Chapter 18: Urinary System
what is glomerular filtrate made up of?
-H2O -small molecules: glucose, NaCl, amino acids, K+, HCO3, -waste: urea and creatinine
urethra
-continuation of neck of bladder -proximal and distal ends are both sphincters -lined with transitional epithelium
ureters
-continuous with renal pelvis - 3 layers: transitional epithelium (inner), smooth muscle layer (middle - contract urine down), fibrous CT (outer - provides strength and support)
What are the 5 main functions of the kidneys?
1. filtration of waste 2. H2O homeostasis 3. acid/base balance 4. RBC homeostasis 5. regulate BP
what are the three methods of waste elimination?
1. filtration: filters out blood that passes through the kidneys 2. reabsorption: body reabsorbs useful things into peritubular capillaries 3. secretion: body secretes additional waste into tubules from the blood
What percentage of blood goes to the kidneys with each heart beat?
25%
What hormone is regulated by the kidney?
ADH
Which two hormones play a major role in the control of the amount of water contained in urine?
ADH and aldosterone
antiduretic hormone (ADH)
Hormone made within the pituitary gland that travels to kidney via blood - regulates water reabsorption - stops urination -receptors are located in DCT & collecting ducts
aldosterone
Hormone that stimulates the kidney to retain sodium ions and water and is made within the adrenal gland
Where does secretion occur?
PCT -uric acid -ammonia -antibiotics & other medications DCT -K+ -H+
Glomerular capillaries are a continuation of the
afferent arterioles.
What three substances are eliminated from the body through tubular secretion?
ammonia, hydrogen, potassium
what is the path of urine drainage?
collecting duct, papillary duct, minor calyx, major calyx, renal pelvis, ureter, urinary bladder
macula densa cells
constantly monitor NaCl concentrations in blood - when NaCl levels decrease, BP decreases which sends a message to the juxtaglomerular cells to release renin (start of RAAS)
A renal corpuscle is located in the renal
cortex
The outermost layer of the kidney is the
cortex The cortex is the layer that is visible grossly in an intact kidney after the capsule has been removed. The hilus is the indented area on a bean-shaped kidney where the blood vessels enter and leave the kidney and the ureters leave the kidney.
The right kidney sits __ to the left kidney
cranial
Which portion of the renal segment is under ADH and aldosterone stimulation?
distal convoluted tubule
Location of ureters
dorsal, caudal surface partially found in both the parietal peritoneum and retroperitoneal space
What two substances are normally 100% reabsorbed in the PCT?
glucose and amino acids
Where do blood vessels, lymph vessels, and nerves enter and leave the kidney?
hilus
Which two ions can the kidney preserve or excrete to regulate the blood pH?
hydrogen and bicarbonate
The medulla of the kidney is made up of mostly
loops of henle
polyuria
lots of urine
The collecting system in the kidney is responsible for __________
making final adjustments to the sodium ion concentration and volume of urine
When antidiuretic hormone levels rise, the distal convoluted tubule becomes __________.
more permeable to water; water reabsorption increases
what is secretion?
movement of wastes from the blood stream (peritubular capillaries) into the PCT/DCT tubules
secretion
movement of wastes from the bloodstream into PCT and DCT -PCT secretes uric acid, ammonia, and meds -DCT secretes K+ and H+ ions -loop of henle ammonium and urea
The basic functional unit of a kidney is the
nephron
Oxygen transfer to the cells of a nephron takes place in the
peritubular capillaries. Peritubular capillaries surround each nephron. An afferent glomerular arteriole brings oxygenated blood into the glomerulus. An efferent glomerular arteriole carries blood (still oxygenated) away from the glomerulus. The glomerular capillary tuft is where fluid is filtered out of blood but no oxygen exchange takes place.
What are fenestrations?
pores in the capillary endothelium that help transfer plasma out of the capillaries. They are large and allow more fluid to leave - this fluid is called glomerular filtrate
Most of the nitrogenous waste in the body is a result of
protein metabolism Proteins are broken down into amino acids and ammonia, which contain nitrogen, a waste product of amino acid metabolism. Carbohydrate metabolism produces glucose. Erythrocyte breakdown produces heme and globin. Fat metabolism produces fatty acids.
