Urinary System Overview and Kidney Functions
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Questions and Answers

What are the four main roles of the kidneys in maintaining blood composition?

  • Producing hormones, filtering blood, storing urine, regulating blood pressure
  • Digesting food, absorbing nutrients, transporting oxygen, removing waste products
  • Excreting nitrogen-containing wastes, maintaining water balance of the blood, maintaining electrolyte balance, ensuring proper blood pH (correct)
  • The right kidney is slightly higher than the left kidney due to the position of the liver.

    False (B)

    What is the name of the triangular region of the urinary bladder base that is based on three openings?

    Trigone

    The ______ is the functional unit of the kidney.

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

    What are the three major processes involved in urine formation?

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

    What is the name of the hormone that helps regulate blood composition and blood volume by acting on the kidney?

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

    The thirst mechanism is triggered by a decrease in blood volume only.

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

    The kidneys begin to develop in the third month of embryonic life.

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

    What is the main function of the ureters?

    <p>To carry urine from the kidneys to the bladder (B)</p> Signup and view all the answers

    Flashcards

    Urinary System Function

    The urinary system removes waste products, toxins, drugs, and excess ions from the body. It also regulates blood pressure, red blood cell production, and vitamin D activation.

    Organs of the Urinary System

    The urinary system comprises the kidneys, ureters, urinary bladder, and urethra.

    Kidney Location

    Kidneys are located retroperitoneally (behind the peritoneum) between the T12 and L3 vertebrae. The right kidney is slightly lower than the left.

    Kidney Structure (Size)

    Average adult kidney is 12 cm long and 6 cm wide.

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    Renal Hilum

    The medial indentation where structures like ureters, blood vessels, and nerves enter and leave the kidney.

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    Adrenal Gland

    An endocrine gland located on top of each kidney.

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    Protective Kidney Layers

    The kidney is protected by a fibrous capsule, perirenal fat capsule, and renal fascia.

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    Kidney Regions (Cortex)

    The outer region of the kidney.

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    Kidney Regions (Medulla)

    The inner region of the kidney, containing renal pyramids and columns.

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    Renal Pyramids

    Triangular regions of tissue within the renal medulla.

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    Renal Columns

    Extensions of cortical material that separate renal pyramids.

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    Renal Pelvis

    A funnel-shaped tube receiving urine from calyces and channeling it to ureters.

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    Calyces

    Cup-shaped structures that collect urine and send it to the renal pelvis.

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    Kidney Blood Supply

    Kidneys receive about a quarter of the total blood flow, via renal arteries.

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    Filtration in Glomerulus

    The glomerulus filters blood, forcing water and small solutes into the glomerular capsule, while retaining proteins and blood cells.

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    High Filtration Pressure

    The higher pressure in the glomerulus than in the glomerular capsule forces the filtration process.

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    Tubular Reabsorption

    Use of active and passive transport to take back needed substances (water, glucose, ions) from the filtrate into the blood via peritubular capillaries.

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    Tubular Secretion

    Opposite of reabsorption, unwanted substances (hydrogen ions, drugs) are moved from the blood into the renal tubules.

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    Urea

    A nitrogenous waste product of protein metabolism.

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    Filtrate vs. Urine

    Filtrate contains almost everything in blood plasma (minus proteins), while urine is the remaining filtrate after reabsorption of water, nutrients and ions.

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    Normal Urine Color

    Pale to deep yellow due to urochrome pigment from hemoglobin breakdown.

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    Ureters Function

    Transport urine from kidneys to the bladder via peristalsis (muscle contractions).

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    Urinary Bladder Function

    Temporarily stores urine until micturition (urination).

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    Detrusor Muscle

    The smooth muscle layer in the bladder wall that contracts during urination.

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    Micturition (Urination)

    The process of emptying the urinary bladder. It involves both voluntary and involuntary muscle actions.

