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Urinary System
Chapter 18-Essentials of Anatomy and Physiology
41
Biology
Undergraduate 2
12/10/2012

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Term
Urinary System
Definition
Excretion-Removal of organic waste products from body fluids
Elimination-Discharge of waste products into environment
Homeostatic Regulation
Term
Functions
Definition
Regulate Blood Volume and Pressure-Adjust volume of water lost in urine, release erythropoietin and renin
Regulate plasma concentration of ions-synthesis of calcitriol, etc
Stabilize blood pH
Conserve nutrients
Term
Kidney
Definition
retroperitoneal. Maintained by overlying peritoneum, contact with adjacent organs, support CT
Covered by fibrous capsule
Term
Hilum
Definition
Exit for ureter, entrance of renal arter and renal nerve, exit of renal vein
Term
Kidney Anatomy
Definition
Renal cortex, renal medullo, renal pyramids, renal papilla, renal lobe, minor calyx, major calyx, renal pelvis
Term
Nephron
Definition
Basic functional unit
1) Renal corpuscle
2) Renal tubule
Term
Renal Corpuscle
Definition
Glomerular capuscle +glomerulus (capillary network)
BP forces fluid and dissolved solutes out glomerular capillaries and into capsular space-->Filtration
Term
Filtrate
Definition
protein-free solution
By end of nephron, composition changes and becomes tubular fluid
Passive filtartion
Term
Renal Tubule
Definition
PCT, Nephron loop, DCT
Term
Podocytes
Definition
Epithelium covering capillaries. Have feet that wrap around individual capillaries
Term
Proximal Convoluted Tubule
Definition
Reabsorb organic nutrients, plasma proteins and ion. Release into interstitial fluid(peritubular fluid)
Solute concentration of peritubular fluid increases, that of tubular fluid decreases
Water moves out through osmosis
Term
The Nephron Loop
Definition
Descending Limb-fluid flows towards renal pelvis
Ascending limb-not permeable to water and solutes. Active transport sodium and chloride out of tubular fluid
High solute concentration in peritubular fluid of medulla
Term
Distal Convoluted Tubule
Definition
immediately passes adjacent to afferent and efferent arterioles
1)active secretion of ions, acids, drugs and toxins
2)selective reabsorption of sodium ions from tubular fluid
3)selective reabsorption of water
Term
Macula Densa
Definition
Epithelial cells of DCT closest to glomerulus Closely associated with smooth muscle fibers(juxtaglomerular cells) in wall of afferent arteriole -->Juxtaglomerular complex
Term
Juxtaglomerular Complex
Definition
Endocrine structure that secrets the hormone erythropoietin and enzyme Renin
Regulate blood volume and pressure
Term
Collecting Duct
Definition
Receive tubular fluid from many nephrons
Several collecting ducts merge to for a papillary duct (delivers urine to a minor calyx)
Term
Urea
Definition
Must abundant organic waste. From breakdown of amino acids
Term
Creatinine
Definition
Generated in skeletal muscle tissue through breakdown of creatine phosphate
Term
Uric Acid
Definition
Product of breakdown and recycling of RNA
Term
Nephron Processes
Definition
1) Filtration: blood pressure forces water across filtration membrane in renal corpuscle.
2) Reabsorption: removal of water and solute molecules from tubular fluid into peritubular fluid->re-enter circulation at peritubular capillaries. Water reabsorption passively through osmosis
3) Secretion: transport of solutes from peritubular fluid into tubular fluid. Further lower plasma concentration of undesirable materials
Term
Important Notes on the Nephron Process
Definition
Filtration occurs exclusively in renal corpuscle across glomerular capillary walls
Reabsorption of nutrients occurs primarily at PCT
Active secretion occurs primarily at DCT
Term
Filtration Pressure
Definition
Net force promoting filtration. Pressure at glomerulus is higher than capillary blood pressure elsewhere because of difference in diameters of affer/efferent arterioles.
Efferent arteriole has smaller diameter, resistance/back up->increase in bp
Kidney filtration will stop if glomerular blood pressure falls significantly
Term
Glomerular Filtration Rate (GFR)
Definition
amount of filtrate produced in the kidneys each minute. 125 mL/minute
Term
Events at the Proximal Convoluted Tubule
Definition
Cells actively reabsorb organic nutrients, plasma proteins and ions from filtrate. Transport to peritubular fluid
Osmotic forces pull water out of PCT into peritubular fluid.
