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15 The Urinary System
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MAP
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Parts & Functions of the Urinary System
I. Parts: 1) ___________ 2) Ureters 3) ___________ 4) Urethra II. Overall FUNCTIONS A. Produce: B. Elimination of: Nitrogenous wastes Toxins Drugs
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Functions of the Urinary System …
C. Regulate Blood Water balance & Blood Pressure Electrolyte balance Maintaining blood pH Excrete nitrogen-containing wastes
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II. Kidney Anatomy Location: Retroperitoneal = At T12 to L3 vertebrae
12th rib
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B. Kidney Features 1. Renal hilum: 2. Adrenal glands:
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3. Nephron = Structural & Functional Unit
Cortical nephron Fibrous capsule Renal cortex Collecting duct Renal medulla Renal cortex Proximal convoluted tubule Renal pelvis Glomerulus Ureter Juxtamedullary nephron Distal convoluted tubule Loop of Henle Renal medulla (a)
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3. Nephron … Nephron Anatomy
Renal Artery Afferent Arteriole Glomerulus Renal Tubule: Bowman’s Capsule Proximal Convoluted Tubule Nephron Loop or Loop of Henle Distal Convoluted Tubule Collecting Duct
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III. KIDNEY FUNCTIONING: some details A
III. KIDNEY FUNCTIONING: some details A. Basic Functions that occur in the Nephron 1. Glomerular Filtration a. = Small substances– Water and solutes– are forced through holes in capillary walls Nitrogenous Wastes: Urea b. Large substances: _____________ Proteins and blood cells: Location: between glomerulus and Bowman’s Capulse
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2. Tubular Reabsorption =
Water Glucose Amino acids Ions Materials not reabsorbed? Nitrogenous waste products– Urea, Uric acid, Creatinine Locations: Proximal Convoluted Tubule and Nephron Loop, Collecting duct mostly
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3. Tubular Secretion = Hydrogen and potassium ions
Location: Distal Convoluted Tubule and Loop mostly
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Water Balance 1. Osmotic Gradient of Nephron Loops 2. Collecting Duct 3. Antidiuretic hormone (ADH) Prevents excessive water loss in urine Causes the kidney to reabsorb more water
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IV. Characteristics of Urine
Amount: In 24 hours, about 1.0 to 1.8 liters Waste products: color Dilute vs. concentrated Dilute urine if: Less urine (concentrated) if: Sterile pH of approx. 6
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Characteristics of Urine …
Solutes Sodium and potassium ions Urea, uric acid, creatinine Ammonia Bicarbonate ions
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Characteristics of Urine …
Solutes NOT in urine: Bile
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Abnormal Urine Constituents
KNOW Substance Name of Condition Possible Causes Glucose Glucosuria Excess sugary intake; diabetes mellitus Proteins Proteinuria Physical exertion, pregnancy; glomerulonephritis, hypertension Pus (WBCs and bacteria) Pyuria Urinary tract infection RBCs Hematuria Bleeding in the urinary tract Hemoglobin Hemoglobinuria Various: transfusion reaction, hemolytic anemia Bile pigments Bilirubinuria Liver disease (hepatitis)
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V. Ureters = Function VI. Urinary bladder Smooth, collapsible, muscular sac Function: In males, the prostate gland surrounds the neck of the bladder Bladder expansion
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VII. Urethra Thin-walled tube Location
Females—anterior to the vaginal opening Males—travels through the prostate and penis Function Females Males
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VIII Disorder of the Urinary System
Kidney Failure Hemodialysis
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IX. Fluid, Electrolyte and Acid-Base Balan ce
Water and Electrolyte Balance of Blood - Fluid makes up 605 OF BODY WEIGHT Intracellular Fluid, 20% of the 60% Extracellular Fluid, 40% of the 60% Interstitial Fluid (most of extracell fluid) Plasma
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B. WATER BALANCE: The Link Between Water and Salt
Solutes, Electrolytes = Changes in solute concentration change the concentration of water When solutes move from one location to another, this causes water to move from High to Low concentration Alters blood volume and blood pressure Can impair the activity of cells
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Proper concentrations of various electrolytes must be maintained and changes in overall solute concentrations controlled C. Regulation of water intake and output - IMPORTANCE: affects Blood Pressure Water Intake: controlled by Hypothalamus via thirst. Stimuli: Increase in plasma solute content Dry mouth Lowered blood volume
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Water Output Lungs Perspiration Feces Kidneys then control amount of water in urine 3. Control of Urine concentration via hormones a. ADH produced by Pituitary Gland via instructions from hypothalamus
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Renin produced by kidneys
- in response to low blood pressure in kidney capillaries AND filtrate solute concentration - Causes: increase in Aldosterone which is produced by Adrenal Gland - If too little Na+, high aldosterone cause all Na+ to be reabsorbed by nephrons. Increase in Na+ then holds more H2O in body increases BP
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4. Control of Blood Pressure also via cardiovascular system
D. Acid-Base Balance Most changes to blood Ph from substances produced by cells, no food Respiratory Sys: handles CO2 levels Urinary Sys: does other acids and alkaline substances Bicarbonate Buffer System of blood Respiratory Sys– via CO2
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END Urinary System can: Excrete bicarbonate ions
Conserving bicarbonate ions Generate new bicarbonate ions END
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Hepatic veins (cut) Inferior vena cava Renal artery Adrenal gland
Renal hilum Aorta Renal vein Kidney Iliac crest Ureter Rectum (cut) Uterus (part of female reproductive system) Urinary bladder Urethra (a) Figure 15.1a
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