The Urinary System Overview

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Questions and Answers

What is the primary function of the urethra?

  • Regulate blood pressure
  • Transport oxygen to the bloodstream
  • Aid in digestion
  • Drain urine from the bladder and convey it out of the body (correct)

The internal urethral sphincter is a voluntary muscle.

False (B)

What are the three named regions of the male urethra?

Prostatic urethra, membranous urethra, spongy urethra

What is one of the primary functions of the kidneys?

<p>Filtering 200 liters of blood daily (C)</p> Signup and view all the answers

The left kidney is located lower than the right kidney due to the presence of the liver.

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

The female urethra is tightly bound to the anterior _______ wall.

<p>vaginal</p> Signup and view all the answers

What organ is responsible for temporarily storing urine?

<p>Urinary bladder</p> Signup and view all the answers

Match the following parts of the urethra with their descriptions:

<p>Prostatic urethra = Runs within the prostate gland Membranous urethra = Runs through the urogenital diaphragm Spongy urethra = Passes through the penis and opens via the external urethral orifice External urethral sphincter = Voluntary sphincter surrounding the urethra</p> Signup and view all the answers

The kidneys are located in a ______ position in the superior lumbar region.

<p>retroperitoneal</p> Signup and view all the answers

Match the following components related to kidney structure with their functions:

<p>Renal capsule = Prevents kidney infection Adipose capsule = Cushions the kidney Renal fascia = Anchors the kidney Renal hilus = Allows entry to the renal sinus</p> Signup and view all the answers

Which layer of tissue provides a fibrous capsule around the kidney?

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

The medulla of the kidney consists of granular tissue.

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

What structure transports urine from the kidneys to the bladder?

<p>Ureters</p> Signup and view all the answers

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

<p>Reabsorbs water and solutes while secreting substances (B)</p> Signup and view all the answers

The distal convoluted tubule (DCT) contains microvilli.

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

What are filtration slits?

<p>Openings between foot processes that allow filtrate to pass into the capsular space.</p> Signup and view all the answers

What is the primary function of peritubular capillary beds?

<p>Absorption of nutrients (D)</p> Signup and view all the answers

The two types of nephrons are cortical nephrons and ______ nephrons.

<p>juxtamedullary</p> Signup and view all the answers

Match the parts of the renal tubule with their characteristics:

<p>Proximal Convoluted Tubule = Cuboidal cells with microvilli, involved in reabsorption Loop of Henle = Hairpin-shaped, has thin and thick segments Distal Convoluted Tubule = Cuboidal cells without microvilli, mainly secretion Connecting Tubules = Connect DCT to collecting ducts</p> Signup and view all the answers

Vasa recta are associated with superficial nephrons.

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

What occurs in the glomerulus?

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

What are the three major processes involved in urine formation?

<p>Glomerular filtration, tubular reabsorption, secretion</p> Signup and view all the answers

The ________ is a triangular area outlined by the openings for the ureters and the urethra.

<p>trigone</p> Signup and view all the answers

Cortical nephrons make up the majority of nephrons in the kidneys.

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

Match the components of the urinary system with their characteristics:

<p>Ureters = Convey urine from the kidneys to the bladder Urinary Bladder = Temporarily stores urine Trigone = Area outlined by openings for ureters and urethra Filtration membrane = Acts as a barrier for blood filtration</p> Signup and view all the answers

What mechanism causes high blood pressure in the glomerulus?

<p>Afferent arterioles have larger diameters than efferent arterioles.</p> Signup and view all the answers

Which layer is NOT found in the wall of the ureters?

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

Each glomerulus is fed by an ______ arteriole.

<p>afferent</p> Signup and view all the answers

Which segment of the Loop of Henle has simple squamous cells?

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

The bladder wall is composed of four distinct layers.

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

What structure actively propels urine to the bladder?

<p>Ureters</p> Signup and view all the answers

The smooth, collapsible, muscular sac that temporarily stores urine is called the ________.

<p>urinary bladder</p> Signup and view all the answers

What type of capillaries arise from efferent arterioles?

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

What is the primary function of the renal pelvis?

<p>Collecting urine draining from calyces (D)</p> Signup and view all the answers

The glomerulus is a type of renal tubule.

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

What is the purpose of the major calyces?

