DHUBS1 - week 8 Flashcards

(22 cards)

1
Q

organs of the urinary tract

A

kidneys
urinary tract: ureters, urinary bladder and urethra
urination or micronutrition

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2
Q

kidney function

A
  1. excretion: removal of metabolic wastes form body fluids
  2. elimination: discharge of these wastes fomr body
  3. homeostatic regulation: of volume and soluate concentration of blood
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3
Q

homeostatic functions of the urinary system

A
  1. regulating blood volume and blood pressure
  2. regulating plasma in ion concentrations
  3. healping to stabilise blood pH
  4. conserving valuable nutrients
  5. assisting liver
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4
Q

about the kidneys

A

bean shaped
retroperitoneal
protected by lower part of rib cage and three layers of supportive tissue

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5
Q

what are the three layers of support tissue in the kidnesy?

A
  1. Renal fascia: dense connective tissue – anchor kidneys to surrounding structures
  2. Perinephric fat capsule: fatty mass protects kidneys from trauma
  3. Fibrous capsule: transparent layer; protection from infection
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6
Q

about the adrenal glands

A

two triangle shaped endocrine glads
make hormones: adrenaline, nonadrenaline, cortisol and aldosterone

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7
Q

internal anatomy of kidneys

A

renal cortex: outer region, contains nephrons
renal medulla: middle region, channels urine to renal pelvis
renal pelvis: inner region, drains urine into ureters

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8
Q

the nephron - fucntional unit of the kidney

A

Structural and functional unit of kidney
~1 million per kidney
Perform the processes to filter blood plasma and form urine
Consist of:
Renal corpuscle and,
Renal tubule

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9
Q

renal corpuscle

A

consists of 2 parts
1. Bowmans capsule
2. glomerulus
function: to produce the filtrate, a protein free solution

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10
Q

renal tubule

A

has 3 main parts
1. Proximal convoluted tubule (PCT)
2. Nephron loop (Loop of Henle)
3. Distal convoluted tubule (DCT)

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11
Q

processes of urine formation

A
  1. Glomerular filtration
    - Makes a protein-free filtrate that contains water, ions, nutrients and waste products
  2. Tubular reabsorption
    - Selective movement of valuable wanted substance from filtrate back into blood
    - Glucose, amino acids, 99% of water, salt
  3. Tubular secretion
    - Selective movement of some unwanted substances from blood back into filtrate
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12
Q

what is teh pyelogram

A

x-ray image of the urinary system

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13
Q

what is the glomerular filtration rate (GFR)

A

= total amount of filtrate that both kidneys produce each minute.

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14
Q

regulation of the glomerular filtration rate (GFR)

A

Regulated by 2 mechanisms
Ensures…
- adequate blood flow to kidneys
- normal filtration pressures:
- Intrinsic (autoregulation)- acting locally at kidney and involves the nephrons and,
- Extrinsic- acting from a distance e.g. autonomic regulation by sympathetic nerves and hormonal regulation initiated by kidneys

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15
Q

what is filtrate?

A

= blood plasma minus blood proteins and blood cells

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16
Q

what is urine?

A

filtrate minus water, nutrientes, essentail ions plus added wastes

17
Q

renal maintenance of blood pH

A

if pH drops - kidneys will secrere more H+ and retain more HCO3, to bring bakc blood pH to homeostasis
if pH increases - kidneys will retain more H+ and secrete HCO3- to bring blood pH back to homeostasis

18
Q

what is erythropoiesis

A

production of red blood cells (RBC)

19
Q

renal control of erythropoeisis

A

Erythropoiesis – production of red blood cells
Stimulated by the hormone erythropoietin (EPO)
Released by kidneys in response to hypoxia

20
Q

what is hypoxia

A

decreased oxygen levels in the blood

21
Q

causes of hypoxia

A

Decreased RBC numbers due to haemorrhage or increased destruction
Insufficient haemoglobin per RBC
Reduced availability of O2

22
Q

the production of erythropoeisis (RBC)

A

ts controlled by a negative feedbakc mechanism
1. decreases oxygen levels in blood (hypoxia)
2. kindey “senses” hypoxia and releases an enzyme: renal erythropoietin factor (REF)
3. REF converts a plasma protein to hormone - erythropoietin
4. EPO stimulates red bone marrow to produce more RBCs to carry more oxygen
5. oxygen levels in blood return to normal