Urinary System Flashcards

(78 cards)

1
Q

7 purposes of the Urinary System:

A
  1. Cleansing the blood and ridding the body of wastes
  2. Regulation of pH
  3. Regulation of blood pressure
  4. Regulating the concentration of solutes in the blood
  5. Determining the concentration of RBC
  6. Performs the final synthesis step of Vitamin D production
  7. Providing the anatomical structures to store urine until the body is able to dispose of it
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2
Q

Where does the urinary system’s ability to filter blood reside?

A

2-3 million tufts of specialized capillaries (glomeruli) distributed between the two kidneys

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3
Q

What is the first part of the nephron?

A

The glomerulus

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4
Q

Normal urine output volume:

A

1-2 liters/day

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5
Q

What is the minimum urine output volume, what is it called when the body produces less than this, and what can cause this?

A

-500mL/day
-oliguria
-severe dehydration or renal disease

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6
Q

Name the virtual absence of urine and the excessive production of urine:

A

-anuria
-polyuria

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7
Q

Location of the kidneys:

A

Either side of the spine in the retroperitoneal space between the parietal peritoneum and the posterior abdominal wall

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8
Q

Describe the internal anatomy of the kidney:

A

-Outer region: renal cortex
-Inner region: medulla
-Renal columns: connective tissue extensions from the cortex to the medulla that divides the kidney into 6-8 lobes

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9
Q

Describe the anatomy of the ureters:

A
  • approximately 30 cm long
    -the inner mucosa is lined with transitional stratified epithelium and scattered goblet cells that secrete mucus
    -longitudinal and circular smooth muscles create the peristaltic contractions that move the urine into the bladder
    -a loose layer of collagen and fat anchors the ureters between the parietal peritoneum and the posterior abdomen wall
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10
Q

Describe the anatomy of the urinary bladder:

A

-partially retroperitoneal (outside the peritoneal cavity)
-the peritoneal covered dome projects into the abdomen when distended with urine
-interior surface is made of transitional cellular epithelium; when empty it resembles columnar epithelia, when distended it resembles squamous epithelia

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11
Q

Describe the anatomy of the urethra:

A

-transports urine from the bladder to the outside of the body
-the proximal urethra is lined by transitional epithelium
-the terminal portion is stratified non-keratinized squamous epithelium
-in males, there is pseudostratified columnar between the other two types
-the distal urethra is colonized by bacteria/fungi/viruses which render urine unsterile

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12
Q

Describe the anatomy of Nephrons:

A

-Functional unit of the kidney
-afferent arteriole leads to renal corpuscle
-renal corpuscle consists of the glomerulus surrounded by Bowman’s capsule
-PCT
-loop of henle
-DCT
-collecting duct

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13
Q

What tissue type lines the vasculature of the glomerulus and Bowman’s capsule?

A

Simple squamous epithelial

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14
Q

Where are all renal corpuscles, PCTs, and DCTs found?

A

Renal Cortex

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15
Q

Describe the microanatomy of Bowman’s capsule:

A

-parietal layer is composed of simple squamous epithelium
-visceral layer (over the glomerulus) consists of podocytes, which extend pedicels to cover the glomerular capillaries

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16
Q

Describe the anatomy and function of the PCT:

A

-composed of simple cuboidal epithelial cells with microvilli
-the microvilli increase surface area for reabsorption and secretion
-these cells actively transport ions across their membranes

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17
Q

Describe the anatomy and function of the loop of Henle:

A

-descending thick portion consists of simple cuboidal epithelium:
-permeable to water, impermeable to ions
-hypertonic, therefore absorbs water
-ascending thick portion consists of simple cuboidal epithelium
-impermeable to water, permeable to ions
-descending and ascending thin portions consist of simple squamous epithelium

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18
Q

Describe the anatomy and function of the DCT:

A

-formed by simple cuboidal epithelium
-fewer microvilli
-cells pump against conc. gradient, although less mitochondria than PCT
-sensitive to endocrine hormones:
-anti-diuretic hormone
-aldosterone
-parathyroid hormone

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19
Q

What is anti-diuretic hormone?

A

-increases H2O absorption, therefore decreasing the volume of urine output

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20
Q

What is aldosterone?

A

-released when Na conc. is low, causes Na reabsorption, which causes water reabsorption, and this increase of water volume increases blood pressure

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21
Q

What is parathyroid hormone?

A

-maintains/controls Ca concentration

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22
Q

Describe the anatomy and function of the collecting ducts:

A

-sensitive to hormones
-each duct collects from several nephrons
-lined with simple squamous epithelium

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23
Q

What happens when collecting ducts are stimulated by ADH?

A

-cells will insert aquaporin channel proteins into their membranes, allowing water to pass from the duct lumen into the interstitial spaces to be recovered by the vasa recta
-this allows for the recovery of large amounts of water

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24
Q

What happens in the absence of ADH?