<p>To collect urine draining from the papillae and empty it into the renal pelvis.</p> Signup and view all the answers

The _____ is the union of the glomerulus and the Bowman’s capsule.

<p>renal corpuscle</p> Signup and view all the answers

Which layer of the glomerular capsule consists of modified, branching epithelial podocytes?

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

Approximately one-fourth of the cardiac output flows through the kidneys each minute.

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

What is the role of the fenestrated endothelium in the glomerulus?

<p>To allow solute-rich, virtually protein-free filtrate to pass from the blood into the glomerular capsule.</p> Signup and view all the answers

The renal columns are __________ extensions of cortical tissue.

<p>inward</p> Signup and view all the answers

Match the following components of the nephron with their functions:

<p>Glomerulus = Filters blood to form urine Bowman's capsule = Surrounds the glomerulus Renal tubule = Processes filtrate into urine Podocytes = Structural support in the filtration process</p> Signup and view all the answers

What type of support does the renal plexus provide to the kidneys?

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

What is the primary function of the kidneys?

<p>To filter blood (A)</p> Signup and view all the answers

The left kidney is positioned higher than the right kidney.

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

What is the role of the renal capsule?

<p>It prevents kidney infection.</p> Signup and view all the answers

The kidneys are located in a __________ position in the body.

<p>retroperitoneal</p> Signup and view all the answers

Match the following urinary system organs with their functions:

<p>Urinary bladder = Stores urine temporarily Ureters = Transport urine from kidneys Urethra = Carries urine out of the body Kidneys = Filter blood and produce urine</p> Signup and view all the answers

Which tissue layer surrounds and attaches the kidneys?

<p>Renal fascia (B)</p> Signup and view all the answers

The renal hilus is a convex surface on the medial aspect of the kidney.

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

What are the pyramids in the medulla of the kidney composed of?

<p>Parallel bundles of collecting tubules</p> Signup and view all the answers

What separates the renal pyramids in the kidney?

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

The renal pelvis is a funnel-shaped structure located medial to the hilus within the renal sinus.

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

What are the structural and functional units of the kidney that form urine?

<p>Nephrons</p> Signup and view all the answers

The _________ is the combination of the glomerulus and Bowman’s capsule.

<p>renal corpuscle</p> Signup and view all the answers

Match the following kidney structures with their descriptions:

<p>Glomerulus = Tuft of capillaries Bowman's capsule = Cup-shaped structure surrounding the glomerulus Major calyces = Branches of the renal pelvis Renal pelvis = Funnel-shaped tube draining urine from calyces</p> Signup and view all the answers

What type of blood vessels provide supply to the kidneys?

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

The glomerular endothelium allows protein-rich filtrate to pass from the blood into the glomerular capsule.

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

What vessel type arises from the efferent arterioles in the nephron?

<p>Peritubular capillaries</p> Signup and view all the answers

The visceral layer of the glomerular capsule consists of modified, branching epithelial __________.

<p>podocytes</p> Signup and view all the answers

Approximately how much of the systemic cardiac output flows through the kidneys each minute?

<p>1200 ml (C)</p> Signup and view all the answers

What is the proximal convoluted tubule (PCT) composed of?

<p>cuboidal cells with numerous microvilli and mitochondria (C)</p> Signup and view all the answers

The Loop of Henle is primarily involved in the reabsorption of water.

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

What two types of nephrons are found in the kidney?

<p>Cortical nephrons and juxtamedullary nephrons.</p> Signup and view all the answers

The openings between the foot processes that allow filtrate to pass into the capsular space are called __________.

<p>filtration slits</p> Signup and view all the answers

Match the following components of the nephron with their functions:

<p>Glomerulus = Filters blood to form urine Peritubular capillaries = Reabsorbs nutrients and water Distal convoluted tubule (DCT) = Secretion of ions and acids Loop of Henle = Concentrates urine</p> Signup and view all the answers

What type of urethral sphincter is responsible for involuntarily keeping the urethra closed?

<p>Internal urethral sphincter (D)</p> Signup and view all the answers

The external urethral sphincter is a voluntary muscle surrounding the urethra.

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

How does the structure of afferent and efferent arterioles contribute to the high blood pressure in the glomerulus?

<p>The afferent arteriole has a larger diameter than the efferent arteriole. (B)</p> Signup and view all the answers

Cortical nephrons are located at the cortex-medulla junction.

