Urinary System Overview and Anatomy

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Questions and Answers

What role do podocytes play in the filtration process?

  • Facilitate active transport of sodium
  • Regulate blood pressure in glomerulus
  • Form the inner layer of Bowman’s capsule (correct)
  • Secrete waste products into urine

Which substance is primarily reabsorbed in the proximal convoluted tubule (PCT)?

  • Urea
  • Glucose (correct)
  • Potassium
  • Creatinine

Which statement about the Loop of Henle is true?

  • It is permeable to sodium and urea.
  • It actively transports water out of the filtrate.
  • It reabsorbs 100% of potassium.
  • It creates a hyperosmotic medulla. (correct)

What does the presence of glomerular damage indicate?

<p>Potential loss of filtration barrier integrity (C)</p> Signup and view all the answers

What influences the reabsorption of water in the collecting duct?

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

What happens to the bladder as it fills with urine?

<p>It becomes pear-shaped and extends cranially into the abdominal cavity. (D)</p> Signup and view all the answers

What role does the detrusor muscle play in micturition?

<p>It is inhibited by the brain until the bladder is ready to empty. (A)</p> Signup and view all the answers

Which statement is true regarding the anatomy of the female and male urethra?

<p>The female urethra is short and straight, while the male urethra is longer and curved. (B)</p> Signup and view all the answers

What initiates the sensation of needing to urinate?

<p>Stretch receptors in the bladder signaling when it is full. (C)</p> Signup and view all the answers

What differentiates acute kidney disease from chronic kidney disease?

<p>Acute kidney disease has an abrupt onset and may be reversible. (A)</p> Signup and view all the answers

What is the main function of the renal system?

<p>Homeostasis and maintaining blood balance (A)</p> Signup and view all the answers

Which of the following components is part of the renal corpuscle?

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

What role do kidneys play regarding nitrogenous wastes?

<p>They filter and excrete nitrogenous wastes (D)</p> Signup and view all the answers

Which hormone produced by the kidneys helps regulate blood pressure?

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

What is the functional unit of the kidney called?

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

What is NOT a role of the kidneys in urine formation?

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

How do the kidneys affect fluid balance in the body?

<p>By deciding how much water to send with filtrate (A)</p> Signup and view all the answers

What is the purpose of the vasa recta in the kidneys?

<p>To create a concentration gradient in the medulla (A)</p> Signup and view all the answers

What role does aldosterone play in the nephron?

<p>Increases sodium reabsorption in the DCT and collecting duct (A)</p> Signup and view all the answers

How do juxtaglomerular (JG) cells contribute to blood pressure regulation?

<p>They secrete renin if they detect low blood pressure (D)</p> Signup and view all the answers

What effect does anti-diuretic hormone (ADH) have on the kidneys?

<p>Increases the permeability of the collecting ducts to water (C)</p> Signup and view all the answers

What is the function of the macula densa in the nephron?

<p>It senses sodium concentration and indicates changes in GFR (B)</p> Signup and view all the answers

What is the main consequence of activating the renin-angiotensin-aldosterone system (RAAS)?

<p>Increased arterial constriction and blood pressure (C)</p> Signup and view all the answers

What type of muscle is primarily responsible for peristalsis in the ureters?

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

What anatomical feature describes the arrangement of openings in the urinary bladder?

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

During which physiological condition is renin released from the juxtaglomerular cells?

<p>When blood pressure falls or sodium concentration decreases (A)</p> Signup and view all the answers

Flashcards

Glomerular Fenestrations

Tiny holes in the walls of blood capillaries in the glomerulus, allowing small molecules to pass through and enter the Bowman's capsule for filtration. They prevent large molecules like blood cells and proteins from entering the filtrate.

Glomerular Filtration

The process where blood is filtered in the glomerulus, creating a fluid called glomerular filtrate, which then passes through the tubules for further processing.

Podocytes

Specialized cells that form the inner layer of Bowman's capsule, creating a barrier that filters blood in the glomerulus. They have finger-like projections called pedicels that wrap around the capillaries.

Glomerular Filtration Rate (GFR)

The amount of blood that passes through the kidneys each minute. This measurement indicates the efficiency of the kidneys.

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Reabsorption

The process of moving substances from the blood back into the tubules. This process occurs mainly in the proximal convoluted tubule (PCT).

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What is the detrusor muscle?

The detrusor muscle is a smooth muscle that lines the bladder, responsible for bladder contraction during urination. This muscle is composed of 3 layers that help to squeeze urine out of the bladder.

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What triggers the micturition reflex?

The micturition reflex is a spinal reflex that controls the emptying of the bladder. It is triggered by the stretching of the bladder wall as it fills with urine.

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What is the internal urethral sphincter?

