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Questions and Answers
What is the daily production range of urine?
What is the daily production range of urine?
1000ml-1500ml
What is the specific gravity range of urine?
What is the specific gravity range of urine?
1020-1030
What is the main function of the Renin Angiotensin Aldosterone System (RAAS)?
What is the main function of the Renin Angiotensin Aldosterone System (RAAS)?
Regulate electrolyte balance and blood pressure
What stimulates the release of Antidiuretic Hormone (ADH) to increase water reabsorption?
What stimulates the release of Antidiuretic Hormone (ADH) to increase water reabsorption?
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What is the smallest volume of urine required daily to excrete waste products?
What is the smallest volume of urine required daily to excrete waste products?
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What is the main component of urine in terms of percentage?
What is the main component of urine in terms of percentage?
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Which hormone increases water reabsorption by increasing the permeability of the distal convoluted tubule and collecting ducts?
Which hormone increases water reabsorption by increasing the permeability of the distal convoluted tubule and collecting ducts?
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What is the hormone responsible for increasing reabsorption of sodium and water and excretion of potassium?
What is the hormone responsible for increasing reabsorption of sodium and water and excretion of potassium?
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Name the hormone that increases the reabsorption of sodium and water from the proximal convoluted tubule and collecting duct.
Name the hormone that increases the reabsorption of sodium and water from the proximal convoluted tubule and collecting duct.
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What is the function of Calcitonin in the body related to blood calcium levels?
What is the function of Calcitonin in the body related to blood calcium levels?
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Which hormone helps in increasing blood calcium levels?
Which hormone helps in increasing blood calcium levels?
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What is the main function of the proximal convoluted tubule in the formation of urine?
What is the main function of the proximal convoluted tubule in the formation of urine?
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What is the significance of Loop of Henle in the urine formation process?
What is the significance of Loop of Henle in the urine formation process?
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How does the distal convoluted tubule regulate pH in the blood?
How does the distal convoluted tubule regulate pH in the blood?
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What is the main role of the collecting duct in the urinary system?
What is the main role of the collecting duct in the urinary system?
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In which part of the nephron does most reabsorption of essential substances occur?
In which part of the nephron does most reabsorption of essential substances occur?
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What happens to the glomerular filtration rate (GFR) when blood pressure rises?
What happens to the glomerular filtration rate (GFR) when blood pressure rises?
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Study Notes
Urine Composition
- Urine is a liquid by-product with a clear and amber color (pigmented urobilin)
- Specific gravity of urine is 1020-1030
- pH of urine is 4.5-8
- Daily production of urine is 1000ml-1500ml
- Composition of urine includes:
- Water (96%)
- Urea (2%)
- Uric acid
- Creatinine
- Ammonia
- Sodium
- Potassium
- Chlorides
- Phosphates
- Sulphates
- Oxalates
Water Balance and Urine Output
- Balance between fluid intake and output is controlled by kidneys
- Smallest volume required to excrete waste products is 500ml/day
- More than 500ml of urine production is controlled by ADH (Antidiuretic Hormone)
- Increased blood osmotic pressure stimulates osmoreceptors, which stimulate posterior pituitary and release ADH, reducing blood osmotic pressure
- ADH increases water reabsorption
- Increased blood volume stimulates stretch receptors in the heart, releasing ANP (Atrial Natriuretic Peptide), which reduces the reabsorption of water and sodium and inhibits ADH secretion
RAAS (Renin-Angiotensin-Aldosterone System)
- RAAS regulates electrolyte balance and blood pressure
- Low renal blood flow due to low blood volume, low blood pressure, or low blood sodium triggers the secretion of Renin from kidneys
- Renin converts Angiotensinogen to Angiotensin I, which is then converted to Angiotensin II by ACE
- Angiotensin II increases blood pressure through vasoconstriction
- Angiotensin II also stimulates the secretion of Aldosterone from the adrenal cortex
- Aldosterone increases sodium and water reabsorption, increases potassium excretion, and increases blood sodium and blood volume, leading to an increase in blood pressure
Urine Flow Pathway
- Urine flows through the following pathway:
- Distal convoluted tubules
- Collecting ducts
- Large papillary ducts
- Renal pelvis
- Major calyces
- Minor calyces
Hormonal Influence on Urine Formation
- Parathyroid hormone increases blood calcium levels
- Calcitonin lowers blood calcium levels
- ADH increases water reabsorption by increasing the permeability of distal convoluted tubules and collecting ducts
- Aldosterone increases the reabsorption of sodium and water and excretion of potassium
- ANP (Atrial Natriuretic Peptide) increases the reabsorption of sodium and water from proximal convoluted tubules and collecting ducts
Formation of Urine
- 3 processes occur in the formation of urine:
- Filtration
- Reabsorption
- Secretion
- Reabsorption:
- Occurs mainly in the proximal convoluted tubule
- Reabsorbs water, glucose, amino acids, sodium, and other substances
- Epithelial lining has microvilli to increase surface area
- Proximal Convoluted Tubule:
- Reabsorbs 65% of Na+, 65% of H2O, 90% of filtered bicarbonate, 50% of Cl- and K+
- Loop of Henle:
- Creates a gradient of increasing Na ion concentration towards the end of the loop within the interstitial fluid of the renal pyramid
- Reabsorbs 25% of Na+, 15% of water, and 40% of K+
- Distal Convoluted Tubule:
- Under the influence of Aldosterone, reabsorbs Na⁺ and secretes K⁺
- Regulates pH by secreting H⁺ when pH of the plasma is low
- Only 10% of the filtered NaCl and 20% of water remains
- Collecting Duct:
- Allows for the osmotic reabsorption of water
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Description
Learn about the composition and key functions of urine, including pH level, specific gravity, and daily production. Explore the substances that make up urine and their percentages. Understand the importance of water balance and urine output.