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Urinary System
First year, part A, Bachelor of Nursing Science
37
Science
Undergraduate 1
10/27/2009

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Cards

Term
Name 2 hormones that the kidneys release
Definition
Erythropoietin and calcitriol
Term
What is micturition?
Definition
Urination
Term
There are 11 steps involved in micturition, what are they?
Definition
Bladder fills with urine. Stretch receptors in wall of bladder are stimulated. Nerve impulses are sent to micturition centre in sacral spinal cord (sensory). Nerve impulses return (motor). Detrusor muscle contracts. Nerve impulse sent to cerebral cortex of brain. Desire to urinate is experienced. Nerve impulses return. Voluntary control over external urethral sphincter. Urination occurs. Nerve impulses from the pons keep the reflex going.
Term
What is reabsorbed during tubular reabsorption?
Definition

Glucose and amino acids completely. H2O, Na+, Cl-, Ca2+, HCO3- largely. Ca2+, Mg2+, HPO4- somewhat.

Urea, uric acid limited.

Term
Expain glomerular filtration
Definition
Blood plasma is filtered into nephron. The fluid moves from glomerulus into the glomerular capsule. The fluid is now known as glomerular filtrate.
Term
What is the renal pelvis?
Definition
A cavity that collects urine from the calyces and carries it to the ureter.
Term
What is the renal capsule of the kidney?
Definition
It is a transparent membrane that maintains organ shape.
Term
What is the ureter?
Definition
There is one from each kidney. It is a tube that connects the renal pelvis to the urinary bladder.
Term
How does the urine travel into the bladder?
Definition
In the ureters, mainly by peristalsis. Hydrostatic pressure and gravity contribute.
Term
How many litres of filtrate are reabsorbed each day?
Definition

178 - 179 in males

148 - 149 in females

Term
What is the capacity of the urinary bladder?
Definition
700 - 800mL
Term
Describe the anatomy of the urinary bladder
Definition
The trigone is a smooth flat area borded by 2 ureteral openings and 1 urethral opening.
Term
Name another function of the kidney (involving excretion and breakdown)
Definition
Excretions of wastes and foreign substances. Breakdown of: creatine phosphate, haemoglobin, drugs & toxins, and other hormones.
Term
How much of the resting cardiac output supplies the kidneys?
Definition
25% via the renal arteries
Term
Name 3 functions of the kidney involving regulation
Definition

Regulation of blood ionic composition (Na+, Cl-, K+, Ca2+ etc)

Regulation of blood pH and glucose

Regulation of blood volume and blood pressure

Term
What is the renal fascia of the kidneys?
Definition
It is dense, irregular connective tissue that holds the kidney to the posterior wall of the abdominal cavity against the posterior body wal.
Term
What is the renal cortex?
Definition
It's the outer zone of the kidney. Contains the glomerulus and glomerular capillaries.
Term
What is the renal medulla?
Definition
Inner zone of the kidney. Consists of triangular lobes of tissue.
Term
What is the adipose capsule of the kidney?
Definition
Its a fatty layer around the external of the kidney that helps protect it from trauma.
Term
Where is the urinary bladder?
Definition

Posterior to pubic symphysis.

Males: anterior to rectum

Females: anterior to vagina, inferior to uterus

Term
Describe the urinary bladder lining
Definition
Has a muscular wall made of smooth muscle called the detrusor muscle. And a mucous membrane which secretes mucus to protect the lining from the low pH.
Term
What is renal threshold?
Definition
A measurement of the kidneys ability to reabsorb a particular substrate from the glomerular filtrate. If it's equalled or exceeded the substance will be present in urine (lost from the blood).
Term
What makes up urine?
Definition
Water, ions, nitrogenous wastes, hormones, dead cells and crystals.
Term

Name some particles freely filtered from the blood into the glomerular capsule.

What particles are too large?

Definition

Small particles like H2O, glucose, amino acids, urea, uric acid, creatinine and most ions.

Plasma proteins and blood cells are too large.

Term
What happens when the GFR goes wrong?
Definition

Too high - useful substances are lost due to speed of filtrate

Too low - insufficient removal of waste products from the blood

Term
What is the GFR and what affects it?
Definition

Glomerular filtration rate. It's the volume of filtrate produced by the kidneys each day. Men 180L, women 150L.

It is affected by changes in the arterial blood pressure.

Term
How does the plasma become glomerular filtrate?
Definition
Blood pressure pushes particles of a certain size through the very porous (100x greater than normal) walls of the glomerulus capillaries.
Term
Where does tubular reabsorption occur?
Definition
Mainly at the proximal convulated tubule. But also at loop of Henle, collecting duct, and distal convulated tubule.
Term

Where does tubular secretion occur?

And how?

Definition

Mainly at the distal convulated tubule. But also proximal convulated tubule and loop of Henle.

By active transport.

Term
What does tubular secretion help do?
Definition
Helps control blood pH by secretion of H+. Helps eliminate certain substances, such as NH4+, creatinine, urea and K+.
Term
What are the 3 processes in urine formation?
Definition

Glomerular filtration

Tubular reabsorption

Tubular secretion

Term
Where are the peritubular capillaries situated?
Definition
They surround the loop of Henle and carry reabsorbed nutrients back into circulation.
Term
Describe the glomerular capsule
Definition
The glomerular capsule surrounds the capsular space. In which is the ball of capillaries called the glomerulus. Blood enters these by afferent arterioles and leaves by efferent arterioles.
Term
Describe the nephron anatomy
Definition
It is the functional unit of the kidney. Fluid flows from glomerular (Bowman's) capsule, proximal convulated tubule, loop of Henle, distal convulated tubule and collecting duct.
Term
What are calyces?
Definition
There are major and minor. They are cavities which collect urine from the tip of the renal pyramid and carry it to the renal pelvis.
Term
What is the renal pyramid?
Definition
Triangular lobes in the renal medulla. Nephron tubules pass through these.
Term
Describe the blood supply to the kidneys
Definition
Abdominal aorta -> renal artery -> afferent arteriole -> glomerular capillaries -> efferent arteriole -> peritubular capillaries -> renal vein -> inferior vena cava. Renal arteries carry blood into the kidneys, renal veins carry blood out of the kidneys
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