Urinary System Overview

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Questions and Answers

What primary factor stimulates the thirst center in the hypothalamus?

  • Decreased atmospheric humidity
  • Decreased body temperature
  • Increased ion concentration in the blood (correct)
  • Increased water intake

Throughout the body, sodium ions make up about 50% of the osmotic pressure in extracellular fluid.

False (B)

What hormone increases extracellular calcium concentrations?

Parathyroid hormone (PTH)

The ______ is sensitive to slight changes in extracellular potassium ion concentration.

<p>muscle tissue</p> Signup and view all the answers

Match the hormone with its effect on calcium concentration:

<p>Parathyroid hormone (PTH) = Increases Ca2+ concentration Calcitonin = Decreases blood Ca2+ concentration Vitamin D3 = Increases intestinal Ca absorption Prolonged lack of sun exposure = Decreases vitamin D3 levels</p> Signup and view all the answers

What happens to blood ion concentration when sufficient water is consumed?

<p>Blood ion concentration decreases (B)</p> Signup and view all the answers

Sweat contains significant amounts of potassium ions, which help in maintaining electrolyte balance.

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

Which ions are primarily reabsorbed by active transport in the kidneys?

<p>Phosphate and sulfate ions</p> Signup and view all the answers

What is the primary characteristic of the intracellular fluid compartment?

<p>It contains a relatively high concentration of K+, Mg2+, and phosphate ions. (C)</p> Signup and view all the answers

Osmosis controls the movement of ions between the intracellular and extracellular spaces.

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

What role do parasympathetic action potentials play in relation to the urinary bladder?

<p>They cause the urinary bladder to contract.</p> Signup and view all the answers

The extracellular fluid compartment includes fluid such as interstitial fluid, plasma, lymph, and __________.

<p>cerebrospinal fluid</p> Signup and view all the answers

Match the following ions with their primary roles in body fluid regulation:

<p>Na+ = Water retention and fluid balance K+ = Muscle contraction Ca2+ = Nerve signaling Cl− = Osmotic regulation</p> Signup and view all the answers

Which of the following processes primarily regulates water movement between fluid compartments?

<p>Hydrostatic pressure differences (D)</p> Signup and view all the answers

Negatively charged ions are regulated independent of positively charged ions.

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

What type of nerves are responsible for relaxing the external urethral sphincter?

<p>Somatic motor nerves</p> Signup and view all the answers

What role does aldosterone play in the body?

<p>It regulates the concentration of K+ in the extracellular fluid. (C)</p> Signup and view all the answers

The phosphate buffer system is one of the three classes of buffers in the body.

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

What happens to the blood pH if the respiratory rate increases?

<p>The blood pH rises due to increased carbon dioxide elimination.</p> Signup and view all the answers

Acidosis occurs when the blood pH falls below ______.

<p>7.35</p> Signup and view all the answers

Match the following terms with their correct descriptions:

<p>Respiratory alkalosis = Increased blood pH due to decreased CO2 elimination Respiratory acidosis = Decreased blood pH due to increased CO2 retention Hyperkalemia = High potassium levels in the blood Hypophosphatemia = Low phosphate levels in the blood</p> Signup and view all the answers

Which of the following statements is true regarding kidney involvement in acid-base balance?

<p>Nephrons secrete H+ into urine when pH is acidic. (C)</p> Signup and view all the answers

The three classes of buffers in the body include bicarbonate, phosphate, and nucleic acids.

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

What does an increased secretion of H+ by the kidneys indicate?

<p>It indicates that the body pH is decreasing (becoming more acidic).</p> Signup and view all the answers

What is located at the superior pole of each kidney?

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

The renal arteries extend from the renal pelvis to the kidneys.

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

What structure is known as the functional unit of the kidney?

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

Urine flows from the renal pelvis through the __________ into the urinary bladder.

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

Match the following components with their respective functions:

<p>Calyx = Surrounds the tip of the renal pyramid Renal pelvis = Collects urine from the calyces Ureter = Carries urine to the urinary bladder Renal sinus = Space containing renal pelvis and blood vessels</p> Signup and view all the answers

Which of the following contains the renal pelvis?

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

The tip of each renal pyramid is surrounded by a nephrons structure.

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

What tissue layer anchors the kidney to the abdominal wall?

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

Which of the following is NOT a function of the urinary system?

<p>Transport of nutrients (C)</p> Signup and view all the answers

The right kidney is located below the spleen.

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

What metabolic by-product is included in urine?

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

The kidneys are located between the _______ thoracic and _______ lumbar vertebra.