The internal urethral sphincter is a smooth muscle that surrounds the urethra and helps to prevent urine leakage. It is controlled by the autonomic nervous system.

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What is the external urethral sphincter?

The external urethral sphincter is a skeletal muscle that surrounds the urethra and is under voluntary control. This allows conscious control over urination.

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What is a cystoscopy?

A cystoscopy is a procedure where a thin tube with a camera is inserted into the bladder to examine its lining. It helps to find problems like bladder stones, tumors, or inflammation.

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Reabsorption in the Nephron

The process of returning substances from the filtrate back into the bloodstream.

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Secretion in the Nephron

The process of removing substances from the blood and adding them to the filtrate.

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Anti-diuretic Hormone (ADH)

The hormone that controls water reabsorption in the collecting ducts. It opens pores, allowing more water to be reabsorbed back into the blood.

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Aldosterone

The hormone that increases sodium reabsorption in the distal convoluted tubule (DCT) and collecting duct. As sodium moves out of the tubules, water follows because of osmosis.

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Juxtaglomerular Cells

Specialized cells located on the afferent arteriole that monitor blood pressure and secrete renin when necessary.

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Macula Densa

Specialized cells in the ascending loop of Henle, near the DCT, that monitor sodium concentration in the filtrate. They release prostaglandins to vasodilate the afferent arteriole and tell the juxtaglomerular cells to release renin when sodium levels are low.

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Renin-Angiotensin-Aldosterone System (RAAS)

A mechanism that controls blood pressure by regulating water and sodium reabsorption. It involves a chain reaction starting with renin released from the juxtaglomerular cells.

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Juxtaglomerular Apparatus (JGA)

A specialized structure where the afferent arteriole and distal convoluted tubule come close together. It plays a key role in regulating blood pressure.

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What is the function of the renal system?

The renal system is a vital part of the excretory system in mammals, responsible for maintaining homeostasis by regulating fluid balance, pH, electrolytes, and eliminating nitrogenous waste products.

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Describe the location of the kidneys.

Kidneys are retroperitoneal organs, meaning they are located behind the peritoneum. The right kidney is typically positioned more cranially (toward the head) than the left kidney, except in pigs and grasscutters.

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What is the difference between visceral and parietal peritoneum?

The visceral peritoneum is the layer that directly covers the organs, while the parietal peritoneum lines the abdominal cavity. This is similar to the visceral and parietal pericardium, which surround the heart.

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How does the renal system function to clean the blood?

The renal system filters blood to remove waste products, reabsorbs essential substances, and secretes unwanted compounds into the filtrate. It also regulates water retention and excretion.

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What are the hormones produced by the kidneys?

Erythropoietin stimulates red blood cell production, prostaglandins have various effects on blood vessels and inflammation, and renin regulates blood pressure through water and sodium retention. These hormones interact with other hormones like ADH and aldosterone.

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What is the functional unit of the kidney?

The nephron is the functional unit of the kidney, responsible for filtering blood, reabsorbing essential substances, and secreting waste products. Its intricate structure and association with blood vessels enable these vital processes.

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What is the renal corpuscle, and how does it contribute to filtration?

The renal corpuscle is composed of the glomerulus, a network of capillaries, and Bowman's capsule, which encloses the glomerulus. Blood pressure is high in the glomerulus, facilitating filtration.

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Explain the processes of filtration, reabsorption, and secretion in urine formation.

Filtration, reabsorption, and secretion are key processes in urine formation. Filtration occurs in the renal corpuscle, where blood pressure forces fluid and small solutes into Bowman's capsule. Reabsorption takes place in the renal tubules, where valuable substances are returned to the blood. Secretion involves actively transporting substances from the blood into the renal tubules for excretion.

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Study Notes

Urinary System Overview

  • The urinary system is a subsection of the excretory system
  • Key functions include nephrogenesis, calcitriol production, nephrectomy, and regulation of renal blood pressure.
  • Also, urine production, and maintenance and regulation of blood and electrolytes.

Other Excretion Methods

  • Mammals excrete waste through sweat, exhaled gases, and feces.

Basic Anatomy of the Urinary System

  • Kidneys are retroperitoneal, except in pigs and grasscutters, where they are more cranial.
  • The urinary system includes kidneys, ureters, bladder, and urethra.
  • Anatomy diagrams demonstrate the position and connection of these structures within the body.

Renal Biopsy Procedure

  • Renal biopsies may be performed using laparoscopy.
  • The biopsy needle is carefully inserted into the kidney cortex to collect a sample for diagnosis.

Basic Function: Homeostasis

  • The renal system keeps blood (and cell function) balanced by regulating: fluid, pH, electrolytes, and nitrogenous wastes.

