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principal organs of the urinary system; accessory organs are the ureters, urinary bladder, and urethra
kidneys
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regulates the content of blood plasma to maintain "dynamic constancy," or homeostasis, of the internal fluid environment within normal limits
urinary system
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internal structures of the kidney
cortex and medulla
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comprise much of the medullary tissue; papilla is at the tip of each pyramid and release urine through multiple ducts
renal pyramids
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where cortical tissue dips into the medulla between the pyramids
renal columns
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cuplike structure in each renal papilla to collect urine
calyx
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_______calyces join to form_____calyces,which in turn join to form the ______ ______
minor; major, renal pelvis
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renal pelvis narrows as it exits the kidney to become the_____
ureter
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acts as a collection basin to drain urine from the kidney
renal pelvis
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are highly vascular
blood vessels of the kidneys
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large branch of the abdominal aorta; brings blood into each kidney
renal artery
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between the pyramids of the medulla and the renal artery branches
interlobular arteries
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extend toward the cortex, arch over the bases of the pyramids, and form the arcuate arteries
interlobular arteries
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from the arcuate arteries, these arteries penetrate the cortex
interlobular arteries
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extend to the nephrons (microscopic functional units of kidney tissue)
afferent arterioles
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tube running from each kidney to the urinary bladder; composed of three layers
ureter
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mucous lining, muscular middle layer, and fibrous outer layer
ureter layers
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collabpsible bag located behind the pubic symphysis made mostly of smooth muscle tissue; lining forms rugae; can distend considerably
urinary bladder
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functions as a reservoir for urine before it leaves the body and aided by the urethra, it expels urine from the body
urinary bladder
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folds when urinary bladder collapse; allow for expansion and contraction; allows the bladder to distend
rugae
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small mucous membrane lined tube extending from the trigone to the exterior of the body
urethra
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bottom part of the urinary bladder
trigone
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lies posterior to the pubic symphysis and anterior to the vagina
urethra in females
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after leaving the bladder, passes through the prostate gland where it is joined by two ejaculatory ducts; from the prostrate, it extends to the base of the penis, then through the center of the penis, ending as the urinary meatus; part of the urinary system as well as the reproductive system
urethra in males
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as bladder volume increases, micturition contractions (of detrusor muscle)_____ and the internal urethral sphincter_____
increase; relaxes
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sphincter that has muscles that contract at first, then at appopriate time, they relax to release urine
external urethral
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the microscopic functional units, compromise the buld of the kidney; each of these is made of two regions (renal corpuscle and renal tubule) and connects to a shared collecting duct
nephrons
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two nephron regions
renal corpuscle & renal tubule
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made of glomerlus tucked inside a Bowman's capsule; located within the cortex of the kidney
renal capsule
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cup-shaped mouth of the nephron that is formed from by parietal and visceral walls with a space between them
bowman(glomerular) capsule
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formed by pedicels in the visceral layer that are packed closely together
filtration salts
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prevents the filtration slits from enlarging under pressure
slit diaphragm
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network of fine capillaries surrounded by Bowman capsule
glomerlus
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pores in capillary walls that permit filtration
fenestrations
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located between glomerular capillaries; various structural and functionaly support functions
mesangial cells
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lies between glomerlus and bowman capsule
basement membrane
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formed by glomerular endothelium, basement membrane, and the visceral layer of bowman capsule; function is filtration
glomerular capsular membrane
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first part of the rental tubule nearest to bowan capsule; follows a winding, convoluted course
proximal convoluted tubule
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renal tubule segment just beyond the proximal tubule; consists of a thin descending limb, a sharp turn, and an ascending limb; ascending limb made of thin ascending limb followed by thick ascending limb
henle (nephron) loop
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convoluted tubule beyond the henle loop
distal convoluted tubule
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located where the afferent arteriole brushes past the distal convoluted tubule
juxtamerular apparatus
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made of macula densa (wall of distal tubule and juxtaglomerular) cells surronding afferent arteriole
juxtamerular apparatus
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important to maintenance of blood flow homeostasis by reflexively secreting renin when blood pressure in the afferent arteriole drops
juxtamerular apparatus
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straight duct joined by the renal tubules of several nephrons
collecting duct
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collecting ducts of one renal pyramid converge to form _____ _______ that opens at a renal papilla into a major calyx
one tube
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enters glomerular capillary network
afferent atrieole
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leaves glomerlus and extends to the peritubular blood supply
efferent artieole
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straight arterioles that run alongside henle loop
vasae rectae
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surround renal tubule
peritubular capillaries
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a nephron with a renal corpuscle near the medulla and a henle loop that drips into the medulla
juxtramedullary nephron
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a nephron with a henle loop that doesnt dip into the medulla but remains almost entirely within the cortex; they constitue 85% of the total nephrons
cortical nephron
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chief functions of the kidney
process blood and form urine
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basic functional unit of the kidney
nephron
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forms urine by filtration, tubular reabsorption, and tubular secretion
nephron
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movement of water and protein-free solutes from plasma in the glomerulus into the capsular space of the Bowman capsule
filtration
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movement of molecules out of the tubule and into peritublar blood