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

What is the function of the urethra?

<p>To drain urine from the bladder and convey it out of the body.</p> Signup and view all the answers

The male urethra has three named regions: prostatic urethra, membranous urethra, and ________.

<p>spongy (penile) urethra</p> Signup and view all the answers

What is the primary function of juxtamedullary nephrons?

<p>Production of concentrated urine.</p> Signup and view all the answers

Match the following urethra types with their characteristics:

<p>Female Urethra = Bound to the anterior vaginal wall Male Urethra = Has three named regions Internal Urethral Sphincter = Involuntary muscle at bladder-urethra junction External Urethral Sphincter = Voluntary muscle surrounding the urethra</p> Signup and view all the answers

The tubular structure that actively reabsorbs water and solutes is the __________.

<p>proximal convoluted tubule</p> Signup and view all the answers

Match the features with the nephron types:

<p>Cortical nephrons = 85% of nephrons, located in the cortex Juxtamedullary nephrons = Have loops of Henle that deeply invade the medulla Proximal convoluted tubule = Composed of cuboidal cells with microvilli Distal convoluted tubule = Cuboidal cells without microvilli more involved in secretion</p> Signup and view all the answers

What are the three major processes involved in urine formation?

<p>Glomerular filtration, Tubular reabsorption, Secretion (B)</p> Signup and view all the answers

Ureters have a single-layered wall.

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

What is the triangular area outlined by the openings for the ureters and the urethra in the bladder called?

<p>Trigone</p> Signup and view all the answers

The ________ are long, straight efferent arterioles of juxtamedullary nephrons.

<p>vasa recta</p> Signup and view all the answers

Match the following layers of the urinary bladder wall with their descriptions:

<p>Transitional epithelial mucosa = Allows for distension and contraction Muscular layer = Provides strength and ability to contract Fibrous adventitia = Supports and protects the bladder</p> Signup and view all the answers

What is the primary function of peritubular capillary beds?

<p>Absorption of water and solutes (B)</p> Signup and view all the answers

The walls of the ureters are made solely of stratified squamous epithelium.

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

What allows the bladder to collapse when it is empty?

<p>Distensibility</p> Signup and view all the answers

Ureters actively propel urine to the bladder via response to smooth muscle ________.

<p>stretch</p> Signup and view all the answers

What type of capillaries are peritubular beds?

<p>Low-pressure, porous (A)</p> Signup and view all the answers

Flashcards

Kidney Function

Kidneys filter blood, removing toxins, wastes, and excess ions, regulating blood volume and composition, and maintaining water and electrolyte balance.

Urinary Bladder

A temporary storage reservoir for urine.

Ureters

Tubular structures that transport urine from the kidneys to the bladder.

Urethra

Structure that carries urine from the bladder to the outside of the body.

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Kidney Location

The kidneys are located in the retroperitoneal space, in the superior lumbar region, and extend from T12 to L3 vertebrae, with the right kidney slightly lower than the left.

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Renal Capsule

Fibrous capsule preventing kidney infection.

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Adipose Capsule

Fatty cushion surrounding the kidney, holding it in place.

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Renal Fascia

Outer fibrous connective tissue layer holding the kidney in its place.

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Renal Hilus

The vertical cleft on the medial surface of the kidney, leading to the renal sinus.

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Kidney Cortex

The light colored, granular superficial part of the kidney.

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Kidney Medulla

The region of the kidney containing cone-shaped medullary pyramids.

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Renal columns

Inward extensions of cortical tissue that separate the pyramids in the kidney.

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Renal lobe

A medullary pyramid and its surrounding capsule.

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Renal pelvis

A flat, funnel-shaped tube in the kidney, lateral to the hilus in the renal sinus.

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Major calyces

Large branches of the renal pelvis that collect urine from the papillae and empty it into pelvis.

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Nephron

The structural and functional unit of the kidney that forms urine.

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Glomerulus

A tuft of capillaries associated with a renal tubule in the nephron.

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Glomerular (Bowman's) capsule

The blind, cup-shaped end of a renal tubule that completely surrounds the glomerulus.

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Renal corpuscle

The glomerulus and its Bowman's capsule together.

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Glomerular endothelium

Fenestrated epithelium that allows solute-rich, protein-free filtrate to pass into the glomerular capsule.