<p>12th, 3rd</p> Signup and view all the answers

What type of epithelium lines both the ureters and the urinary bladder?

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

Match the components of the urinary system with their descriptions:

<p>Kidneys = Primary excretory organs Ureters = Transport urine from kidneys to bladder Urinary Bladder = Storage for urine Urethra = Excretes urine from the body</p> Signup and view all the answers

How many kidneys are present in the urinary system?

<p>2 (A)</p> Signup and view all the answers

The internal urethral sphincter prevents urine from leaking into the urinary bladder.

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

What is the main driving force for filtration in the kidneys?

<p>blood pressure</p> Signup and view all the answers

The kidneys play a major role in regulating blood solute concentration.

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

What is the minimal amount of kidney function required for survival?

<p>One-third of one kidney</p> Signup and view all the answers

During sexual intercourse, the internal urethral sphincter contracts to prevent ______ from entering the urinary bladder.

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

Match the following processes with their descriptions:

<p>Filtration = Nonselective separation of materials based on size or charge Reabsorption = Moving substances from filtrate back into the blood Secretion = Transporting substances from blood into the nephron</p> Signup and view all the answers

What happens to the substances that are classified as 'throw away' items during urine production?

<p>They end up in the urine. (D)</p> Signup and view all the answers

Reabsorption involves the removal of substances from the blood to the filtrate.

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

What is the function of the external urethral sphincter?

<p>It controls the release of urine from the urinary bladder.</p> Signup and view all the answers

What percentage of the blood pumped by the heart flows through the kidneys each minute?

<p>21% (C)</p> Signup and view all the answers

More than 1% of the filtrate produced by the kidneys is converted into urine.

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

What is the term used for the process of transporting water and solutes from the filtrate into the blood?

<p>Tubular Reabsorption</p> Signup and view all the answers

The filtrate produced in the kidneys can contain _______ because some smaller proteins can pass through the filtration membrane.

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

Which of the following statements best describes how sympathetic stimulation affects kidney function?

<p>It decreases filtrate formation (D)</p> Signup and view all the answers

Match the following substances with their ability to pass through the filtration membrane:

<p>Antibodies = Cannot pass Glucose = Can pass Amino acids = Can pass Most plasma proteins = Cannot pass</p> Signup and view all the answers

The filtration pressure is primarily affected by the amount of blood in the renal arteries.

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

Intense sympathetic stimulation can result in _______ due to reduced renal blood flow.

<p>circulatory shock</p> Signup and view all the answers

Which hormone is primarily responsible for the reabsorption of water in the kidneys?

<p>Antidiuretic Hormone (ADH) (C)</p> Signup and view all the answers

The distal convoluted tubule and collecting duct are always permeable to water.

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

What is the main purpose of tubular secretion in the kidneys?

<p>To remove nonfiltered substances from the blood into the filtrate.</p> Signup and view all the answers

The three major hormonal mechanisms involved in regulating urine concentration and volume are: RAA, ADH, and __________.

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

Which of the following substances can be actively secreted into the renal tubule?

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

Match the following renal processes with their definitions:

<p>Active Transport = Movement of solutes against their concentration gradient Cotransport = Simultaneous transport of two substances across the membrane Tubular Secretion = Movement of nonfiltered substances into the filtrate Countercurrent Mechanism = Exchange of materials between fluids flowing in opposite directions</p> Signup and view all the answers

The kidneys' ability to concentrate urine is solely dependent on the presence of water.

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

What is the role of ammonia in tubular secretion?

<p>Ammonia is a toxic by-product of protein metabolism that is secreted into the renal tubule.</p> Signup and view all the answers

What is the primary function of antidiuretic hormone (ADH)?

<p>Promote water conservation in kidneys (C)</p> Signup and view all the answers

Atrial natriuretic hormone (ANH) increases blood volume.

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

What triggers the secretion of atrial natriuretic hormone (ANH)?

<p>Increased blood pressure in the right atrium</p> Signup and view all the answers

The micturition reflex is activated by the stretch of the ______ wall.

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

Match the following hormones with their primary functions:

<p>Antidiuretic Hormone = Increases water reabsorption in kidneys Atrial Natriuretic Hormone = Decreases sodium reabsorption Aldosterone = Promotes sodium retention Natriuretic Peptide = Reduces blood pressure</p> Signup and view all the answers

Which brain structure is directly involved in stimulating the micturition reflex?

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

The ability to suppress the micturition reflex develops at an early age.

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

What is the role of higher brain centers in relation to the micturition reflex?

<p>They can inhibit or stimulate the reflex.</p> Signup and view all the answers

Flashcards

Thirst Regulation

The process of controlling water intake based on ion concentration in blood.

