Renal System Overview and Functions

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Questions and Answers

What is a characteristic symptom of a urinary tract infection (UTI)?

  • Clear urine
  • Excessive thirst
  • Strong-smelling urine (correct)
  • Dry skin

Which type of kidney stone is most commonly associated with a high-oxalate diet?

  • Struvite stones
  • Calcium oxalate stones (correct)
  • Uric acid stones
  • Calcium phosphate stones

What dietary change is recommended to help prevent uric acid stones?

  • Decrease calcium intake significantly
  • Increase hydration to dilute urine acidity (correct)
  • Increase intake of high-purine foods
  • Avoid hydration to concentrate urine

Which type of kidney stone can form in alkaline urine?

<p>Calcium phosphate stones (C)</p> Signup and view all the answers

What is a common symptom when a urinary tract infection spreads to the kidneys?

<p>Back pain (B)</p> Signup and view all the answers

Which food sources should be limited to reduce the risk of calcium oxalate stones?

<p>Spinach (A)</p> Signup and view all the answers

Struvite stones are primarily associated with which condition?

<p>Urinary tract infections (B)</p> Signup and view all the answers

Which of the following may lead to fatigue and malaise in a patient?

<p>Severe infection (D)</p> Signup and view all the answers

What is the primary function of the glomerulus in the renal system?

<p>Filtration of blood (B)</p> Signup and view all the answers

Which part of the nephron is primarily responsible for the majority of reabsorption?

<p>Proximal Convoluted Tubule (PCT) (D)</p> Signup and view all the answers

What happens in the ascending limb of the Loop of Henle?

<p>Sodium and chloride are actively reabsorbed (D)</p> Signup and view all the answers

Which hormone regulates sodium reabsorption in the Distal Convoluted Tubule (DCT)?

<p>Aldosterone (C)</p> Signup and view all the answers

What is the function of the proximal convoluted tubule (PCT) in secretion?

<p>Secretes organic acids and toxins (C)</p> Signup and view all the answers

Where does the final adjustment of water and electrolyte balance occur in the nephron?

<p>Collecting Duct (A)</p> Signup and view all the answers

What is the primary function of the renal pelvis?

<p>To collect urine from renal pyramids and drain it into the ureter (A)</p> Signup and view all the answers

Which organ is primarily responsible for the filtration of blood and regulation of blood pressure?

<p>Kidneys (C)</p> Signup and view all the answers

Which structure directly transports urine from the kidneys to the bladder?

<p>Ureter (D)</p> Signup and view all the answers

What does the secretion process in the distal convoluted tubule primarily help regulate?

<p>Electrolyte balance and pH (D)</p> Signup and view all the answers

Which of the following is NOT a typical component of normal urine?

<p>Proteins (D)</p> Signup and view all the answers

What indicates a urinary tract infection (UTI)?

<p>A burning sensation during urination (C)</p> Signup and view all the answers

Which organ is responsible for converting toxic substances into urea?

<p>Liver (C)</p> Signup and view all the answers

What role do the adrenal glands play in kidney function?

<p>Release hormones that manage water balance and blood pressure (B)</p> Signup and view all the answers

Which of the following statements about electrolytes in urine is correct?

<p>Electrolytes include sodium, potassium, and chloride (B)</p> Signup and view all the answers

What is a common sign of kidney injury reflected in urine tests?

<p>Presence of hemoglobin (D)</p> Signup and view all the answers

What is the genetic disorder that leads to the formation of cystine stones?

<p>Cystinuria (C)</p> Signup and view all the answers

Which dietary management is NOT recommended for cystine stone prevention?

<p>Increased animal protein intake (B)</p> Signup and view all the answers

Which of the following is an early symptom of Chronic Kidney Disease (CKD)?

<p>Swelling in feet/ankles (C)</p> Signup and view all the answers

What is a common cause of Acute Kidney Injury (AKI)?

<p>Decreased blood flow to the kidneys (D)</p> Signup and view all the answers

What is the most common symptom of bladder cancer?

<p>Blood in urine (A)</p> Signup and view all the answers

Moderate sodium intake is important for which risk regarding kidney stones?

<p>It decreases cystine in urine (D)</p> Signup and view all the answers

In advanced Chronic Kidney Disease (CKD), which of the following symptoms is likely to be present?

