Anatomy Unit 13: Nephrology and Urology

excretion

removal of metabolic wastes (wastes produced by cells) such as salts, urea, water, and carbon dioxide

deamination

process by which amino acids are broken down if there is an excess of protein in the liver (occurs in the liver)

nitrogenous waste

metabolic wastes that contain nitrogen and are produced from the breakdown of amino acids

ammonia, uric acid, and urea

what are the types of nitrogenous wastes?

ammonia

very toxic, has to be diluted thoroughly. fish and aquatic elements breathe it. very small amounts in the liver

uric acid

least toxic nitrogenous waste

urea

medium toxic nitrogenous waste. found in sweat and urine. this is the main nitrogenous waste

kidneys

located toward the back. you can survive with just one. filter the blood of unwanted substances such as salt, toxins, and urea. maintain the water balance throughout the body. maintain blood pressure by releasing renin. regulated red blood cell production

renin

released by the kidneys, an enzyme that activate angiotensin which causes blood vessels to constrict

renal capsule

membrane that encloses the kidney

adipose capsule

protective layer of fat around each kidney

renal cortex

outer layer of the kidney

renal medulla

inner region of the kidney that contains the structures necessary for kidney function

renal artery

where does the abdominal aorta bring blood to

back to the kidneys and subdivides into smaller blood vessels leading into the nephrons

where does the renal artery bring the blood

back to the heart through the inferior vena cava

the renal vein brings blood

nephron

main filtering unit of the kidney where urine is formed

glomerulus

cluster of capillaries that bring blood to the kidney

afferent arteriole

supplies the glomerulus with blood

efferent arteriole

carries blood from the glomerulus

abdominal aorta to the renal artery to the afferent arteriole to the glomerulus to the efferent arteriole to the capillaries to the renal vein to the inferior vena cava and to the heart

what is the blood flow

bowman's capsule

where filtration takes place

proximal convoluted tubule

leads from the bowman's capsule

loop of henle

made up of ascending and descending limbs

distal convoluted tubule

empties into the collecting duct which is the last part

glomerular filtration

solutes diffuse out of the glomerulus into bowman's capsule

glomerular filtrate

the fluid that enters into bowman's capsule and enters the nephron

urea (after amino acids), water, salts, amino acids, glucose, and drugs

what does glomerular filtrate contain

tubular reabsorption

important molecules and ions that the body wants to hold onto are reabsorbed into the capillaries including glucose, amino acids, water, and salts

180 L, and 1 to 1.5

how many liters does the kidney filter per day, and how many is in urine

reabsorption of water by osmosis

nacl reabsorption allows for

tubular secretion

substances are removed from the blood by active transport.

into the nephron

where do potassium ions move

actively transported in order to maintain the pH of body fluids

how are hydrogen ions transported

reabsorption of water

water is moved through the process of osmosis which is dependent on salt concentration. it occurs within the loop of henle and in the collecting duct. adh allows for water reabsorption into the blood from the collecting tubule

reabsorption of electrolytes

helps control blood composition including sodium and potassium
regulation of these electrolytes helps maintain many important body processes such as nerve function
bicarbonate ions help regulate blood pH

refer to notes

renin angiotensin pathway

a portion of the renal tubule

the juxtaglomerular apparatus is _____

renin will be secreted

when the juxtaglomerular apparatus receives a message that blood pressure has dropped

liver, angiotensinogen, into angioetensin 1, angiotensin II

renin travels to the _____, where is converts a protein called angiotensinogen into _______ which is then quickly converted into _____

constricting the blood vessels, stimulating adh to increase water reabsorption, stimulates the thirst center in the hypothalamus which will initiate individuals to increase fluid intake

angiotensin II increases blood pressure by

ureters

two slender muscular tubes that extend from the kidneys down to and through the urinary bladder
a full bladder compresses the ureter and prevents the backflow of urine
the ureter consists of epithelial cells, involuntary muscle, and fibrous connective tis

urinary bladder

temporary storage of urine
consists of transitional epithelium (allows for expansion)

urethra

tube that extends from the bladder to the outside
it is much shorter in females than in males
two muscular sphincters (internal urethral sphincter and external urethra sphincter) control urination

urination

as the bladder fills with urine, stretch receptors in its walls send impulses to the center of the spinal cord
motor impulses from this center stimulate contraction of the bladder wall, forcing urine outward

micturition

act of passing urine
as the bladder fills, this reflex occurs (though it is under voluntary control)

urine composition

nitrogenous wastes (urea)
electrolytes (NaCl, sulfates, phosphates),
pigment (yellow from bile compounds, but should be diluted)
and water

abnormal components of urine

glucose (a result of diabetes)
albumin (protein as a result of a kidney disorder)
blood (known as hematuria- a result of kidney disease, UTI)
wbc (usually a result of infection)

polycystic kidney disease

cysts from within the kidney tissue and gradually destroy normal kidney tissue
it an autosomal dominant genetic disorder that may end in kidney failure
hemodialysis is a common treatment

nephritis

inflammation of the kidney
may be caused by bacteria
fluid builds up in the kidney tissue blocking the function of nephrons
treated with antibiotics

glomerularnephritis

umbrella term for a large variety of kidney disorders
most common kidney disorder
inflammation of the glomeruli which will prevent the proper filtering of the blood
caused by infection, immune disorder, high blood pressure, and diabetes

renal failure

sudden serious decrease in kidney function
may become chronic and destroy nephrons
symptoms include dehydration, edema, electrolyte imbalance, anemia, and uremia

edema

when adequate water can't be emitted, and it causes a build up of fluid.
lumps in legs

anemia

kidneys don't function properly, no epo, no red blood cells

uremia

build up of excess nitrogenous wastes in the blood

kidney stones

collection of sold material that may block kidneys and ureters.
treated with ultrasonic sound waves

cystitis

inflammation of the bladder
much more common in women then in men because of shorter urethra
commonly known as a bladder infection
classified as a UTI
treated with antibiotics

UTI

urinary tract infection

urinary incontinence

involuntary loss of urine
may be caused by neurological disorders, trauma to the spinal cord, medication, or weakness in pelvic flour muscles such as during labor
treated with catheter