Extracellular Fluid Ions (Na+)

Sodium ions are the major extracellular ions; their concentration influences osmotic pressure.

Extracellular Fluid Ions (K+)

Potassium ions are crucial for the proper function of excitable tissues like muscles and nerves.

Calcium Ions (Ca2+)

Calcium ion concentration affects excitable tissues; regulated by hormones and vitamin D3.

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Parathyroid Hormone (PTH)

Increases extracellular calcium concentration.

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Calcitonin

Lowers extracellular calcium concentration.

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Vitamin D3

Increases intestinal calcium absorption.

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Phosphate and Sulfate Ions

Reabsorbed actively in the kidneys.

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Intracellular Fluid (ICF)

The fluid inside all the cells of the body.

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Extracellular Fluid (ECF)

The fluid outside the cells.

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Intracellular Fluid Composition

High K+, Mg2+, PO43-, and SO42-; low Na+, Ca2+, Cl-, and HCO3-.

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Extracellular Fluid Composition

High Na+, Ca2+, Cl-, and HCO3-; low K+, Mg2+, PO43-, and SO42-.

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Selective Permeability of Cell Membranes

Cell membranes allow water to pass but not ions readily.

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Body Fluid Exchange Regulation

Water movement is mainly controlled by hydrostatic pressure differences and osmotic differences between compartments.

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Osmosis & Fluid Compartments

Osmosis controls the movement of water between intracellular and extracellular spaces.

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Ion Concentration Regulation Importance

Maintaining specific ion concentrations, like Na+, K+, and Ca2+, is critical for action potentials, muscle contractions, and cell function.

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Acid-Base Balance Regulation

The body maintains a stable pH level through a combination of buffers, respiratory, and kidney mechanisms.

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Buffers

Chemicals that resist changes in pH of a solution by binding to H+ ions. They contain salts of weak acids or bases.

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Respiratory System Acid-Base

The respiratory system quickly adjusts blood pH by altering carbon dioxide elimination. Increased breathing raises pH; decreased breathing lowers pH.

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Respiratory Alkalosis

Blood pH rises due to increased carbon dioxide elimination (e.g., hyperventilation).

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Respiratory Acidosis

Blood pH falls due to reduced carbon dioxide elimination (e.g., hypoventilation).

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Kidney Acid-Base Control

Kidneys secrete H+ ions into urine to directly regulate blood pH. H+ secretion is increased in acidosis and decreased in alkalosis.

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Acidosis

Blood pH falls below 7.35. It leads to a lower than normal pH.

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Alkalosis

Blood pH rises above 7.35. It leads to a higher than normal pH.

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What is the primary function of the urinary system?

The urinary system's main job is to remove waste products from the blood. It's like a filter for your body. This includes getting rid of unwanted byproducts of your cells' activities.

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How does the urinary system regulate blood pressure?

The urinary system controls the amount of fluid in your body, which directly affects your blood pressure. By adjusting how much water and ions are eliminated in urine, it keeps your blood pressure in check.

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What is the purpose of the kidneys?

The kidneys are the powerful workhorses of the urinary system; they filter your blood, removing waste products and excess substances.

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What is the function of the ureters?

The ureters act like pipes, carrying urine away from the kidneys to the bladder.

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What role does the bladder play in the urinary system?

The bladder is a storage tank for urine. It collects the urine until it's ready to be released from your body.

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What is the urethra?

The urethra is the final tube that allows urine to exit the body.

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What is erythropoietin?

Erythropoietin is a hormone produced by the kidneys that helps your body make red blood cells. Red blood cells are crucial for carrying oxygen throughout your body.

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How does the urinary system regulate vitamin D synthesis?

The kidneys play a crucial role in activating vitamin D, a vitamin that helps your body absorb calcium from food. Calcium is essential for strong bones and other functions.

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Renal Capsule

A thin layer of connective tissue that surrounds each kidney, protecting it and providing structural support.

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Renal Hilum

The medial indentation of the kidney where blood vessels, nerves, and the ureter enter and exit.

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Renal Sinus

A cavity within the kidney, located at the hilum, that houses the renal pelvis, calyces, blood vessels, and other connective tissues.

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Renal Pyramids

Cone-shaped structures within the kidney's medulla, extending from the cortex to the renal sinus.

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Calyces

Cup-shaped structures in the kidney that surround the tips of renal pyramids and collect urine.

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Renal Pelvis

A funnel-shaped structure in the kidney that collects urine from the calyces and funnels it into the ureter.

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Urine Flow: How does urine travel?

