The Urinary System Flashcards

1
Q

EXCRETION

A

Removal of wastes from the body; following organs serve this purpose

  • Skin (sweat) - water, some metabolic wastes and salts
  • Lungs- water vapour, carbon dioxide, other volatile metabolites
  • GIS (faeces) ; bile metabolites, indigestible materials, small amount of water
  • Urinary system (urine) water, salts, some nitrogenous wastes
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2
Q

NITROGENOUS WASTE

A
  • Several nitrogen containing metabolites can’t accumulate in body→ excreted as nitrogenous waste in urine
  • Accumulation of ammonia (amine group) has toxic effects→ amine converted to less toxic urea
  • Creatinine formed from breakdown of creatine; creatine provides small reserve of ATP
  • If components of DNA and RNA are degraded; the nitrogen containing subunit metabolised to uric acid
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3
Q

FUNCTIONS OF THE URINARY SYSTEM

A
  • Principal means of removing foreign compounds from the body; by urine
  • Maintenance of body fluids in a state of homeostasis; achieved by regulating physical and chemical properties of the blood (e.g. pH, volume/pressure, ion concentrations)
  • Regulation of rate of production of red blood cells
  • Vitamin D activation
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4
Q

THE NEPHRON

A
  • Kidney functions achieved by combined response of several million units called nephrons
  • Under normal conditions; kidney receives ⅕ of cardiac output
  • Renal artery gives rise to a network of arteries→ branches to form arterioles network

Capillary network of the nephron is unusual in that there 2 capillary beds

  • Afferent arteriole gives rise to multi- looped capillary bed (glomeruli)
  • Blood drains for glomerulus into efferent arteriole
  • From efferent arteriole, blood flows through the peritubular capillaries
  • From capillaries blood drains through venous network of the kidney and out of kidney via renal vein

Additional components; several components to each nephron

  • Each nephron has a renal tubule
  • Bulbous opening; bowman’s capsule folds around and surrounds the glomerulus
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5
Q

THE STAGES OF URINE FORMATION (3)

A
  • Filtration
  • Reabsorption
  • Secretion
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6
Q

URINE FORMATION: FILTRATION

A
  • Walls of glomerulus are really leaky
  • Inner of Bowman’s Capsule has many slits in it
  • Blood flowing through glomerulus is under higher pressure than in other capillary beds

Bowman’s capsule and glomerulus structure→ means as blood passes through the glomerulus; most passes out of the glomerulus and into the peritubular capillaries

  • But a fraction of it leaves the circulation and enters the capsular space
  • This filtrate is what enters tubule of each nephron
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7
Q

THE FILTRATE

A
  • ‘Plasma-like’
  • Any molecule 8 billionths of a meter or smaller will pass into the capsular space (e.g. glucose, salts, urea)
  • Albumin, larger proteins and blood cells largely remain in the blood as it exits the glomerulus
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8
Q

URINE FORMATION: REABSORPTION

A
  • This is the process by which vital components are returned to the blood
  • The sequence for any vital component being
  • Filtrate→ transport across cells of tubular wall→ into space between tubules and peritubular capillaries→ across endothelium of the capillaries→ back into blood
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9
Q

PROXIMAL PARTS OF TUBULE

A
  • Most of reabsorption occurs in proximal convoluted tubule (e.g. most of water and ions and vital nutrients)
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10
Q

DISTAL PARTS OF TUBULE

A
  • Most of nutrient, ion and water reabsorbed occurs before filtrate reaches distal part of tubules but there remains substantial; amount of filtrate processing that occurs in this region
  • The processing in this region is regulated by hormones
  • Homeostasis; kidneys can ‘fine-tune’ the composition of the blood (e.g. person is dehydrated; increase water reabsorption)
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11
Q

URINE FORMATION: TUBULAR SECRETION

A
  • Waste materials (e.g. drugs) or excess of other components travel along a different path (tubular secretion)
  • Blood→ across endothelium→ into the space between tubules and peritubular capillaries→ transport into cells of tubular wall→ into the filtrate
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12
Q

LEAVING THE NEPHRONS

A
  • Collecting tubules from many nephrons drain into each collecting duct
  • Several collecting ducts form a papillary duct
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13
Q

URINE TRANSPORT

A
  • Papillary ducts drain into a calyces (‘cups”)
  • The calyces combine to form renal pelvis which is the funnel-shaped opening of the ureter
  • Each ureter is a muscular tube that extends from each renal pelvis to the bladder
  • Urine produced by each kidney drains out through a ureter→ ureters drain into bladder
  • Urine drains out of the body via urethra
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14
Q

THE BLADDER

A
  • Bladder designed to be stretched
  • Moderately full bladder can hold 500mL but the capacity is between 700-800mL
  • Contractions of the detrussor muscle lead to expulsion of the urine
  • As bladder starts to fill it will stretch; stretching leads to signals being sent back to CNS
  • Sympathetic motor signals lead to detrussor relaxation and contraction of an internal urethral sphincter. Somatic motor signals keep an external urethral sphincter closed→ bladder can fill with no risk of leakage
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15
Q

MICTURITION/URINATION

A

As bladder fills; sensory signals also reach micturition centre in pons→ integrates with info from higher brain centres leading to;
- Parasympathetic neurons stimulate the detrussor to contract and relax the internal urethral sphincter

When time is right→ cortical signals can inhibit the motor neurons that control the external sphincter
- Urination can occur if you are in an appropriate place to do that

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