Kidney Function Analogy

  • Cleaning a refrigerator is a good analogy for the general function of the kidneys.
  • Filters the blood, reabsorbs “good” items, removes waste products, and filters and removes any unnecessary water. Urine is the byproduct.

Hormone Production

  • Erythropoietin (EPO) and Prostaglandins (PGs) relate to blood pressure and water regulation.
  • Renin - helps in blood pressure regulation by regulating water and sodium retention. Also affected by ADH and aldosterone.

Gross Anatomy

  • Cystotomy in spayed female dogs is a common procedure discussed in the lab.

Renal Cortex and Medulla

  • The renal cortex and medulla have specific structures, such as pyramids and columns, and blood vessels for proper kidney function.

Nephron Structure/Function

  • The nephron is the functional unit of the kidney, filtering blood to produce urine.
  • Important blood vessels accompany the nephron.
  • Key parts of a nephron include the glomerulus, Bowman's capsule, proximal convoluted tubule, loop of Henle, and distal convoluted tubule.
  • A series of intricate processes happen in these parts, creating a filtrate and reabsorbing useful materials for the body.

Renal Blood Vessels

  • Blood vessels (arteries and veins) are meticulously arranged for the flow of blood through the kidneys.

Renal Vasculature

  • The renal vasculature includes a complex array of arteries and veins.
  • The flow of blood through the kidneys is essential for filtration, reabsorption, and secretion processes.

Another View of Kidney Vessels

  • Various blood vessels, such as interlobular, arcuate, interlobar, and segmental arteries and veins, lead to a complex network of capillaries for effective blood filtration.

Nephron Relation to Blood

  • The nephrons are closely associated with blood and its vessels, which plays a critical role in kidney function.

Kidney Functional Unit - Nephron

  • Sections explain the nephron, showing details of its components involved in filtering blood and creating urine.

Nephron Function Details

  • How the nephron, in a short overview, works to create a concentration gradient in the medulla for urination and reabsorption.
  • The nephron steps show what components are involved during the creation and excretion of urine.

Filtration, Reabsorption, and Secretion

  • Filtration, reabsorption, and secretion are the processes of the kidney that filter blood, reabsorb necessary components, and secrete unnecessary waste products.
  • Parameters such as glomerular filtration rate (GFR) are considered when discussing filtering, reabsorbing, and secreting waste products.
  • The various processes occur within the nephron to produce urine and reabsorb necessary components.
  • The key layers involved in the processes and substances that need to be moved across these layers are examined in detail.

Renal Blood Supply - Glomerulus

  • The glomerulus receives blood for filtration.
  • The afferent arteriole brings blood into the glomerulus, and the efferent arteriole carries filtered blood away.

Filtration, Reabsorption, Secretion Processes

  • Big fenestrations in caps of glomerulus allow small molecules to pass through into the bloodstream.

Podocytes and Bowman's Capsule

  • Podocytes are specialized cells in the inner lining of Bowman's capsule that are crucial to filtration.
  • These cells form a filtration barrier.

Additional Filtration, Reabsorption, Secretion Details

  • Specific values (e.g., GFR in mL/min) and daily volume data (e.g., total urine output) help illustrate the processes.

Filtration, Reabsorption, Secretion Summary

  • Detailed overview of the various specific substances that are filtered, reabsorbed, or secreted, including ions (Na+, K+, Ca2+, Mg2+), glucose, amino acids, bicarbonate, water, etc.
  • Active and passive transport mechanisms play a role in getting the needed components into and out of the bloodstream.
  • Detailed diagrams show the movement of different substances between the layers and into the bloodstream.

Ureters and Urethra

  • Peristalsis in ureters involves continuous movement of urine.
  • The urethra in females is short and straight while it is longer and curved in males.
  • Ureters enter the bladder obliquely to prevent backflow.
  • Specialized transitional epithelium lines the urethra in both sexes.

Ectopic Ureters

  • This is an abnormality where the ureter opens at an incorrect location, potentially leading to damage.

Urinary Bladder Structure

  • The bladder stores urine and has a muscular structure, a neck region with a trigone, and transitional epithelium.
  • Bladder anatomy diagrams illustrate these features.

Micturition (Urine Elimination)

  • The process of urine discharge involves several phases including spinal reflex, external/internal sphincter activity.
  • Factors such as urine accumulation, stretch receptors, motor signals to detrusor muscles, and the sensation to “go pee” are involved.

Kidney Disease - Acute vs. Chronic

  • Clinical chemistry results aid in the diagnosis.

Imaging Techniques

  • Radiographic imaging (lateral abdominal radiograph), IV urography, and cystoscopy can aid in diagnosis.

Other Clinical Notes

  • Detailed information about the diseases and imaging techniques for clinical assessments.

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