Both solute and water diffuse into peritubular capillaries
H+ can be actively secreted into tubular fluid to regulate blood pH
Term
Events at the Nephron Loop
Definition
Reabsorbs >.5 remaining water, .66 sodium and chloride ions remaining in tubular fluid
Descending:permeable to water, not solutes. Water flows in/out by osmosis
Ascending:impermeable to water and solutes. Actively pumps NA and CL out of tubular fluid into surrounding peritubular fluid
->concentration gradient in medulla, highest concentration of solutes at bottom of loop
Term
Events at the Distal Convoluted Tubule
Definition
Impermeable to solutes, changes in tubular fluid composition can occur only through active reabsorption/secretion. Primary function:ACTIVE SECRETION Cells actively transport NA out and K/H in Ion pumps respond to Aldosterone ADH
Term
Aldosterone
Definition
Produced by adrenal cortex
In response to lowered NA ion concentrations/elevated K concentrations in blood
Higher Aldosterone levels, more NA reclaimed and K lost
Term
Antidiuretic Hormone
Definition
Controls amount of water reabsorbed along DCT/collecting duct
No ADH, DCT impermeable to water
Increase ADH, increase in water permeability, more concentrated the urine
Term
GFR Regulation
Definition
1) Autoregulation-local regulation
2) Hormonal regulation-started by Kidneys
#) Autonomic regulation-sympathetic division of ANS
Term
Local GFR (auto)regulation
Definition
Minor variations in bp through changes in diameters
GFR rates remain relatively constant
Term
Hormonal GFR control
Definition
Long term adjustments to stabilize GFR Angiontensin II, aldosterone, ADH secretion is integrated by renin-angiotensin system
Term
Renin-Angiotensin System
Definition
Glomerular pressure remains low->juxtaglomerular complex releases renin(enzyme)
Renin converts inactive angiotensinogen to angiotensin I
converted to angiotensin II by ACE
Term
Effects of Angiotensin II
Definition
1) Brief/powerful vasoconstriction in peripheral capillary beds->elevates bp in renal arteries
2) Constriction of efferent arterioles at the nephron-> elevates glomerular pressures and filtration rates
3) Triggers release of ADH at CNS->stimulates reabsorption of H20 and NA, induces thirst sensation
4) Secretion of aldosterone by adrenal cortex and of E/NE by adrenal medulla->sudden, dramatic increase in bp. Stimulates NA reabsorption along DCT
Term
Antidiuretic Hormone
Definition
1) Increases water permeability of DCT->stimulates reabsorption of water from tubular fluid
2) Induces sensation of thirst
*Under angiotensin II stimulation and independent stimulation by drop in bp stimulates hypothalamic neurons
Term
Aldosterone
Definition
Stiumlates reabsorption of sodium and secretion of potassium along DCT
Occurs under angiotension II stimulation and in response to rise in K concentration of blood
Term
Atrial Natriuretic Peptide (ANP)
Definition
Opposes renin0angiotensin system.
Released by atrial cardiac muscles when high blood volume/pressure levels
1) decrease rate of NA reabsorption in DCT
2) dilation of glomerular capilaries->increase in filtration/water loss
3) inactivation of renin-angiotensin system, inhibition of renin, aldosterone, ADH
-Accelerated loss of NA, increase in urine volume->lowers blood volume and pressure
Term
Sympathetic Activation and Kidney Function
Definition
Shift blood flow away from kidneys to lower filtration rate
Direct effect: constriction of afferent arterioles->decreases GFR, slows filtration
Term
Urinary Bladder
Definition
Stores urine. Superior surface covered by peritoneum Trigone-triangular area within the urinary bladder that is bounded by ureteral openings and entrance to urethra Internal urethral sphincter-involuntary control over urine discharge Transitional epithelium-continuous with renal pelvis/ureters also lines urinary bladder
Term
Detrusor Muscle
Definition
Three layers of smooth muscle of bladder.
Contraction compresses bladder, expels contents to urethra
Term
Urethra
Definition
External Urethral Sphincter
-skeletal muscle fibers, contractions under voluntary control
Term
Micturition Reflex
Definition
Coordinates process of urination
Stretch receptors in wall of bladder are stimulated as it fills
Increases level of fiber activity-stimulates interneurons that relay sensations to thalamus. Become consciously aware
Motor neurons stimulate detrusor muscle->contraction elevates fluid pressures. Need relaxation of external sphincter (voluntary control)
Internal sphincter relaxes afterward(involuntary)
Once volume of bladder exceeds 500 mL, can generate enough pressure to force open internal sphincter.
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