Urinary system Flashcards

(43 cards)

1
Q

List the 3 endocrine functions of kidneys

A
  1. produces renin
  2. produces erythropoietin
  3. hydroxylates vit D to active corm (calcitriol)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What makes up a renal lobe? What makes up a renal lobule?

A

renal lobe = renal pyramid + cortical tissue overlying its base and covering its sides

renal lobule = medullary ray + associated cortical tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are renal columns?

A

inward extensions of cortical tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are renal papillae?

A

projections of pyramids (make up medulla) into minor calyces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Renal pelvis = expansion of upper end of ureter –> ______ –> ______ which makes contact with renal papillae

A

Renal pelvix –> major calyces –> minor calyces which make contact with renal papillae (projections of pyramids into minor calyces)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a medullary ray?What 3 parts of the nephron do medullary rays contain?

A

it is medullary tissue that projects up into cortex. Medullary rays contain collecting tubules, parts of PCT, and parts of distal tubules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which parts of nephron aid in formation of urine and which parts play a big role in concentration of urine?

A
  • Bowman’s capsule, PCT, loop of henle and DCT –> formation of urine
  • collecting tubule & ducts –> concentration of urine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The Bowman’s capsule is polarized having a vascular pole and an urinary pole. It is an expansion at proximal end of each neprhone. What does the visceral layer cover and what is it composed of? What is the parietal layer composed of? What is the name of the space that exists btw visceral and parietal layers which receives the ultrafltrate?

A

The visceral layer is made of PODOCYTES & covers glomerular capillaries

The parietal layer is simple squamous epithelium

The space that exists btw visceral and parietal layers is called urinary space or capsular space, which receives the glomerular filtrate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the 3 components that form the filtration barrier at the glomerulus?

A
  1. capillary endothelium aka glomerular capillaries -UNIQUE in that they’re fenestrated WITH NO diaphragms
  2. basement membrane fromed by both endothelium & podocytes
  3. filtration slits which are btw secondary processes of podocytes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What forms the renal corpuscle?

A

Bowman’s capsule + glomerulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

From which pole of the bowman’s capsule does the PCT begin?

A

urinary pole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The PCT is composed of convoluted and straight portions. Where are they?

A

Convoluted PCT is close to renal corpuscle of origin

Straight enters a medullary ray (medulla that is in the cortex)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The PCT is lined by?

A

simple cuboidal epithelium with a conspicuous brush border

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Can you see discrete cell boundaries in PCT?

A

No discrete cell boundaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The loop of henle is mostily in the medulla. What are the 3 parts of the loop of henle?

A
  1. descending straight proximal
  2. thin segment
  3. ascending straight distal

The thin segments often look like capillaries and venules so be careful!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The distal tubule has an ascending straight portion (part of loop of henle), portion adjacent to renal corpuscle and convoluted part. It is mainly located in cortex. Compare cells, epithelium found here to those found in PCT>

A
  • PCT - simple cuboidal epithelium with brush border
  • DT - simple cuboidal WITHOUT brush border
  • cells found in DT are smaller than in PCT
  • apical nuclei in DT vs spherical/central nuclei in PCT
  • precipitate in lumen of PCT vs no precipitate in DT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Where do you find collecting tubules? What about collecting ducts?

A

collecting tubules - cortex

collecting ducts - medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How does the epithelium change from collecting tubules to collecting ducts?

A

epithelium goes from cuboidal in tubules to columnar in ducts.

19
Q

The largest collecting ducts aka papillary ducts communicate with the minor calyx at which area?

A

area of cribrosa

20
Q

Are intercellular boundaries clearly visible in PCT, DT and collecting tubules?

A

indistinct in PCT and DT

Clearly visble in collecting tubules

21
Q

There are 3 types of nephrons that are characterized based on position of their renal corpuscles in the cortex. Explain

A

1) superficial (cortical) nephrons)
- SHORT loops of henle
- extend a short distance into medulla

2) juxtamedullary neprhons
- LONG loops of henle
- penetrate deep into medulla (most impt in production of hypertonic urine)

3) intermediate (midcortical) nephrons

22
Q

There is a tripartheid structure known as the juxtaglomerular apparatus that is reponsible for production of renin. What are the 3 components of this apparatus?

