
 
-supports the glomerular tuft and its sells secret matrix, are pagocytic and contractile 
Term
Mesangium Location & Strucutre
Definition
-lies between/supports tuft of glomerular capillaries 
-found within central region of renal corpuscle
-bordered by basal laminal where it does not envelop         capillaries
-not in direct contact with outer surface of capillary
        endothelial cells
-consists of matrix and mesangial cell
Supporting users have an ad free experience!