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Podocytes

Modified, branching epithelial cells forming the visceral layer of Bowman's capsule.

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Filtration slits

Openings in the foot processes of the glomerulus allowing filtrate to pass into the capsular space.

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Proximal convoluted tubule (PCT)

Part of the renal tubule with cuboidal cells, microvilli, and mitochondria, responsible for reabsorption and secretion.

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Loop of Henle

Hairpin-shaped loop of the renal tubule, with thin and thick segments.

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Distal convoluted tubule (DCT)

Part of the renal tubule with cuboidal cells, no microvilli, and primarily involved in secretion.

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Cortical nephrons

Nephrons located mainly in the kidney cortex.

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Juxtamedullary nephrons

Nephrons located near the cortex-medulla border, with long loops of Henle, involved in concentrated urine production.

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Glomerulus

Network of capillaries in the nephron, involved in blood filtration.

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Peritubular capillaries

Capillaries surrounding the renal tubules, involved in reabsorption and secretion.

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Afferent arteriole

Arteriole supplying blood to the glomerulus.

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Efferent arteriole

Arteriole draining blood from the glomerulus.

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Urethra function

The muscular tube that drains urine from the bladder and expels it from the body.

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Urethral sphincters

Muscles that control the flow of urine, keeping it inside the bladder until you need to urinate.

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Internal sphincter

Involuntary muscle at the bladder-urethra junction that keeps urine in the bladder.

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External sphincter

Voluntary muscle around the urethra that controls urination.

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Female urethra location

The female urethra is near the vaginal opening, in front of it.

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Male urethra regions

The male urethra has three parts: prostatic, membranous, and spongy (penile).

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Peritubular capillaries

Low-pressure, porous capillaries that arise from efferent arterioles and absorb substances.

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Vasa recta

Long, straight capillaries of juxtamedullary nephrons.

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Glomerular filtration

The initial step in urine formation, involving filtration of blood in the glomerulus.

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Tubular reabsorption

Process of reclaiming valuable substances from the filtrate in the tubules.

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Secretion

Transport of substances, such as unwanted molecules, from the blood to the filtrate in the tubules.

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Ureters

Slender tubes that transport urine from kidneys to the bladder.

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Ureter wall layers

Transitional epithelium (inner lining), smooth muscle layer, and fibrous connective tissue (outer layer).

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Urinary Bladder

Muscular sac that stores urine temporarily.

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Trigone

Triangular region of the bladder where the ureters and urethra enter.

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Bladder wall layers

Transitional epithelium, thick muscular layer, and fibrous adventitia.

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Kidney Function

Filtration of blood, removing toxins, metabolic wastes, and excess ions, maintaining blood volume and composition, and balancing water and salts.

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Urinary Bladder

A temporary storage organ for urine before expulsion from the body.

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Ureters

Slender tubes transporting urine from kidneys to bladder.

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Urethra

Tube transporting urine from the bladder to outside the body.

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Kidney Location

Retroperitoneal space in superior lumbar region, extending from T12 to L3 vertebrae; right kidney slightly lower than left.

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Renal Capsule

Fibrous capsule surrounding kidney, protecting from infection.

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Adipose Capsule

Fatty cushion surrounding the kidney, supporting and cushioning it.

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Renal Fascia

Outer fibrous tissue layer, anchoring kidneys to the body.

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Renal Hilus

Vertical cleft on medial side of kidney, leading to the renal sinus.

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Kidney Cortex

Light colored, granular outer kidney layer.

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Kidney Medulla

Inner kidney region containing cone-shaped pyramids.

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Renal columns

Inward extensions of cortical tissue that separate the medullary pyramids in the kidney.

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Renal lobe

A medullary pyramid and its surrounding capsule.

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Renal pelvis

A flat, funnel-shaped tube located in the renal sinus, lateral to the hilus, that collects urine.

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Major calyces

Large branches of the renal pelvis that collect urine from the papillae and empty into the renal pelvis.

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Nephron

The structural and functional unit of the kidney that forms urine.

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Glomerulus

A tuft of capillaries associated with a renal tubule in the nephron.

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Glomerular (Bowman's) capsule

The cup-shaped structure that surrounds the glomerulus, collecting the filtrate.

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Renal corpuscle

The glomerulus and its Bowman's capsule.