<p>Severe confusion (A)</p> Signup and view all the answers

Which of the following is a symptom of Acute Kidney Injury (AKI)?

<p>Chest pain or pressure (D)</p> Signup and view all the answers

What is the primary role of the renal artery?

<p>Carries oxygen-rich blood with waste products to the kidneys (A)</p> Signup and view all the answers

Which component of the nephron is primarily responsible for the reabsorption of most filtered substances?

<p>Proximal Convoluted Tubule (PCT) (A)</p> Signup and view all the answers

What is the significance of the afferent arteriole having a larger diameter than the efferent arteriole?

<p>It creates higher pressure in the glomerulus to facilitate filtration (C)</p> Signup and view all the answers

Which region of the kidney is primarily involved in urine concentration and reabsorption?

<p>Renal Medulla (C)</p> Signup and view all the answers

What role does the Distal Convoluted Tubule (DCT) play in the nephron?

<p>It fine-tunes the levels of sodium, calcium, potassium, and hydrogen ions (A)</p> Signup and view all the answers

What is the function of the renal capsule?

<p>Encases the kidney to provide protection (D)</p> Signup and view all the answers

Which section of the Loop of Henle is permeable to water but not solutes?

<p>Descending limb (B)</p> Signup and view all the answers

What is a primary risk factor associated with bladder cancer?

<p>Smoking (D)</p> Signup and view all the answers

Which symptom is commonly associated with Polycystic Kidney Disease (PKD)?

<p>High blood pressure (A)</p> Signup and view all the answers

What condition is characterized by excess protein in the urine, leading to foamy urine?

<p>Nephrotic syndrome (C)</p> Signup and view all the answers

Which of the following symptoms is NOT generally seen in patients with Nephrotic syndrome?

<p>Frequent urination (D)</p> Signup and view all the answers

What is a common symptom of chronic bladder inflammation?

<p>Loss of bladder control (D)</p> Signup and view all the answers

What risk factor is associated with prolonged catheter use?

<p>Chronic bladder inflammation (C)</p> Signup and view all the answers

Which symptom may indicate a kidney stone in patients with PKD?

<p>Dull, aching side pain (B)</p> Signup and view all the answers

What could cause blood in urine (hematuria) for patients with PKD?

<p>Cysts rupturing (D)</p> Signup and view all the answers

Flashcards

Renal System function

Produces, stores, and excretes urine.

Renal Filtration

Removal of wastes, excess water, and substances from the blood by the glomerulus in the kidney.

Reabsorption in PCT

Majority of water, nutrients (glucose, amino acids), and ions are reabsorbed back into the bloodstream in the Proximal Convoluted Tubule.

Loop of Henle function

Descending limb, water reabsorption; ascending limb, ion reabsorption, making filtrate dilute.

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Kidney's primary functions

Filtration, excretion, electrolyte regulation, maintaining fluid and acid-base balance, blood pressure control, and erythropoietin production.

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Secretion in the PCT

Secretion of organic acids, drugs, toxins, and H+ in the Proximal Convoluted Tubule.

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Kidney's role in blood pressure

Kidneys help regulate blood pressure.

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Excretion in the Urinary System

Formation of urine, which contains waste, excess water, and other substances to be removed from the body.

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Renal Artery Function

Carries oxygenated blood with waste products from the body to the kidney for filtration.

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Renal Vein Function

Carries filtered, deoxygenated blood from the kidney back to the heart.

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Afferent Arteriole

Carries blood into the glomerulus, creating high pressure for filtration.

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Efferent Arteriole

Carries filtered blood away from the glomerulus.

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Renal Cortex Function

Outer portion of the kidney; site of blood filtration and contains nephrons' parts

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Renal Medulla Function

Inner region of the kidney, concentrates urine by reabsorption

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Collecting Duct Function

Final segment of the nephron, adjusts urine composition and reabsorbs water under ADH influence.

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Renal Pelvis function

Collects urine from renal pyramids, draining into ureter.

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Ureter function

Tube transporting urine from kidney to bladder.

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Calyces function

Cup-shaped structures collecting urine, funneling to renal pelvis.

