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Questions and Answers
What are the three main functions of the urinary system?
What are the three main functions of the urinary system?
The kidneys help regulate blood volume by controlling urine volume. True or False?
The kidneys help regulate blood volume by controlling urine volume. True or False?
True
What is the function of erythropoietin?
What is the function of erythropoietin?
Stimulates the production of red blood cells
Daily urea production is approximately __.
Daily urea production is approximately __.
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What is the purpose of the fibrous (renal) capsule?
What is the purpose of the fibrous (renal) capsule?
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The renal pelvis exits the kidney at the hilum.
The renal pelvis exits the kidney at the hilum.
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What are the two layers that make up the kidney?
What are the two layers that make up the kidney?
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Urine is produced in a renal lobe and drains into a ______.
Urine is produced in a renal lobe and drains into a ______.
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Match the external structure of the kidney with their descriptions:
Match the external structure of the kidney with their descriptions:
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What is the potential health risk associated with over-hydration?
What is the potential health risk associated with over-hydration?
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What is the function of the ureter?
What is the function of the ureter?
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What is the location of the kidneys in the abdominal cavity?
What is the location of the kidneys in the abdominal cavity?
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What percentage of body weight does the typical adult kidney represent?
What percentage of body weight does the typical adult kidney represent?
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What is the percentage of cardiac output that the kidneys receive at rest?
What is the percentage of cardiac output that the kidneys receive at rest?
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What is the function of the urinary bladder?
What is the function of the urinary bladder?
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What is the level of the vertebral column where the kidneys are located?
What is the level of the vertebral column where the kidneys are located?
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What is the approximate length of the typical adult kidney?
What is the approximate length of the typical adult kidney?
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What is the primary function of the urinary system?
What is the primary function of the urinary system?
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What is the by-product of protein breakdown in the liver?
What is the by-product of protein breakdown in the liver?
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What is the daily production of uric acid in the body?
What is the daily production of uric acid in the body?
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What is the role of creatine phosphate in muscle tissue?
What is the role of creatine phosphate in muscle tissue?
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What is the process of urination called?
What is the process of urination called?
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What is the importance of the urinary system in daily life?
What is the importance of the urinary system in daily life?
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How much dehydration does not impair endurance performance?
How much dehydration does not impair endurance performance?
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What is the recommended way to monitor hydration levels?
What is the recommended way to monitor hydration levels?
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What is the primary role of the urinary system in the study of exercise physiology?
What is the primary role of the urinary system in the study of exercise physiology?
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What is the effect of exercise-induced dehydration on athletic performance?
What is the effect of exercise-induced dehydration on athletic performance?
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What is the recommended approach to hydration during exercise?
What is the recommended approach to hydration during exercise?
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What is the impact of over-hydration on athletic performance?
What is the impact of over-hydration on athletic performance?
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What is the criticism of the 2003 research by the US Army Research Institute of Environmental Medicine?
What is the criticism of the 2003 research by the US Army Research Institute of Environmental Medicine?
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According to Goulet's meta-analysis, what is the percentage of body weight loss that does not significantly affect endurance performance?
According to Goulet's meta-analysis, what is the percentage of body weight loss that does not significantly affect endurance performance?
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What is the current understanding of the impact of dehydration on athletic performance?
What is the current understanding of the impact of dehydration on athletic performance?
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What is the concern related to over-hydration during exercise?
What is the concern related to over-hydration during exercise?
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What is the function of the renal fascia?
What is the function of the renal fascia?
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What is the location of the perinephric fat?
What is the location of the perinephric fat?
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What is the position of the kidney in the body?
What is the position of the kidney in the body?
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What is the function of the fibrous capsule?
What is the function of the fibrous capsule?
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What is the structure that exits the kidney at the hilum?
What is the structure that exits the kidney at the hilum?
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What is the structure that surrounds the kidney and is composed of fat?
What is the structure that surrounds the kidney and is composed of fat?
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What is the structure that urine drains into after passing through the minor calyx?
What is the structure that urine drains into after passing through the minor calyx?
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What is the funnel-shaped chamber that drains the kidney?
What is the funnel-shaped chamber that drains the kidney?
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How many minor calyces merge to form a major calyx?
How many minor calyces merge to form a major calyx?
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What is the location of the renal pelvis in relation to the kidney?
What is the location of the renal pelvis in relation to the kidney?
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What is the structure that surrounds the kidney?
What is the structure that surrounds the kidney?
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What is the structure that the renal pelvis drains into?
What is the structure that the renal pelvis drains into?
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How many major calyces form the renal pelvis?
How many major calyces form the renal pelvis?
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What is the structure that produces urine?
What is the structure that produces urine?
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What is the structure that the ureter drains into?
What is the structure that the ureter drains into?
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What is the term for the triangular-shaped structure in the kidney?
What is the term for the triangular-shaped structure in the kidney?
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Study Notes
The Urinary System
- The urinary system has three main functions:
- Homeostatic balance: regulating blood ionic composition, blood volume, blood pressure, blood osmolarity, and blood pH.
- Endocrine production: producing hormones that regulate various physiological processes.
- Excretion and elimination: removing metabolic wastes and foreign chemicals from the blood.
Homeostatic Balance
- Blood ionic composition and volume are regulated by the kidneys.
- For a 70 kg person, total body water is approximately 42 L, with 2/3 being intracellular fluid (ICF) and 1/3 being extracellular fluid (ECF).
- Blood plasma makes up approximately 25% of ECF.
- Dehydration leads to a decrease in blood volume, resulting in reduced cardiac output, increased blood pressure, and increased solute concentration.
- The kidneys regulate blood volume by regulating urine volume.