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Glomerular endothelium

Fenestrated endothelium in the glomerulus that allows solute-rich, protein-free filtrate to pass into Bowman's capsule.

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Filtration slits

Openings between foot processes that allow filtrate to pass into the capsular space.

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Proximal convoluted tubule (PCT)

Part of the renal tubule with cuboidal cells, microvilli, and mitochondria; reabsorbs water and solutes, secretes substances.

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Loop of Henle

Hairpin-shaped loop of renal tubule with thin and thick segments.

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Distal convoluted tubule (DCT)

Part of renal tubule with cuboidal cells, no microvilli, primarily involved in secretion.

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Cortical nephrons

Nephrons located mainly in the cortex.

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Juxtamedullary nephrons

Nephrons near the cortex-medulla border, with long loops of Henle; involved in concentrated urine production.

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Glomerulus

Network of capillaries in the nephron involved in blood filtration.

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Peritubular capillaries

Capillaries surrounding renal tubules, involved in reabsorption and secretion.

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Afferent arteriole

Arteriole supplying blood to the glomerulus.

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Efferent arteriole

Arteriole draining blood from the glomerulus.

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Peritubular capillaries

Low-pressure, porous capillaries that absorb substances, arising from efferent arterioles and emptying into the renal venous system.

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Urethra Function

The muscular tube that carries urine from the bladder outside the body.

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Vasa recta

Long, straight capillaries of juxtamedullary nephrons, playing a role in urine concentration.

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Glomerular filtration

The initial step in urine formation, filtering blood in the glomerulus, creating a filtrate.

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Urethral Sphincters

Muscles that control urine flow, keeping it in the bladder until you urinate.

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Internal Urethral Sphincter

Involuntary muscle at the bladder-urethra junction.

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Tubular reabsorption

Reclaiming valuable substances from the filtrate in the renal tubules, such as water and nutrients.

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External Urethral Sphincter

Voluntary muscle surrounding the urethra.

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Secretion

Transport of substances into the urine, such as waste products not filtered initially.

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Ureters

Slender tubes transporting urine from kidneys to the bladder.

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Female Urethra Location

The female urethra is situated near the vaginal opening, in front of it.

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Ureter wall layers

Epithelial lining (transitional), smooth muscle layer, and fibrous connective tissue (outermost).

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Male Urethra Regions

The male urethra has three parts: prostatic, membranous, and spongy (penile).

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Urinary Bladder

Muscular sac storing urine temporarily.

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Trigone

Triangular region of the bladder where ureters and urethra meet.

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Bladder wall layers

Transitional epithelium, a thick layer of smooth muscle, and fibrous adventitia.

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Kidney Function

Filtration of blood, removing waste, regulating blood composition, and balancing water.

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Study Notes

The Urinary System

  • The kidneys filter 200 liters of blood daily, removing toxins, metabolic waste, and excess ions.
  • They regulate blood volume and chemical composition.
  • The kidneys maintain the proper balance of water, salts, acids, and bases.

Other Urinary System Organs

  • The urinary bladder is a temporary reservoir for urine.
  • Paired ureters transport urine from the kidneys to the bladder.
  • The urethra carries urine from the bladder out of the body.

Urinary System Organs (Anatomy)

  • The kidneys are bean-shaped and lie in a retroperitoneal position in the superior lumbar region, extending from the twelfth thoracic to the third lumbar vertebra.
  • The right kidney sits lower than the left due to the liver.
  • The lateral surface is convex, and the medial surface is concave with a vertical cleft: the renal hilus. This cleft leads to the renal sinus.

Kidney Support

  • A fibrous capsule prevents kidney infection.
  • Adipose capsule cushions the kidneys and helps attach them to the body wall.
  • Dense fibrous connective tissue (renal fascia) anchors the kidneys.

Kidney Internal Anatomy

  • A frontal section reveals three regions.
  • Cortex: light colored, granular superficial region.
  • Medulla: cone-shaped medullary (renal) pyramids.
  • Pyramids: composed of parallel bundles of collecting tubules.
  • Renal columns: inward extensions of cortical tissue that separate the pyramids.
  • A medullary pyramid along with its surrounding capsule forms a lobe.
  • Renal pelvis: a flat, funnel shaped tube lateral to the hilus within the renal sinus.
  • Major calyces: large branches of the renal pelvis. They collect urine from papillae and empty it into the pelvis. Urine then flows to the bladder via the ureters.

