renal system Flashcards

(26 cards)

1
Q

layers of the kidney

A

Cortex – outer zone, granular
Medulla – inner zone made of renal pyramids, divided into lobes
Renal pelvis – funnel-shaped, continuous with ureter

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2
Q

Cortical nephrons

A

which lie predominantly in the renal cortex and their Loop of Henle dips into the renal medulla.

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3
Q

Juxtamedullary nephrons

A

lie at the cortex-medulla junction and have long nephron loops that are located deep in the medulla.

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4
Q

vascular components

A

Abdominal aorta
Renal artery
Afferent arteriole
Glomerulus (capillaries)
Efferent arteriole
Peritubular capillaries
Renal vein
Inferior vena cava

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5
Q

tubular components

A

Renal corpuscle (Glomerulus and Bowman’s capsule)
Proximal convoluted tubule (PCT)
Loop of Henle (nephron loop)
Distal convoluted tubule (DCT)
Collecting duct

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6
Q

urine flow

A

urine drains out of pyrimids
minor claycles
major claycles
renal pelvis
ureter
urinary bladder
urethra

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7
Q

ureters

A

Muscular tubes that transport urine from renal pelvis to urinary bladder by peristalsis.

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8
Q

urethra

A

In the female, the urethra serves as a passage for urine.
In the male, there are three parts: prostatic, membranous and penile. It serves for the passage of semen and urine.
In both female and male it has a voluntary external sphincter (striatal muscles).

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9
Q

urinary bladder

A

Hollow, muscular organ that stores urine before voiding.
It is a powerful detrusor muscle (smooth muscle).
Has internal urethral sphincter (smooth muscle).

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10
Q

primary functions of the renal system

A

Excretion (metabolic waste and foreign substances such as drugs)
Acid-base balance (regulate concentration of ions e.g. Hydrogen ions)
Osmoregulation (regulate total volume of water and total concentration of solutes in that water).

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11
Q

secondary functions of the urinary system

A

Blood pressure maintenance (regulate water and solute concentration)
Anaemia correction (produce erythropoietin, regulating red blood cell production)
Calcium regulation
Protein catabolism – urea
Detoxification (removes toxins and waste).

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12
Q

glomerular filtration rate

A

(urine concentration) x (urine flow rate) / (serum creatine concetration)

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13
Q

glomerular hydrostatic pressure

A

pressure exerted on the walls of the capillaries by fluid

this forces fluid out of capilaries into the bowemens capsule

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14
Q

colloid osmotic pressure

A

is exerted by plasma proteins remained in the blood
pulling fluid back towards the capillaries

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15
Q

capsular hydrostatic pressure

A

pressure exerted by fluids from bowemans capsule into the blood vessels

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16
Q

autoregulation of blood pressure

A

decreased blood pressure
decrease in GFR
afferent vessels vasodilate
increase glomerular hydrostatic pressure
increase GFR

17
Q

hormones that have an affect on blood pressure here

A

angiostein- vasoconstriction// stimulates aldosterone and ADH

ADH- increase water reabsorption- increase blood volume and pressure

aldosterone- retains more Na+ ions so water is reabsorbed

ANP/ BNP= stop ADH AND ALDONSTERONE

18
Q

Urine formation steps

A

glomerular filtration

tubular reabsorption

tubular secretion

19
Q

glomerular filtraton

A

water and blood solutes move from blood capillaries/ glomerulus into bowemans capsule

pressure pushes these materials
ions/ water/ glucose

non selective

20
Q

tubular reabsorption

A

proximal convuluted tubular

selective process

filtrate of water/ glucose/ ions move back into blood

21
Q

tubular secretion

A

selective process
wastes Hplus drugs

22
Q

glycosuria

A

glucose in urine

if not fully reabsorbed

23
Q

water reabsorption

A

obligatory- solutes go then water goes too= osmosis
factulative- hormone reabsorption

24
Q

micturition reflex

A

Filling of the bladder is enabled by:

Contraction of internal urethral sphincter
Inhibition of detrusor (bladder) muscle activity.
Emptying of the bladder is enabled by:
contraction of the detrusor (bladder) muscle
relaxation of the internal and external sphincters

25
ageing and renal system
Sphincter loses muscle tone which leads to incontinence Urinary retention if prostate enlarged. Decreased number of functional nephrons: ↓ GFR due to fewer glomeruli Deterioration in filtration, reabsorption and endocrine functions Nephrons become less sensitive to ADH.
26