60 to 70 percent of the water is reabsorbed in the __________.
proximal convoluted tubule
What is the primary site of nutrient reabsorption in the nephron?
proximal convoluted tubule
Where does filtration occur?
renal corpuscle (glomerulus) --> it produces a fluid called glomerular filtrate
What are the four parts of a nephron?
renal corpuscle, proximal convoluted tubule, loop of Henle, distal convoluted tubule
oliguria
small frequent urination
Where does reaborption occur?
the PCT to peritubular capillaries reabsorbs 100% glucose and amino acids & 80% of everything else
The renal corpuscle consists of __________.
the glomerular capsule and the glomerulus
Contraction of the muscular bladder forces the urine out of the body through the __________.
urethra
reabsorption
movement of useful things back into the bloodstream from PCT and DCT -PCT absorbs 100% glucose and amino acids and 80% of Na, Cl, K+, HCO3, H20, creatinine and urea -DCT absorbesa little more H20 and NaCl -Loop of Henle absorbs Na, Cl, and H20
What is the primary site in the nephron where the loss of water, sodium, and potassium ions is regulated?
nephron loop and collecting duct
The term for a condition where very little urine is being passed is
oliguria
The high blood pressure in glomerular capillaries forces some __ to leave the blood
plasma The plasma becomes glomerular filtrate after it leaves the blood. Plasma is mostly water, but there are solutes dissolved in the water. Red blood cells don't pass through the capillary walls.
What is the expanded, funnel-shaped structure in the kidney leading to the ureter?
renal pelvis
Because the kidneys sit between and peritoneum and the dorsal abdominal muscles, they are considered
retroperitoneal - Retroperitoneal means "behind the peritoneum" and indicates that the kidney isn't covered with visceral peritoneum. Intrahepatic means "within the liver." Intramuscular means "within a muscle." Retrorenal means "behind the kidney."
diabetes ins
this happens when there is very low or no ADH -associated with issues within the pituitary gland and polyuria
The ureters are lined by what kind of epithelium, which allows them to be stretched when undergoing peristalsis and moving urine?
transitional
The openings of the urethra and the two ureters mark an area on the internal surface of the urinary bladder called the __________.
trigone
diuresis
urination
mucturition
urination
What is the purpose of the stretch receptors found within the bladder?
whenever the bladder fills to a certain point, the stretch receptors will send a message to the spinal cord which will then send a message back to the detrusor muscles to contract -this is how one develops voluntary control of urination
The __ is a tuft of capillaries that filters blood in the first stage of urine production.
glomerulus
What results from the effect of aldosterone along the DCT, the collecting tubule, and the collecting duct?
increased conservation of sodium ions and water
What is the correct order of organs of the urinary system from cranial to caudal
kidneys, ureters, urinary bladder, urethra The kidneys are located in the dorsal part of the abdomen. The ureters enter and leave the kidney on the medial side at the hilus. Urine is constantly being produced by the kidneys and sent down through the ureters into the urinary bladder for storage until it is eliminated. The neck of the bladder extends caudally from the sac into the pelvic canal, and joins the urethra.
Aldosterone stimulates ion pumps along the distal convoluted tubule (DCT), the collecting tubule, and the collecting duct, causing __________.
a reduction in the number of sodium ions lost in the urine
A kidney can slowly lose nearly __ of its functional ability to make urine before clinical signs of renal failure appear.
67% -Roughly two thirds of kidney function can be gone before clinical signs of renal failure appear. Below 67% loss the animal would slowly be losing renal function but the other kidney and what's left of this kidney will compensate. More than 90% loss is not compatible with life.
anuria
absence of urine
What hormone regulates the kidneys sodium reabsorption?
aldosterone
The BUN is a measure of
blood urea nitrogen. The test measures how much urea nitrogen is in the blood to see how well the kidney is removing the waste product ammonia (containing nitrogen) from blood
ADH stimulates the reabsorption of water in __________.
both the distal convoluted tubule and the collecting system
What is the triple-layered muscle responsible for urinary bladder contractions?
detrusor
Location of the bladder
empty: pelvic canal (completely for large animals and mostly in small animals) full: extends into the abdomen - thin walled and easy to rupture
What hormone is produced by the kidney
erythropoietin
he thin segments in the nephron loop are __________.
freely permeable to water and relatively impermeable to ions and other solutes
What is the difference between glomerular filtrate and tubular filtrate?
glomerular filtrate that leaves the glomerular capillaries in the capsular space inside the renal corpuscle the tubular filtrate is when the GF enters the PCT to the DCT
What is the outward pressure forcing water and solute molecules across the glomerulus wall?
glomerular hydrostatic pressure