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Chapter 15 The Urinary System
The Urinary System, Dr. T, EU
85
Biology
Undergraduate 4
10/29/2011

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Term
Antiseptic
Definition

A substance that tends to inhibit the growth and reproduction of microorganisms. 

 

(an-tih-SEP-tik)

Term
Azotemia
Definition

The presence of excessive amounts of waste products of metabolism (nitrogenous compunds) in teh blood caused by failure of the kidneys to remove urea from the blood.

Is characteristic of uremia

 

(azz-oh-TEE-mee-ah)

Term
Bowman's Capsule
Definition

The cup-shaped end of a renal trubule containing a glomerulus

also called glomerular capsule

Term
Calyx
Definition

The cup-shaped division of the renal pelvis through which urine passes from the renal tubules. 

 

(KAY-liks)

Term
Cystometer
Definition
An instrument that measures bladder capacity in relation to changing pressure. +
Term
Cytoscope
Definition

An instrument used to view the interior of teh bladder. 

It consits of an outer sheath with a lightening system, a scope for viewing, and a passage for catheters and devices used in surgical procedures;

may also be referred to as a "cysto"

 

(SISS-toh-skohp)

Term
Dialysate
Definition

Solution that contaisn water and electrolyes that passes through the artificial kidney to remove excess fluids and wastes from teh blood; 

also called "bath"

 

(dye-AL-ih-SATY)

Term
Dialysis
Definition

The process of removing waste products from the blood when the kidneys are unable to do so. 

Hemodialysis invovles passing the blood through an artificial kidney for filtering out impurities. 

Peritoneal dialysis invovles introducing fluid into the abdomen through a catheter

Through the process of osmosis, this flid draws waste products out of the capillaries into the abdominal cavity. It is then removed from the abdomen via a catheter

 

(dye-AL-ih-sis)

Term
Dwell Time
Definition
Length of time the dialysis solution stays in the peritoneal cavity during peritoneal dialysis
Term
Fossa
Definition

A hollow or depression, especially on teh surface of the end of a bone. In kidney transplantation, the donor kidney is surgically placed in the iliac fossa of the recipient. 

 

(FOSS-ah)

Term
Glomerular Filtrate
Definition

Substances that filter out of the blood through the thin walls of the glomeruli. 

example: water, sugar, salts, and nitrogenous waste products such as urea, creatinine, and uric acid. 

 

(glom-AIR-yoo-lar FILL-trayt)

Term
Glomerulus
Definition

A ball-shaped collection of very tiny coiled and intertwined capillaries, located in teh cortex of the kidney. 

 

(glom-AIR-yoo-lus)

Term
Hilum
Definition

The depression, or pit, of an organ where the vessels and nerves enter. 

 

(HIGH-lum)

Term
Hydrostatic Pressure
Definition
The pressure exterted by a liquid
Term
Hydroureter
Definition

The distension of the ureter with urine due to blockage from an obstruction. 

 

(high-droh-yoo-REE-ter)

Term
Meatus
Definition

An opening or tunnel through any part of the body, as in the urinary meatus, which is the external opening of the urethra

 

(mee-AY-tus)

Term
Medulla
Definition
The most internal part of a structure or organ
Term
Micturition
Definition

The act of eliminating urine from the bladder; 

also called voiding or urination

Term
Nephrolith
Definition

A kidney stone;

also called a renal calculus


(nef-roh-lith-EYE-ah-sis)

Term
Palpable
Definition

Distinguishable by touch

 

(PAL-pah-b'l)

Term
Peritoneum
Definition

A specific serous membrane that covers the entire abdominal wall of the body and is reflected over the contained viscera; the inner lining of the abdominal cavity. 

 

(pair-ih-ton-NEE-um)

Term
Peritonitis
Definition

Inflammation of the peritoneum (the membrane lining the abdominal cavity) 

 

(pair-ih-ton-EYE-tis)

Term
Pyelitis
Definition

Inflammation of the renal pelvis


(pye-eh-LYE-tis)

Term
Radiopaque
Definition

Not permitting the passage of X-rays or other radiant energy.