Urine is formed in the cortex and medulla, then flows through the tips of the renal pyramids, calyces, renal pelvis, ureter, urinary bladder, and finally exits through the urethra.

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Nephron

The functional unit of the kidney, responsible for filtering blood and producing urine.

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Transitional Epithelium

A specialized type of epithelium that lines the ureters and urinary bladder, allowing for stretching and contraction as the organs fill and empty.

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Smooth Muscle in Ureters

Contractions of smooth muscle in the ureters propel urine from the kidneys to the bladder.

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Internal Urethral Sphincter

A ring of smooth muscle located at the junction of the bladder and urethra, preventing involuntary leakage of urine.

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External Urethral Sphincter

A ring of skeletal muscle surrounding the urethra, allowing voluntary control over urination.

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Filtration in the Kidneys

A non-selective process where blood is filtered based on size and charge, removing waste products.

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Reabsorption

The process of recovering valuable substances from the filtered fluid and returning them to the blood.

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Secretion

Adding substances from the blood into the filtered fluid, primarily for waste removal or pH regulation.

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Urine Production Steps

Urine production involves three key steps: filtration, reabsorption, and secretion, each contributing to removing waste and regulating blood composition.

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What is Filtrate?

Filtrate is the fluid that passes from the blood in the glomerular capillaries through the filtration membrane into the Bowman's capsule.

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What are the components of Urine?

Urine is composed of substances that were directly filtered from blood and those secreted into the renal tubules, minus the substances that were reabsorbed.

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What determines the size of molecules filtered?

The filtration membrane acts as a sieve, allowing smaller molecules like glucose and amino acids to pass through, but preventing larger molecules like antibodies.

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Is Filtrate completely protein-free?

No, filtrate is not completely protein-free because some small proteins, like albumins, can pass through the filtration membrane.

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What is Filtration Pressure?

Filtration pressure is the pressure gradient that forces fluid from the glomerular capillaries into the Bowman's capsule.

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How is Filtration Pressure regulated?

Filtration pressure is regulated by the dilation or constriction of the afferent and efferent arterioles, which control the blood flow through the glomerular capillaries.

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What happens during sympathetic stimulation?

Sympathetic stimulation causes constriction of the kidney arteries, which decreases filtrate formation and urine volume.

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What is Tubular Reabsorption?

Tubular reabsorption is the movement of water and solutes from the filtrate back into the blood.

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Antidiuretic Hormone (ADH)

A hormone released from the posterior pituitary gland in response to increased blood solute concentration. ADH increases water reabsorption by making the kidneys' distal tubules and collecting ducts more permeable to water, resulting in concentrated urine.

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Atrial Natriuretic Hormone (ANH)

A hormone released from the heart's right atrium when blood pressure increases. ANH promotes sodium excretion in urine, reducing blood volume and consequently blood pressure.

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Micturition Reflex

A reflex that triggers urination when the urinary bladder is stretched by urine. It involves involuntary muscle contractions that expel urine from the bladder.

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Voluntary Control of Micturition

The ability to consciously control urination by inhibiting or facilitating the micturition reflex, primarily through signals from the brain.

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Stretch Receptors in Bladder Wall

Specialized cells in the bladder wall that detect the stretching caused by increasing urine volume, initiating the micturition reflex.

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Autonomic Nervous System and Micturition

The autonomic nervous system influences bladder muscle contractions and the external urethral sphincter, contributing to the micturition reflex.

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Development of Voluntary Control

The ability to consciously control urination develops over time, typically around the ages of 2-3 years.

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Simple Cuboidal Epithelium in Kidney

The cells lining the thick segment of the nephron are simple cuboidal epithelium. They are impermeable to water, but contain active transport proteins for reabsorbing solutes like Na+, K+, and Cl-. This reabsorption is a key mechanism for water conservation by the kidneys.

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Active Transport in Nephron

The movement of solutes like Na+, K+, and Cl- across the membrane of the thick segment of the nephron is driven by active transport. This requires energy, usually supplied by ATP-powered pumps and carrier molecules. This active transport is essential for the kidneys' ability to reabsorb water.

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Distal Convoluted Tubule and Collecting Duct Reabsorption

Reabsorption of solutes in these segments is primarily regulated by hormones, ensuring the body retains water and essential ions as needed. Under hormonal control, these sections can also become permeable to water, allowing for further reabsorption.

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Tubular Secretion

The movement of substances from the blood into the filtrate within the renal tubules is called tubular secretion. This process helps remove waste products like toxins, drugs, and molecules not normally produced by the body. Tubular secretion can be active or passive.