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Bladder function

Expandable organ storing urine until excretion.

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Urethra function

Tube carrying urine from bladder to outside body.

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Urinary Tract Infection (UTI)

Infection affecting urinary system, often bladder or kidneys.

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Normal Urine Composition

95% water, urea, creatinine, uric acid, electrolytes, and dissolved ions.

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Abnormal Urine Composition

Proteins (kidney dmg), glucose (diabetes), ketones (diabetes/starvation) or blood cells (infection or injury).

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Cloudy or bloody urine

Urine that appears cloudy or has a reddish or pink tint due to the presence of blood. This can be a sign of a urinary tract infection (UTI).

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Strong-smelling urine

Urine with a foul or strong odor, which can indicate an infection in the urinary tract.

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Pelvic or lower abdominal pain

Pain or pressure felt in the lower abdomen or pelvic area, a common symptom of UTIs.

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Kidney stones (Nephrolithiasis)

Solid mineral deposits that form inside the kidneys and can cause pain, blockage, or infection. The size of the stone determines the treatment.

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Calcium oxalate stones

The most common type of kidney stone, formed when calcium combines with oxalate in urine. These stones are often associated with diets high in oxalate-rich foods.

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Calcium phosphate stones

These stones form in alkaline (high pH) urine, often linked to conditions like renal tubular acidosis or certain medications.

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Uric acid stones

Formed when urine is too acidic, often due to high purine levels, which break down into uric acid. These stones are common in people with gout or those on high-protein diets.

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Struvite stones

Usually associated with urinary tract infections (UTIs), these stones are composed of magnesium, ammonium, and phosphate.

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Cystine Stones

Rare kidney stones formed due to a genetic disorder called cystinuria, where cystine (an amino acid) leaks into urine and forms stones.

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Dietary Management for Cystine Stones

Focuses on increasing hydration to dilute urine and reducing sodium intake to minimize cystine in the urine.

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Chronic Kidney Disease (CKD)

Gradual loss of kidney function over time, often caused by conditions like diabetes or hypertension.

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Early CKD Symptoms

May include fatigue, loss of appetite, swelling (especially in feet/ankles), and changes in urination.

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Advanced CKD

Characterized by severe fatigue, confusion, and unintentional weight loss, eventually requiring dialysis.

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Acute Kidney Disease (AKI)

Sudden decrease in kidney function occurring within hours to days, often due to a specific cause like dehydration, infections, or medications.

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AKI Causes: Decreased Blood Flow

Occurs when blood flow to the kidneys is reduced, potentially due to severe dehydration, heart failure, or blood loss.

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AKI Causes: Urinary Obstruction

Blockages, such as kidney stones, enlarged prostate, or tumors, can prevent urine from draining properly, leading to AKI.

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Smoking and Bladder Cancer

Smoking is a major risk factor for bladder cancer because chemicals from cigarette smoke are filtered into the urine, damaging bladder cells.

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Chronic Bladder Inflammation

Recurrent urinary tract infections, bladder stones, or prolonged catheter use can lead to chronic inflammation of the bladder, increasing the risk of bladder cancer.

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Polycystic Kidney Disease (PKD)

A genetic disorder where cysts form in the kidneys, potentially causing kidney failure due to obstructed blood flow and filtration.

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PKD and Blood Pressure

High blood pressure is one of the earliest signs of PKD because the cysts affect blood flow and hormone regulation in the kidneys.

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Nephrotic Syndrome

A kidney disorder characterized by damaged glomeruli, leading to protein leakage into the urine and various symptoms.

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Proteinuria

Excessive protein in the urine, often making the urine appear foamy.

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Edema (Swelling)

Fluid retention due to low albumin in the blood, leading to swelling in the legs, ankles, feet, and around the eyes.

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Hyperlipidemia

High cholesterol and triglycerides in the blood, a consequence of the body trying to compensate for low protein levels.

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Study Notes

Renal System Overview

  • Also known as the renal system
  • Consists of organs that produce, store, and excrete urine.

