renal system

Systems Involved in Excretion
(Elimination of metabolic waste)

Urinary system
_____urine
Respiratory system
____________breathing
Digestive system
_______feces
Integumentary system
_____sweat

Functions of the Urinary System

Excretion of metabolic wastes
Regulation of fluid and electrolyte balance
Regulation of blood acidity-alkalinity or (pH)
Regulation of blood volume & pressure by Renin
Production of Erythropoietin hormone that stimulate RBC formation in the bone marrow
Ac

kidney

filter blood and produce urine

urether

transport urine to urinary bladder

urinary bladder

stores urine until eliminated

urethra

is tube for elimination of urine

sheaths kidney

renal capsule

outer region

renal cortex

inner region with 8-18 renal pyramids

renal medulla

apex or tip of renal pyramid

renal papila

cortical tissue between the pyramids

renal column

minor calyx

receives urine from renal papilla

major calyx

collects urine from two or more minor calyces

renal pelvis

collects urine from all major calyces

ureter

urine from renal pelvis to bladder

THE NEPHRON

Microscopic filtering units of kidneys composed of renal corpuscle, renal tubules and a blood supply
Called functional units - that make urine
About 1 million per kidney
Mostly in renal cortex with some tubules extending into renal pyramids of medulla

Renal corpuscle

Loops of capillaries called glomerulus
Double layered Bowman's capsule surrounds glomerulus

renal tubules

Proximal convoluted tubule (PCT) connects to Bowman's capsule
Loop of Henle with descending and ascending limbs
Distal convoluted tubule (DCT) is last part of nephron
DCT of several nephrons connect to a collecting duct (CD)

Four processes required for urine formation

. Filtration of water and solutes from the glomerulus blood into the Bowman's capsular space
Tubular Reabsorption of useful substances from renal tubules filtrate into the glomerulus blood
Tubular Secretion of waste products from the glomerulus blood into

FILTERATION

High glomerular capillary hydrostatic pressure of about 60 mmHg forces water and solutes through the filtration membrane which is formed by the glomerular capillary wall and visceral layer of Bowman capsule

Water and many different solutes pass from glomerulus blood into

bowmans capsule

Resulting fluid in capsular space called

filtrate

Filtrate contains

Metabolic wastes such as urea and uric acid that must be eliminated in the urine
Useful substances such as water, organic nutrients and electrolytes that must be kept

renal blood flow (RBF

Amount of blood flow through kidneys in one minute
About 1200 mL/minute
Around 10% of RBF becomes a filtrate

glomerular filtration rate (GFR)

Amount of filtrate formed in one minute
About 120 mL/minute

what is regulation of gfr done by

by controlling amount of glomurelar blood flow

what increases gfr

Dilation of afferent arteriole and constriction of efferent arteriole

auto regulation

Regulation of GFR by the juxstaglomerular / macula densa apparatus

neural regulation

Sympathetic nervous system stimulation during exercise or in circulatory shock decreases GFR

hormonal regulation

By Renin - Angiotensin - Aldosterone system

creatine

Filtered and neither reabsorbed nor secreted.

electrolytes

Filtered and partly reabsorbed

glucose

Filtered and fully reabsorbed

chemicals

Filtered and fully secreted

TUBULAR SECRETION

Some solutes removed from the blood of the peritubular capillaries back into the filtrate
---Bile acids, ammonia, urea, uric acid and some creatinine are secreted into the filtrate.
----Blood pollutants, morphine, penicillin, aspirin and other drugs are s

TUBULAR REABSORPTION

Most of filtrate removed from the nephron tubules back into the peritubular capillaries blood
65% of reabsorption in the proximal convoluted tubule

Transcellular route

Through the epithelial cells

Paracellular route

Between the epithelial cells

Transport maximum

Is the amount of a substance that can be transported before the transport proteins for that substance become fully saturated

WATER REABSORPTION

Each day, between 150-180 Liters of filtrate
Each day, 1-2 Liters of urine
Each day, about 148-178 Liters reabsorbed
Amounts of H2O reabsorbed
65% in proximal convoluted tubules
15% in descending limbs of Henle
None in ascending limb of Henle
10% in dista

Obligatory water absorption

In PCT and descending LOH
More constant

Facultative water reabsorption

In DCT and CD
Variable, depending on degree of hydration
This reabsorption is controlled by ADH

Steps in Concentration of Urine

As water loss exceeds gain, hypothalamus stimulate secretion of Antidiuretic Hormone (ADH) from the posterior pituitary
2. ADH makes the cells of the DCT and CD more permeable to water
3. More water leaves the DCT and CD and enters concentrated interstiti

Steps in Dilution of Urine

1. As water gain exceeds loss, hypothalamus stops secreting Antidiuretic hormone (ADH)
2 DCT and CD become less permeable to water and less water is reabsorbed
3. Adrenal cortex decreases aldosterone secretion, thus less salt & water is reabsorbed from fi

OBLIGATORY URINE VOLUME

THE MINIMUM URINE VOLUME THAT MUST BE EXCRETED BY THE KIDNEYS TO GET RID OF METABOLIC WASTE AND EXCESS IONS = 0.5 LITERS / DAY.
THE MAXIMUM CONCENTRATION ABILITY OF THE KIDNEYS
= 1200 - 1400 mOsm / Liter

Urine composition

95% H2O
5% solutes (solids)
Electrolytes
Nitrogenous wastes such as urea, creatinine and uric acid
urea from protein metabolism
creatine from muscle metabolism
uric acid nucleic acid metabolism

Characteristics of Urine

Color:- Yellowish to water clear
Turbidity:- Clear without turbidity
Specific gravity:- 1.00 to 1.03
pH:- Acidic, about 6

Abnormal Constituents of Urine

Albuminuria
Glucosuria
Hematuria
Pyuria
Ketonuria
Bilirubinuria
Casts
Renal calculi

THE MICTURITION REFLEX

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