The areas appear white on an exposed X-ray film

 

(ray-dee-oh-PAYK)

Term
Renal Artery
Definition
One of a pair of large arteries, branching from the abdominal aorta, that supplies blood to the kidneys, adrenal glands, and ureters. 
Term
Renal Pelvis
Definition
The central collecting part of the kidney that narrows into the large upper end of the ureter. It receives urine through calyces and drains it into the ureters. 
Term
Renal Tubule
Definition

A long, twisted tube that leads away from the glomerulus of the kidney to the collecting tubules. As the glomerular filtrate passes through the renal tubules, teh water, sugar, and salts are reabsorbed into the bloodstream through the network of capillaries that surround them. 

 

(REE-nal TOOB-yool)

Term
Residual Urine
Definition

Urine that remains in the bladder after urination

 

(rih-ZID-yoo-al YOO-rin)

Term
Solute
Definition

A substance dissolved in a solution, as in teh waste products filtered out of the kidney into the urine. 

 

(SOL-yoot)

Term
Specific Gravity
Definition

The weigth of a substance compared with an equal volume of water, which is considered to be the standard.

Water is considered to have a specific gravity of 1.000 (one). Therefore, a substance with a specific gravity of 2.000 would be twice as dense as water. 

Term
Uremia
Definition

The presence of excessive amounts of urea and other nitrogenous waste products in the blood; 

also called azotemia


(yoo-REE-mee-ah)

Term
Ureter
Definition

One of a pair of tubes that carries urine from the kidney to the bladder. 

 

(YOO-reh-ter)

Term
Urethra
Definition

A small tubular structure that drains urine from the bladder to the outside of the body. 

 

(yoo-REE-thrah)

Term
Urinary Incontinence
Definition

Inability to control urination; the inability to retain urine in the bladder. 

 

(YOO-rih-nair-ee in-CON-tin-ens)

Term
Urinary Retention
Definition

An abnormal involuntary accumulation of urine in the bladder; 

the inability to empty the bladder. 

 

(YOO-rih-nair-ee REE-ten-SHUN)

Term
Vesicocele
Definition

Herniation or downward protrusion of the urinary bladder through the wall of the vagina; 

also called a cystocele


(VESS-ih-koh-seel)

Term
Albuminuria
Definition

The presence of the urine of abnormally large quantities of protein, usually albumin. 

(same thing as proteinuria) 

 

normal excretion is <250mg of protein per day

 

when persistent usually sign of renal disease or complications (or hypertension or heart failure)

 

(al-byoo-min-YOO-ree-ah)

Term
Anuria
Definition

The cessation (stopping) of urine production or a urinary output of less than 100 mL per day. 

 

 

(an-YOO-ree-ah)

Term
Bacteriuria
Definition

The presence of bacteria in the urine

 

considered significant if there are >100,000 pathogens per milliliter

 

(back-tee-ree-YOO-ree-ah)

Term
Dysuria
Definition

Painful urination 

 

(diss-YOO-ree-ah)

Term
Enuresis
Definition

A condition of urinary incontinence, especially at night in bed; 

bedwetting

 

(en-yoo-REE-sis)

Term
Glycosuria
Definition

Abnormal presence of a sugar, especially glucose, in the urine. 

 

finding often times associated with diabetes mellitus

 

(glye-kohs-YOO-ree-ah)

Term
Hematuria
Definition

Abnormal presence of blood in the urine

 

(hee-mah-TOO-ree-ah)

Term
Ketonuria
Definition

Presence of excessive amounts of ketone bodies in the urine. 

 

(kee-toh-NOO-ree-ah)

Term
Lethargy
Definition

The state or quality of being indifferent, apethetic (wihtout emotion), or sluggish 

 

(LETH-ar-jee)

Term
Malaise
Definition

A vague feeling of bodily weakness or discomfort, often marking the onset of disease or infection. 