Blood and Nerve Supply

  • Approximately one-fourth (1200 mL) of systemic cardiac output flows through the kidneys each minute.
  • Arterial and venous flow follows similar paths.
  • Nerve supply is via the renal plexus.

The Nephron

  • Nephrons are the structural and functional units that form urine.
  • They consist of: -Glomerulus: a tuft of capillaries associated with a renal tubule. -Glomerular (Bowman's) capsule: a blind, cup-shaped end of a renal tubule that completely surrounds the glomerulus.
  • Renal corpuscle: glomerulus and its Bowman's capsule.
  • Glomerular endothelium: fenestrated epithelium that permits solute-rich, virtually protein-free filtrate to pass from blood to the glomerular capsule.

Anatomy of the Glomerular Capsule

  • External parietal layer: structural.
  • Visceral layer: modified, branching epithelial podocytes.
  • Podocyte extensions: terminate in foot processes.
  • Filtration slits: openings between foot processes. Filtrate passes through them into the capsular space.

Renal Tubule

  • Proximal convoluted tubule (PCT): cuboidal cells with microvilli and mitochondria.
  • Reabsorbs water and solutes from filtrate and secretes substances into filtrate.
  • Loop of Henle: hairpin-shaped loop of the renal tubule. -Proximal part: similar to proximal convoluted tubule. Followed by a thin segment (simple squamous cells) and a thick segment (cuboidal to columnar cells).
  • Distal convoluted tubule (DCT): cuboidal cells without microvilli. Functions primarily in secretion, not reabsorption.

Connecting Tubules

  • Distal portion of the DCT is connected to the collecting ducts.

Nephrons (Types)

  • Cortical nephrons: account for 85% of nephrons and are located in the cortex.
  • Juxtamedullary nephrons: located at the cortex-medulla junction. Have loops of Henle that deeply invade the medulla and extensive thin segments; they concentrate urine.

Capillary Beds

  • Every nephron has two capillary beds:
    • Glomerulus
    • Peritubular capillaries.
  • Each glomerulus:
    • Fed by an afferent arteriole
    • Drained by an efferent arteriole.
  • Blood pressure in the glomerulus is high.
  • Arterioles are high resistance vessels.
  • Afferent arterioles have larger diameters than efferent arterioles.
  • Fluids and solutes are forced out of the blood through the entire glomerular length.
  • Peritubular beds: low-pressure, porous capillaries for absorption.
    • Arise from efferent arterioles
    • Empty into the renal venous system.
  • Vasa recta: long, straight efferent arterioles of juxtamedullary nephrons.

Filtration Membrane

  • Three layers:
    • Glomerular capillary endothelium (fenestrated)
    • Basement membrane
    • Podocyte foot processes (filtration slits).

Mechanisms of Urine Formation

  • Urine formation and blood composition adjustment involves three major processes:
    • Glomerular filtration
    • Tubular reabsorption
    • Secretion.

Ureters

  • Slender tubes conveying urine from the kidneys to the bladder.
  • Trilayered wall:
    • Transitional epithelial mucosa
    • Smooth muscle muscularis
    • Fibrous connective tissue adventitia.
  • Ureters actively propel urine to the bladder by smooth muscle stretch.

Urinary Bladder

  • Smooth, collapsible, muscular sac that temporarily stores urine.
  • Trigone: triangular area outlined by ureters and urethra openings. Clinically important due to infections.
  • Bladder wall has three layers:
    • Transitional epithelial mucosa
    • Thick muscular layer
    • Fibrous adventitia.
  • Distensible and collapses when empty.

Urethra

  • Muscular tube that drains urine from the bladder and conveys it out of the body.
  • Sphincters regulate urine flow:
    • Internal urethral sphincter: involuntary, at the bladder-urethra junction.
    • External urethral sphincter: voluntary, surrounding the urethra as it passes through the urogenital diaphragm.
  • Female urethra: tightly bound to the anterior vaginal wall. External opening is anterior to the vaginal opening and posterior to the clitoris.
  • Male urethra: three named regions.
    • Prostatic urethra: within the prostate gland
    • Membranous urethra: through the urogenital diaphragm
    • Spongy (penile) urethra: through the penis, opening at the external urethral orifice.

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