A

1) macula densa (cells of distal tubule that are super close to afferent arteriole) -sensor (reads ionic comp & volume to signal juxtagomerular cells
2) juxtaglomerular cells - modified smooth muscle cells in tunica media of afferent arteriole; will produce renin
3) extraglomerular mesangial cells aka lacis cells are pale-staining cells located in the angle btw afferent and efferent arterioles and play supportive role and provide integrative signals

23
Q

Briefly summarize the renin-angiotensin system

A
  • renin secreted by JG cells in kidneys will cleave angiotensinogen (produced by liver) into angiotensin I (decapeptide).
  • then ACE (lungs) converts I to angiotensin II (octapeptide)
  • angiotensin II stimulates zona glomerulosa of adrenal cortex to produce aldosterone
  • aldosterone acts on distal tubule to REABSORB SODIUM and water
24
Q

macula densa senses changes in NaCl concentration in distal tubule. What are effects of high and low NaCl on renin secretion

A

high NaCl - inhibits renin secretion

low NaCl - stimulates renin secretion by JG cells

25
collecting tubules merge to form collecting ducts which open into?
minor calyx
26
Does renin have localized effect on afferent arteriole?
Yes it provides for single nephron GFR control
27
The renal artery enters at the hilus and divides into anterior and posterior divisions, which give rise to ________ , which are btw medullary pryramids. These will give rise to ____________ which are at the cortical-medullary junctions. Explain the rest of the branches.
renal artery ---> interlobar arteries (btw medullary pyramids) --> arcuate arteries (at cortical-medullary junction) --> interlobular arteries --> afferent arterioles --> glomerular capillaries --> efferent arterioles --> peritubular capillaries (PCT or DT) or vasa recta (forms countercurrent system of vessels)
28
Briefly outline venous drainage from kidneys
stellate veins --> interlobular veins --> arcuate veins --> interlobar veins --> renal vein
29
Hypoxia (caused by hemorrhage, RBC destruction, pulmonary function compromise, CHD, high altitude) can stimulate synthesis of erythropoietin by kidenys. Where in the kidenys is EPO produced?
EPO is a glycoprotein produced by endothelial cells lining peritubular capillary plexus. It will promote red blood cell formation in bone marrow.
30
List three conditions in which EPO therapy might be beneficial?
1. anemia caused by chronic disease (renal failure, AIDS) 2. postoperative anemia (surgical patients) 3. anemia caused by chemotheraphy for cancer
31
What are 3 recently discovered effects of EPO in addition to stimulation of RBC production in bone marrow?
1. antiapoptotic factor (survival of neurons) 2. regulation of endothelial progenitor cells (regenerative cardiovascular medicine) 3. induction of bone remodeling by activating osteoclasts
32
What are some downsides of EPO use?
1. erythrocytosis (too many RBCs) -increases viscosity of blood, increases thrombogenicity 2. promotion of tumor growth
33
cilia vs non-motile cilia
cilia - 9+2 microtubule pattern in axoneme - coordinated wave-like beat - impt in respiratory tract, etc. non-motile (primary) cilia - 9+0 microtubule pattern in axoneme - found singly on most cells - responsible to mech & chem signals - sense fluid flow in uriniferous tubule - regulate cell proliferation - defective in polycystic kidney disease
34
What are components of the extrarenal collecting system. Do they all share similar histologies?
- minor and major calyces - renal pelvix - ureter - bladder - urethra **all but urethra are similar
35
All the extrarenal collecting system except urethra have similar histologies. Explain the layers in the bladder?
- mucosa - transitional epithelium & lamina propria - muscularis -anatosmosing strands of smooth muslce that is thickest in bladder where 3 layers are present - adventitia - CT (upper part of bladder however is covered by a serosa)
36
What are benefits to having a transitional epithelium?
- barrier to rapid diffusion of salt and water - gives distensibility to lining layer - thickest in bladder (least thick in minor calyx)
37
90% of urinary bladder tumors originate from which layer?
urothelium
38
What is the trigger for stretching of bladder membrane?
ATP
39
There are plaques on the luminal surface of transitional epithelial cells in bladder. What are these plaques?
They are "crystals of uroplakin" that enable bladder to distend and relax
40
The urethra is a fibromuscular tube thru which urine passes from the urinary bladder to the exterior. Describe the epithelium found in prostatic urethra, membranous urethra and penile (spongy) urethra,
prostatic urethra - transitional epithelium membranous urethra (passes urogenital and pelvic diaphragms, surrounded by external sphincter of bladder)) -transitional --> pseudostratified epithelium penile (spongy) urethra (passes thru corpus spongiosum) --> pseudostratified -stratified columnar epithelium
41
The navicular fossa is the spongy part of the male urethra located at the glans penis portion. It is essentially the part right before the external urethral orifice. What kind of epithelium does it have?
stratified squamous epithelium
42
What are glands of littre?
aka periurethral glands are mucus-secreting glands that empty into male urethra. Most abundant in penile urethra
43
The female urethra is short (3-5 cm) What is it lined by?
Lined by stratified squamous epithelium. IT has a thick layer of smooth muscle in wall. It has a urethral sphincter in middle part.