 

(mah-LAYZ)

Term
Nocturia
Definition

Urination, especially excessive at night; 

also called nycturia

 

(nok-TOO-ree-ah)

Term
Oliguria
Definition

Secretion of a diminished amount of urine in relation to the fluid intake; scanty urine ouput. 

 

excretes <500 ml of urine in every 24 hours 

 

(ol-ig-YOO-ree-ah)

Term
Polydipsea
Definition
Excessive thirst 
Term
Polyuria
Definition
Excretion of abnormally large amounts of urine 
Term
Pyuria
Definition
The presence of an excessive number of white blood cells in the urine, usually a sign a sign of an infection of the urinary tract; pus in the urine
Term
Urgency
Definition

A feeling of the need to void urine immediately

 

(ER-jen-see) 

Term
Cystitis
Definition

Inflammation of the urinary bladder. 

characterized by urency and frequency of urination and by hematuria

 

 

(siss-TYE-tis)

Term
Glomerulonephritis (acute)
Definition

An inflammation of the glomerulus of the kidneys

 

usually caused by a beta-hemolytic streptococcal infection 

primarily a disease of a children 

characterzed by proteinuria, hematuria, and decreased urine production 

 

(gloh-mair-yoo-loh-neh-FRYE-tis)

Term
Hydronephrosis
Definition

Distension of the pelvis and calyces of the kidney caused by urine that cannot flow past an obstruction in a ureter

 

(high-droh-neh-FROH-sis)

Term
Nephrotic Syndrome
Definition

A group of clinical symptoms occurring when damage to the glomerulus of the kidney is present and large quantities of protein are lost through the glomerular membrane into the urine, resulting in severe proteinuria; 

also called nephrosis 

 

patient will expereince massive generalized edema 

 

(neh-FROT-ic SIN-drohm) 

Term
Polycystic Kidney Disease
Definition

A hereditary disorder of the kidneys in which grapelike, fluid-filled sacs or cysts replase normal kidney tissue 

 

symptoms don't usually appear to midlife 

 

(pol-ee-SIS-tik kidney disease 

Term
Pyelonephritis (acute) 
Definition

A bacterial infection of the renal pelvis of the kidney 

 

usually due to an infection of an ascending urinary tract infection 

 

(pye-eh-loh-neh-FRYE-tis) 

 

Term
Renal Cell Carcinoma 
Definition

A malignant tumor of the kidney occurring in adulthood

 

usually asymptomatic until the latter stages of the disease

 

 

Term
Renal Failure, Chronic
Definition

Progressively slow development of kidney failure occurring over a period of years. The late stages of this are known as end-stage renal disease (ESRD) 

 

(KRON-ik REE-nal FAIL-yoor) 

Term
Vesicoureteral Reflux 
Definition

An abnormal backflow (reflux) of urine from the bladder to the ureter


may cause damage to the ureters and kidney due to increased hydrostatic pressure


(vess-ih-koh-yoo-REE-ter-al REE-fluks)

Term
Wilm's Tumor
Definition

A malignant tumor of the kidney occurring predominantely in childhood. 

 

Term
Peritoneal Dialysis
Definition

Dialysis is a mechanical filtering process used to cleanse the blood of waste products, draw off excess fluids, and regulate body chemistry when the kidneys fail to function properly. Instead of using the hemodialysis machine as a filter, the peritoneal membrane (also called the peritoneum) is used as the filter in this. 

 

continuous ambulatory peritoneal dialysis (CAPD): can be performed by patient and doesn't require a machine 

Continutous cycling peritoneal dialysis (CCPD): requires a machine. Cycles the solution in and out of the peritoneal cavity at evenly spaced intervals at night while the patient sleeps

Term
Hemodialysis
Definition

The process of removing excess fluids and toxins from the blood by continually shunting the patient's blood from the body into a dialysis machine for filtering and then returning the clean blood to the patient's bloodstream. 