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Ammonium Secretion

Ammonia, a toxic by-product of protein metabolism, is secreted into the renal tubules by epithelial cells. This process involves removing amine groups from amino acids, which then diffuse into the lumen of the tubule.

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H+, K+, and Penicillin Secretion

H+, K+, and penicillin are actively secreted into the renal tubules using active transport or counter transport mechanisms. This helps regulate body fluid pH and eliminate these substances from the blood.

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Counter Transport Example: H+ Secretion

One example of the kidneys using counter transport to regulate pH is the secretion of H+ ions into the renal tubules. This process is important for maintaining a stable pH balance in the body's fluids.

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Study Notes

Urinary System

  • The urinary system is the body's primary excretory system.
  • Other organ systems also excrete waste but cannot fully compensate for kidney failure.
  • The urinary system consists of two kidneys, two ureters, one urinary bladder, and one urethra.
  • Kidneys filter a large volume of blood, separating wastes from blood and producing urine.
  • Urine contains excess water, ions, metabolic wastes (like urea), and toxic substances.
  • Survival is possible if one-third of a kidney remains functional.

Urinary System Functions

  • Excretion: Removes metabolic waste products from the blood. Other systems such as skin, liver, lungs, and intestines also eliminate waste products.
  • Regulation of blood volume and blood pressure: Plays a major role in controlling extracellular fluid volume in the body.
  • Regulation of blood solute concentration: Regulates the concentration of major molecules and ions such as glucose, Na+, Cl-, K+, Ca2+, HCO3-, and HPO4-.
  • Regulation of extracellular fluid pH: Excretes varying amounts of H+.
  • Regulation of red blood cell synthesis: Produces erythropoietin, which controls red blood cell creation in bone marrow.
  • Regulation of vitamin D synthesis: Controls blood levels of Ca2+ by regulating Vitamin D synthesis.

Components of the Urinary System

  • Kidneys: Bilateral retroperitoneal, bean-shaped organs; weighing 5 ounces each and roughly the size of a clenched fist.
  • Located between the 12th thoracic and 3rd lumbar vertebra.
  • The right kidney, located below the liver, and the left below the spleen.
  • Surrounded by adipose tissue and anchored to the abdominal wall by renal fascia.
  • Renal arteries supply blood from the abdominal aorta.
  • Renal veins return filtered blood to the inferior vena cava.

Renal Tubule

  • Proximal convoluted tubule: Simple cuboidal epithelium with microvilli to increase surface area.
  • Loop of Henle: Two limbs, descending and ascending, with differing permeability to water and solutes, involved in water reabsorption.
  • Distal convoluted tubule: Shorter than the proximal convoluted tubule, simple cuboidal epithelium, involved in secretion and some reabsorption.
  • Collecting ducts: Simple cuboidal epithelium carrying filtrate from cortex to medulla.

The Nephron

  • The histological and functional unit of the kidney.
  • Approximately 1.3 million nephrons in each kidney.
  • Composed of four regions: Renal corpuscle (filters blood), proximal convoluted tubule, loop of Henle, and distal convoluted tubule.

The Renal Corpuscle

  • Glomerulus: A network of capillaries that filters blood.
  • Bowman's capsule: Cup-shaped structure surrounding the glomerulus which collects filtered fluid (filtrate).

Urine Production

  • Filtration: Movement of substances from blood to Bowman's capsule into the filtrate. Filtration is non-selective.
  • Reabsorption: Movement of useful substances from the filtrate back into the blood (into peritubular capillaries).
  • Secretion: Movement of substances from the blood into the filtrate.

Urine Concentration Mechanism

  • Countercurrent Mechanisms: Fluid in separate structures flowing in opposite directions (e.g. Loop of Henle), exchanging materials between the fluids.
  • Medullary concentration gradient: Interstitial fluid in the medulla becomes increasingly concentrated, allowing for water reabsorption.

Hormonal Mechanisms

  • Renin-angiotensin-aldosterone mechanism (RAA): Regulates blood pressure via the renin enzyme, affecting Na+ and water reabsorption.
  • Antidiuretic hormone (ADH): Regulates water permeability in the distal tubules and collecting ducts; promoting water reabsorption.
  • Atrial natriuretic hormone (ANH): Decreases Na+ reabsorption and water reabsorption, reducing blood volume and blood pressure.

Kidney Diseases

  • Glomerulonephritis: Inflammation of the filtration membrane in the renal corpuscle.
  • Renal failure: Acute loss or slow progressive loss of kidney function leading possibly to needing a dialysis or kidney transplant.

Hemodialysis

  • An artificial method of blood purification.
  • Waste products in blood are diffused into a dialysis solution.

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