A

-aquaporin channel proteins are not inserted, resulting in the excretion of the water
-results in very dilute urine

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25
What is osmosis?
-the movement of water through a membrane to even out concentrations
26
What happens when osmolarity goes up?
-filtration and urine formation decrease and water is retained to decrease the concentration of solutes dissolved in the blood
27
What happens when osmolarity goes down?
-filtration and urine formation increase, removing water from the system through the urine to increase the concentration of solutes dissolved in the blood
28
What is the regulation of osmolarity an example of?
-homeostasis
29
What is GFR influenced by?
-hydrostatic and colloid osmotic pressure on either side of the capillary membrane of the glomerulus
30
When does glomerular filtration occur?
-when glomerular hydrostatic pressure exceeds the luminal hydrostatic pressure of Bowman's capsule
31
What is the Glomerular Filtration Rate (GFR)?
-the volume of filtrate formed by both kidneys per minute -about 125mL/min produced in men -about 105mL/min produced in women
32
How does decreased blood pressure affect GFR?
-decreases GFR
33
Where is the most water recovered?
-PCT, loop of Henle, DCT
34
What does the filtrate produced by the renal corpuscle resemble?
-blood but without cells and large proteins
35
Describe reabsorption and secretion in the loop of Henle:
-the descending and ascending portions of the loop are designed to recover Na+ and water filtered by the glomerulus -solutes and water recovered here are returned to circulation via the vasa recta -the thick portion of the ascending loop is completely impermeable to water due to the absence of aquaporin proteins, so only ions are pumped
36
What is the vasa recta?
-peritubular capillaries around the loop of Henle
37
What does Aldosterone increase in the basal membrane of the DCT and collecting duct?
-Na+ -K+ -ATPase
38
What are the results of the movement of Na+ out of the lumen of the collecting duct?
-a negative charge that promotes the movement of Cl- out of the lumen into the interstitial space
39
What happens when the PTH receptors in DCT cells bind to PTH?
-the insertion of calcium channels on their luminal surface -these channels enhance Ca++ recovery from the forming urine -as Na+ is pumped out of the cell, the resulting electrochemical gradient attracts Ca++ into the cell
40
Describe the relationship between the collecting ducts and the recovery of water:
-if the blood becomes hyperosmotic the collecting ducts recover more water to dilute the blood -if the blood becomes hyposmotic, the collecting ducts recover less water, concentrating the blood
41
Name the combining form(s) meaning "urinary bladder"
-cyst/o -vesic/o
42
Name the combining form(s) meaning "kidney"
-nephr/o -ren/o
43
Name the combining form(s) meaning "renal pelvis"
-pyel/o
44
Name the combining form(s) meaning "ureter"
-ureter/o
45
Name the combining form(s) meaning "urethra"
-urethr/o
46
What is albuminuria?
-abnormal condition of protein (albumin) in the urine
47
What is anuria?
-abnormal condition of no urine production
48
What is dysuria?
-painful urination
49
What is glycosuria?
-abnormal condition of glucose in the urine
50
What is Hematuria?
-abnormal condition of blood in the urine
51
What is nephrolithiasis?
-abnormal condition of stones in the kidney
52
What is renal failure?
-condition in which the kidneys stop functioning
53
What is uremia?
-condition of high levels of urea in the blood
54
What is a BUN test?
-Blood Urea Nitrogen test measures the amount of urea in the blood
55
What is a cystoscopy?
-visual examination of the urinary bladder with a cystoscope
56
What is a VCUG?
-Voiding Cystourethrogram is x-ray films of the bladder and urethra taken after the bladder is filled with a contrast material and while the patient is expelling urine
57
What is urography?
-x-ray imaging of the urinary tract after the injection of contrast material
58
What is dialysis?
-the manual or medically assisted separation of waste materials (urea, creatinine, uric acid) from the blood
59
What is lithotripsy?
-shock waves are beamed into a patient to crush urinary tract stones, which are then passed out of the body with the urine
60
What is a renal transplantation?
-a donor kidney is transferred to a recipient whose kidneys have both failed
61
What is urinary catheterization?
-a catheter is passed through the urethra and into the bladder for drainage of urine
62
What does ARF stand for?
-Acute Renal Failure
63
What does BUN stand for?
-Blood Urea Nitrogen
64
What does CAPD stand for?
-Continuous Ambulatory Peritoneal Dialysis
65
What does CKD stand for?
-Chronic Kidney Disease
66
What does GFR stand for?
-Glomerular Filtration Rate
67
What does HD stand for?
-Hemodialysis
68
What does KUB stand for?
-Kidneys, Ureters, Bladder (x-ray imaging)
69
What does RP stand for?
-Retrograde Pyelogram
70
What does UA stand for?
-Urinalysis
71
What does UTI stand for?
-Urinary Tract Infection
72
What does VCUG stand for?
-Voiding Cystourethrogram
73
What is depicted in this image?
-renal corpuscle
74
What is depicted in this image?
-proximal and distal tubules
75
What is depicted in this image?
-medulla, Henle's loop thick portions
76
What is depicted in this image?
-transitional epithelium (urothelium)
77
Is this urothelium relaxed or distended?
-distended: looks like squamous epithelium
78
Is this urothelium relaxed or distended?
-relaxed: looks like columnar epithelium