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Explore the vital functions, intricate structures, and health considerations of the urinary system. Learn about the kidneys, nephrons, urine formation, kidney stones, bladder function, urinary tract infections, and more.
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Urinary System Chapter 18
Function • Removes organic wastes • Regulating blood volume and blood pressure • Electrolyte regulation • pH • Homeostasis
Organization of the Urinary System • 2 Kidneys • 2 ureters • 1 bladder • 1 urethra (~1 inch for a girl and ~7-8 inches in a guy)
Renal cortex Renal medulla Renal pelvis Renal capsule Renal pyramids Renal columns Major/minor calyx Kidney Structures
Blood Supply • Renal Artery • Afferent arteriole • Glomerulus • Efferent arteriole • Peritubular capillaries • Venules • Renal vein
Functioning Unit • Nephron • 1.25 million per kidney • 85 miles
Parts of a nephron • Bowman’s Capsule • Proximal Convoluted Tubule • Descending Loop of Henle • Ascending Loop of Henle • Distal Convoluted Tubule • Collecting Duct
Cortex Medulla
Filtrate • Normal BP forces ions, water, urea, glucose and other organic substances into the Bowman’s capsule • This is the filtrate • It shouldn’t contain blood, bacteria or high amounts of glucose
Nephron Function • Reabsorb useful organic molecules from the filtrate • Reabsorbing 90% of the water • Additional collection of waste products missed by filtration
Proximal Convoluted Tubule • Water and solutes reabsorbed into cortex
Loop of Henle • Water and NaCl are absorbed into cortex and medulla
Distal Convoluted Tubule • Ions, acids, drugs and toxins from cortex are added to the filtrate • Variable loss or gain of water and solutes due to concentrations
Collecting Duct • Variable loss/gain of water, solutes and urea • What’s left goes to a minor calyx of the renal pelvis
Peritubular Capillaries • Surround nephron • Return needed water and substances to the bloodstream
Urea • A safe way to transport nitrogenous wastes in the body • Created by liver • Most abundant organic waste (21 grams a day)
Creatinine • Organic waste produced by muscle contraction due to the break down of creatinine phosphate • 1.8 grams a day
Glomerular Filtration Rate • GFR • 125ml/minute • 180 Liters or 50 gallons/day • 99% is reabsorbed
Properties of Normal Urine • pH ~ 6.0 • Water content 93-97% • Color = clear yellow • Odor = depends on composition • Bacterial content = sterile • Volume = 700 – 2000 ml/day
Regulation of Kidney Function • Arterioles adjust to variations in BP • Can be shut down by the sympathetic NS • Dilation of BV near skin shunts blood away from kidneys (temporary) • Hormonal control
Hormones • Antidiuretic Hormone = (ADH) collecting duct reabsorbs as much water as possible and triggers thirst (post. Pituitary) • Aldosterone = Collecting duct absorbs as much salt as possible (helps maintain BP) (adrenal)
Ureters • Can close at bladder preventing backflow • Use peristalsis
Kidney Stones • Made of Ca oxalate deposits, Mg salts, uric acid crystals • Can be the most painful ailment • Can be found in ureter or bladder too
Bladder • A full bladder can hold up to a liter of fluid • Attached to pelvis • Internal urethral sphincter (involuntary)
Urethra • External urethral sphincter allows you to control urination (voluntary, after ~2 yrs)
Micturition Reflex • That gotta go feelin’ • Due to a full bladder
Incontinence • Inability to control urination • Babies (Until 2 years old) • Trauma (childbirth, automobile accident), weak muscles = cough/sneeze = leaking • Damage to the CNS (Alzheimer’s, Damage to spinal cord)
UTI • Urinary Tract Infection • Caused by bacteria or yeast • E. coli is most common • Female anatomy makes them more susceptible • Blood and bacteria can be found in urine • Can back up into renal pelvis
Cranberry Juice???? • D – mannose from cranberry juice prevent E. coli from attaching to bladder wall
Renal Failure • When kidney function drops below requirements for homeostasis • Acute = happens quickly (blockage, trauma, etc) • Chronic = gradual deterioration (disease, EX: diabetes mellitus)
Tx • Diet (restricted salt/ water/protein intake) • Dialysis • Kidney Transplant
Dialysis Dialysis Animation Dialysis Procedure