Endocrine Production
- The kidneys produce hormones, including vitamin D and erythropoietin.
- Vitamin D helps control calcium absorption from the gut and is produced in the skin, liver, and kidney.
- Erythropoietin stimulates the production of mature red blood cells from precursor cells in the bone marrow in response to hypoxia.
- Severe kidney disease can lead to anemia due to inadequate erythropoietin production.
Excretion and Elimination
- The urinary system eliminates organic wastes and foreign chemicals from the blood through filtration, processing, and additional secretion.
- The most toxic endogenous wastes are nitrogenous compounds, including urea, uric acid, and creatinine.
- Urea is produced in the liver and is a by-product of protein breakdown, with a daily production of approximately 21 g.
- Uric acid is generated from the breakdown of purine nucleic acids, with a daily production of approximately 480 mg.
- Creatinine is derived from creatine phosphate in muscle tissue, with a daily production of approximately 1.8 g.
Anatomy of the Urinary System
- The urinary system consists of the kidneys, ureters, bladder, and urethra.
- The kidneys are located in a retroperitoneal position, behind the peritoneum, and are protected by the 11th and 12th ribs.
- The kidneys receive approximately 20-25% of cardiac output at rest and are responsible for producing urine.
- The ureters transport urine from the kidneys to the urinary bladder.
- The urinary bladder temporarily stores urine prior to elimination.
- The urethra transports urine to the exterior, and in males, also transports semen.
The Kidney
- The kidney is comprised of a fibrous capsule, renal fascia, and perinephric fat.
- The fibrous capsule is a tough layer that surrounds the kidney.
- The renal fascia is a tough, fibrous outer layer that anchors the kidney to surrounding tissue.
- The perinephric fat is located between the fibrous capsule and renal fascia.
- The kidney is divided into two layers: the renal cortex and the renal medulla.
- The renal cortex is the outer layer, and the renal medulla is the inner layer.
- The renal medulla is composed of 6-18 triangular structures called renal pyramids.
- The renal papilla is the tip of the pyramid that projects into the renal sinus.
- The renal columns are cortical tissue that separates the pyramids.
External Structures of the Kidney
- The kidney is ensheathed by a shiny, tough fibrous capsule.
- The renal vein exits the kidney via the hilum on the medial border.
- The renal artery enters the kidney at the hilum, usually posterior to the vein.
- The renal pelvis exits at the hilum, usually posterior to the artery and vein, and droops down to become the ureter.
Urinary System in Exercise and Sports Science
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The urinary system plays a crucial role in water and electrolyte balance during exercise.
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Dehydration can lead to decreased cardiac output, reducing oxygen delivery to tissues and impairing heat dissipation.
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The widely accepted belief that a ≥2% decrease in body weight due to dehydration adversely affects athletic performance is being challenged by recent studies.
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Drinking to thirst boosts performance, while drinking more offers no extra benefit.
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Over-hydration can lead to severe health risks, including exercise-associated hyponatremia (water poisoning).### Renal Lobe Structure
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Urine production occurs in a renal lobe, which drains into a minor calyx.
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A renal lobe consists of renal cortex, renal medulla, and a renal pyramid.
Urine Drainage
- 4-5 minor calyces merge to form a major calyx.
- 2-3 major calyces form the renal pelvis, a large funnel-shaped chamber.
- The renal pelvis is located in the renal sinus and fills most of the space.
- The renal pelvis drains into the ureter, which then drains the kidney into the bladder.
Renal Anatomy
- The renal columns are located between the renal pyramids.
- The fibrous capsule surrounds the kidney and provides protection.
Diagram Reference
- Figure 26-4 from Martini et al.'s Fundamentals of Anatomy and Physiology, 11th Ed.
Urinary System
- The urinary system is responsible for eliminating organic wastes and foreign chemicals from the blood through filtration, processing, and secretion.
- The system eliminates nitrogenous compounds, such as urea, uric acid, and creatinine, which are produced in the liver and muscle tissue.
- Urea production is approximately 21g per day, while uric acid production averages around 480mg per day, and creatinine production is around 1.8g per day.
- Exogenous wastes, such as pharmaceuticals like penicillin, can also be eliminated through the urinary system.
Importance of Urinary System
- The urinary system plays a crucial role in homeostatic regulation, not just waste elimination.
- It helps regulate water balance, with the importance of hydration being emphasized.
Hydration and Performance
- Over-hydration can lead to severe health risks, including exercise-associated hyponatremia (water poisoning), which can cause deadly cerebral and pulmonary edema.
- Drinking to thirst boosts performance, while drinking more offers no extra benefit.
- Losing up to 4% of body weight from exercise-induced dehydration does not significantly affect endurance performance.
- Aiming for 'euhydration' may actually impair performance.
Anatomy of the Kidney
- The kidney is located in a retroperitoneal position, behind the peritoneum, and is protected by the 11th and 12th ribs.
- The kidney is about 10 cm long, 5.5 cm wide, and 4 cm thick, and represents around 0.5% of body weight.
- The kidney receives around 20-25% of cardiac output at rest.
- The kidney's position and stability are maintained by two layers of connective tissue and fat.
Structure of the Kidney
- The kidney has a fibrous capsule, renal fascia, and perinephric fat that surround and anchor it to the surrounding tissue.
- The renal pelvis is a large funnel-shaped chamber that drains into the ureter.
- The ureter transports urine from the kidney to the urinary bladder.
- The kidney has a renal cortex, renal medulla, and renal pyramid, which produce urine that drains into a minor calyx.
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Description
This lecture introduces the urinary system, covering its functions and anatomy, including the kidney, ureters, bladder, and urethra.