tubular respiraton
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movement of molecules out of peritubular blood and into the tubule excretion
tubular secretion
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first step in blood processing; occurs in renal corpuscles
filtration
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from blood in the glomerular capillaries, approx. 180L ____and_____filter into bowman capsule each day; takes place through the glomerular capsular membrane
water and solutes
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occurs as a result of a pressure gradient (effective filtration pressure)
filtration
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occurs rapidly because of the increased number of fenestrations
glomerular capillar function
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determined mainly by glomerular hydrostatic pressure and therefore directly related to systemic blood pressure
glomerular filtration rate
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second step in urine formation; occurs as a result of passive and active transport mechanisms from all parts of the renal tubules
reabsorption
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a major portion of this occurs in the proximal convoluted tubules
reabsorption
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most water and solutes are recovered by ____, leaving only a small volume of tubule fluid left to move on to the Henle Loop
blood
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actively transported out of tubule fluid and into blood
sodium
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passively transported out of tubule fluid by sodium cotransport mechanisms
glucose and amino acids
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the maximal capacity of reabsorption that depends on carrier availability
transport medium
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passively move into blood because of an imbalance in electrical charge
chloride, phosphate, and bicarbonate ions
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movement of _____and _____ into blood causes an osmotic imbalance, moving water passively into blood
sodium and chloride
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approx. half of urea passively moves out of the tubule, with the remaining urea moving on to the henle loop
urea
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mechanism in the henle loop that concentrates sodium and chloride in the interstitial fluid of renal medulla
countercurrent multiplier mechanism
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mechanism in vasae rectae that maintains high solute concentration in medullary interstitial fluid
countercurrent exchange mechanism
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water is reabsorbed from the _____ ___
tubule fluid
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urea is picked up from the ____ _____in the descending limb
interstitial fluid
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both of these are reabsorbed from the filtrate in the ascending limb, where the reabsorption of salt makes the tubule fluid dilute and creates and maintains a high osmotic pressure of the medulla's interstitial fluid
sodium and chloride
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reabsorbs sodium by active transport but in smaller amounts than in the proximal convoluted tubule
the distal convoluted tubule
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secreted by the posterior pituitary and targets the cells of distal tubules and collecting ducts to make them more permeable to water
antidiuretic hormone
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with reabsorption of water in the collecting duct, urea concentration of the tubule fluid____, which causes urea to diffuse out of the collecting duct into the meduallary interstitial fluid
increases
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participates in a countercurrent multiplier mechanism
urea
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along with the Henle loop and vascae rectae maintains the high osmotic pressure needed to form concentrated urine and avoid dehydration
urea
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the movement of substances out of the blood and into tubular fluid
tubular secretion
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secretes urea by diffusion
descending limb of the henle loop
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secrete potassium, hydrogen, and ammonium ions
distal tubule and collecting ducts
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hormone that targets the cells of the distal tubule and collecting duct cells
aldosterone
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causes increased activity of the sodium potassium pump
aldosterone
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secretion of hydrogen ions____with increased potassium pump
increases
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influences water reabsorption
ADH
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as water is reabsorbed, the ____ _____ of urine is reduced by the amount of water removed by the tubules
total volume
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secreted by the adrenal cortex
aldosterone
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increases distal tubule absorption of sodium, thereby raising the sodium concentration of blood and thus promoting reabsorption of water
aldosterone
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secreted by atrial muscle ribers, promotes loss of sodium by urine, and opposes aldosterone, thus causing the kidneys to reabsorb less water and thereby produce more urine
atrial natriuretic hormone
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maintains a constant GFR by regulating resistance in afferent arterioles; protects GFR function from rapid blood pressure variations
tubuloglomerular feedback mechanism
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dependent on macula densea cells and the juxtaglomerular apparatus; may influence reninangiotensin mechanism
tubuloglomerular feedback mechanism
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rapid and effective regulation of GFR by changes in afferent arterioles smooth muscle contraction and relaxation
myogenic mechanism
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related to the total amount of solutes other than sodium excreted in urine
urine volume
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the more solutes, the more ____, in general
urine
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example of why you would have a high-hormone level
birth control
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approx. 95% water with several substances dissolved in it
urine composition
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result of the protein metabolism; includes urea, uric acid, ammonia, and creatinine
nitrogenous wastes
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mainly the following ions: sodium, potassium, ammonium, chloride, bicarbonate, phosphate, and sulfate; amounts and kind of minerals vary with diet and other factors
electrolytes
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during disease, these bacterial poisons leave the body in urine
toxins
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may spill into the filtrate
high-hormone levels
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ex: blood, glucose, albumin, casts, and caliculi
abnormal constituents
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process blood to adjust its content to maintain a relatively constant internal environment
nephrons
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homeostasis of water and electrolytes in body fluids relies on proper functioning of the ____
kidneys
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systems that are interdependent
urinary and cardiovascular
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system that must operate properyly to ensure efficient kidney function
endocrine and nervous
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sugar(glucose) in urine
gylcosuria
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painful urination
dysuria
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unusually large amounts of urine
phyuria
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scant (barely sufficient or adequate) urine
oliguria
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