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    Study Notes

    Urinary System Overview

    • The urinary system consists of organs that filter blood, remove waste, and regulate fluid balance
    • Kidneys filter blood and produce urine
    • Ureters transport urine from kidneys to bladder
    • Urinary bladder stores urine
    • Urethra carries urine outside the body

    Kidney Functions

    • Excretion of nitrogenous wastes (e.g., urea, uric acid, creatinine)
    • Regulation of blood volume and pressure (via renin)
    • Regulation of erythrocyte production (via erythropoietin)
    • Regulation of vitamin D activation
    • Maintenance of electrolyte balance
    • Maintenance of acid-base balance

    Kidney Structure

    • Retroperitoneal position (behind parietal peritoneum)
    • Level of T12 to L3 vertebrae (right kidney is slightly lower)
    • Three protective layers: fibrous capsule, perirenal fat capsule, renal fascia
    • Renal cortex (outer region), renal medulla (deeper region with renal pyramids), renal pelvis (medial region)
    • Renal hilum: a medial indentation where structures enter/exit the kidney (ureters, renal blood vessels, nerves)
    • Kidneys have a complex blood supply (one-quarter of total blood supply passes through each minute)
    • Blood supply enters via renal artery, branches into arterioles, then capillaries
    • Blood leaves via renal vein

    Nephrons

    • Structural and functional units of the kidney
    • Contains over a million nephrons per kidney
    • Two main structures: renal corpuscle and renal tubule
    • Renal corpuscle: glomerulus (knot of capillaries) and glomerular (Bowman's) capsule
    • Renal tubule: proximal convoluted tubule (PCT), nephron loop (loop of Henle), distal convoluted tubule (DCT)

    Urine Formation

    • Three processes: glomerular filtration, tubular reabsorption, tubular secretion
    • Glomerular filtration: Nonselective passive process (forces water and small solutes from blood into glomerular capsule)
    • Tubular reabsorption: Selective process (reabsorbs water, glucose, amino acids, and ions)
    • Tubular secretion: Reabsorption in reverse; moves substances from blood into filtrate (e.g., hydrogen ions, creatinine)
    • Urine characteristics: clear and pale to deep yellow, slightly acidic, sterile, slightly aromatic

    Ureters

    • Slender tubes (25-30 cm) connecting kidneys to bladder
    • Continuous with renal pelvis
    • Enter posterior aspect of bladder
    • Run behind peritoneum
    • Peristalsis aids urine transport

    Urinary Bladder

    • Smooth, collapsible muscular sac
    • Stores urine temporarily
    • Trigone: a triangular region of the bladder base with openings for ureters and urethra
    • Three layers: detrusor muscle (smooth muscle), mucosa (transitional epithelium), external fibrous connective tissue
    • Capacity: about 500 ml

    Urethra

    • Thin-walled tube carrying urine from bladder to exterior
    • Length varies (females: 3-4 cm, males: 20 cm)
    • Location in females: anterior to vaginal opening; in males: travels through prostate and penis
    • Two sphincters: internal (involuntary, smooth muscle) and external (voluntary, skeletal muscle)

    Micturition (Voiding)

    • Emptying of the urinary bladder
    • Two sphincters control urine release
    • Impulses cause bladder contractions and relaxation of sphincters to expel urine

    Fluid, Electrolyte, and Acid-Base Balance

    • Kidneys regulate water balance, electrolyte balance, and acid-base balance of the blood
    • Blood composition depends on diet, cellular metabolism, and urine output

    Hormonal Control

    • Antidiuretic hormone (ADH): regulates water reabsorption in the kidneys
    • Aldosterone: regulates electrolyte balance, particularly sodium and potassium

    Development and Problems

    • Kidneys start developing early in embryonic life and begin excreting urine by the 3rd month
    • Common congenital issues: polycystic kidney and hypospadias
    • Common urinary system problems (adults): Infections (often from Escherichia coli), urinary retention, incontinence, kidney failure

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    Description

    This quiz covers the key aspects of the urinary system, including its structure, functions, and the role of kidneys in maintaining bodily homeostasis. Focus on the filtration processes, urine transportation, and the kidneys' regulatory functions. Test your understanding of how these components work together to manage waste and fluid balance.

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