Renal Functions

  • Filtration (glomerulus): Occurs in the glomerulus of the kidney. Blood is filtered to remove waste products, excess substances, and water, forming a filtrate.
  • Reabsorption: Filtrate passes through the renal tubules. Essential substances like water, glucose, and ions are reabsorbed back into the bloodstream to maintain balance. Major sites include the Proximal Convoluted Tubule (PCT), Loop of Henle (descending and ascending limbs), Distal Convoluted Tubule (DCT), and Collecting Duct.
  • Secretion: Additional waste products, excess ions (K+, H+), metabolic wastes (urea, creatinine), and other substances are secreted into the filtrate from the blood.

Major Organs

  • Kidneys: Bean-shaped organs of the urinary system.
    • Vital functions include filtration of blood, excretion of waste products, regulation of electrolytes, maintaining fluid balance, maintaining acid-base balance, regulating blood pressure, production of erythropoietin, and activating vitamin D.
  • Renal Artery: Carries oxygenated blood containing waste products to the kidneys for filtration.
  • Renal Vein: Carries filtered deoxygenated blood away from the kidneys.
  • Renal Capsule: Tough protective outer layer of the kidney.
  • Renal Cortex: Outer portion of the kidney, where blood filtration occurs, including glomeruli and parts of nephrons.
  • Renal Medulla: Inner region containing renal pyramids, loops of Henle, and collecting ducts, aiding in urine concentration.
  • Renal Pyramids: Triangular structures in the renal medulla, funneling urine to the renal pelvis.
  • Renal Pelvis: Central cavity collecting urine from renal pyramids, draining into ureters.
  • Ureters: Tubes transporting urine from the kidneys to the bladder.
  • Bladder: Hollow, expandable organ storing urine until excretion.
  • Urethra: Tube carrying urine from the bladder to outside the body.
  • Support Organs:
    • Liver: Converts toxic substances to urea, excreted by the kidneys.
    • Lungs: Help maintain blood pH balance, supporting kidney function (indirectly).
    • Skin: Regulates fluid and electrolyte balance via sweat.
    • Endocrine Glands (Adrenal and Pituitary): Release hormones like aldosterone and ADH, controlling blood pressure and kidney water balance, helping to conserve water.
    • Circulatory System: Supplies blood for kidney filtration and maintains blood pressure necessary for kidney function.

Composition of Urine

  • Normal components: Water (95%), urea, creatinine, uric acid, electrolytes (sodium, potassium, chloride, calcium, magnesium, bicarbonate), other dissolved ions, small amounts of nitrogenous waste, hormones, metabolites, and trace amounts of vitamins.
  • Abnormal components: Proteins, glucose, ketones, blood cells (RBCs/WBCs), bacteria, crystals, hemoglobin, and myoglobin.

Common Kidney Disorders

  • Urinary Tract Infections (UTIs): Infections in the urinary system, commonly affecting the bladder (cystitis) or kidneys (pyelonephritis); characterized by frequent urination, burning sensation, cloudy or bloody urine, strong-smelling urine.
  • Kidney Stones (Nephrolithiasis): Solid deposits of minerals and salts forming in the kidneys; characterized by pain, blockage, or infection. Types include calcium oxalate, calcium phosphate, struvite, and cystine stones.
  • Chronic Kidney Disease (CKD): Gradual loss of kidney function due to conditions like diabetes or hypertension; characterized by fatigue, loss of appetite, swelling, changes in urination.
  • Acute Kidney Disease (AKI): Sudden decrease in kidney function, commonly caused by decreased blood flow, direct kidney damage, or urinary obstruction.
  • Bladder Cancer: Cancer starting in bladder cells; often causing blood in the urine. Signs include blood in urine, frequent urination, painful urination, and pelvic or back pain.
  • Incontinence: Loss of bladder control, leading to unintentional leakage of urine; symptoms include urine leakage with physical movement or exertion, sudden urgent need to urinate, and frequent urination at night.
  • Polycystic Kidney Disease (PKD): Genetic disorder causing cyst formation in the kidneys, potentially leading to kidney failure; common symptoms include high blood pressure, back/side pain, abdominal fullness, blood in urine, frequent urinary tract infections, kidney stones, and urinary blockage.
  • Nephrotic Syndrome: Kidney disorder marked by damage to glomeruli, allowing protein (especially albumin) to leak into urine which leads to proteinuria, hypoalbuminemia, edema/swelling, and hyperlipidemia.

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