 

(hee-moh-dye-AL-ih-sis)

Term
Blood Urea Nitrogen (BUN)
Definition
A blood test performed to determine the amount of urea and nitrogen (waste products normally excreted by the kidney) present in the blood 
Term
Catheterization 
Definition
The introduction of a catheter (flexible hollow tube) into a body cavity or organ to instill a substance or to remove a fluid. 
Term
Creatinine Clearance Test
Definition
A diagnostic test for kidney function that measures the filtration rate of creatinine, a waste product (of muscle metabolism) normally removed by the kidney. 
Term
Cystometrography
Definition
An examination performed to evaluate bladder tone; measuring bladder pressure during filling and voiding
Term
Cystoscopy
Definition
The process of viewing the interior of the bladder
Term
Extracorporeal Lithotripsy
Definition

Also known as extracorporeal shock-wave lithotripsy. This is a noninvasive mechanical procedure for using sound waves to break up renal calculi so that they can pass through the ureters. 

 

(ex-trah-cor-POR-ee-al LITH-oh-trip-see)

Term
Intravenous Pyelogram (IVP)
Definition

Also known as intravenous pyelography or excretory urogram. This radiographic procedure provides visualization of the entire urinary tract: kidneys, ureters, bladder, and urethra

 

(in-trah-VEE-nus PYE-eh-loh-gram)

Term

KUB

(kidneys, ureters, bladder)

Definition

An X-ray of the lower abdomen that defines the size, shape, and location of the kidneys, ureters, and bladder. A contrast medium is not used with this X-ray. 

 

Used to identify malformations of the kidney, soft tissue masses, and calculi (stones)

Term
Renal Angiography
Definition

X-ray visualization of the internal anatomy of the renal blood vessels after injection of a contrast medium. 

 

(REE-nal an-jee-OG-rah-fee)

Term
Renal Scan
Definition
A procedure in which a radioactive isotope (tracer) is injected intravenously, and the radioactive over each kidney is measured as the tracer passes through the kidney. 
Term
Retrograde Pyelogram (RP)
Definition

The radiographic procedure in which small-caliber catheters are passed through a cystoscope into the ureters to visualize the ureters and teh renal pelvis

 

(RET-roh-gryd PYE-eh-loh-gram) 

Term
Ultrasonography
Definition

Also called ulstrasound. This is a procedure in which sound waves are trasnmitted into the body structures as a small transducer is passed over the patient's skin. 

 

(ul-trah-son-OG-rah-fee)

Term
Urinalysis
Definition

is a physical, chemical, or microscopic examination of urine 

 

exames the color, turbidity, specific gravity and pH

 

(yoo-rih-NAL-ih-sis)

Term
Urine Culture
Definition
A procedure used to cultivate the growth of bacteria present in a urine specimen for proper microscopic identification of the specific pathogen (disease-producing microorganism). 
Term
24-hour Urine Specimen
Definition

A collection of all the urine excreted by the individual over a 24-hour period. The urine is collected in one large container.

This urine specimen is also called composite urine specimen. 

 

The comparisons of urine level to blood concentration will be disproportionate in the presence of kidney disorders. 

Term
Voiding Cystourethrography
Definition
X-ray visualization of the bladder and urethra during the voiding process, after the bladder has been filled with a contrast material. 
Term
Catheterized Specimen
Definition
Using aspeptic techniques, a very small straight catheter is inserted into the bladder via the urethra to withdraw a urine specimen. The urine flows through the catheter into a sterile specimen container. 
Term
Clean-Catch Specimen
Definition

This collection is used to avoid contamination of the urine specimen from the microorganisms normally present on the external genitalia. 

 

 

Term
First-Voided Specimen
Definition

The patient is instructed to collect the first-voided specimen of the morning and to refrigerate it until it can be taken to the medical office or laboratory. 

 

used for pregnancy testing or any other test that required more concentrated urine 

Term
Random Specimen
Definition
A urine specimen that is collected at any time. 
Term
Residual Urine Specimen
Definition

A residual urine specimen is obtained by catheterization after the patient empties the bladder by voiding. The amount of urine remaining in the bladder after voiding is noted as the residual amount. 

 

(ree-ZID-yoo-ahl)

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