Chapter18 - Urinary System

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Chapter18 - Urinary System

Transcript of Chapter18 - Urinary System

Copyright © 2012 F.A. Davis Company

Understanding Anatomy & PhysiologyUnderstanding Anatomy & PhysiologyA Visual, Interactive ApproachA Visual, Interactive Approach

Chapter 18

The Urinary SystemThe Urinary System

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KidneysKidneys

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Renal cortex

Renal medulla

Renal columns

Renal pyramid

Minor calyx

Major calyx

Renal pelvis

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Blood vessels, nerves, and the ureter enter and leave the kidney from the:

A.renal pelvis.B.hilum.C.calyx.D.renal pyramid.

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Correct answer: B

Rationale:The renal pelvis, formed by the convergence of the major calyces, channels urine out of the kidney.The calyx collects urine leaving the papilla.Renal pyramids are the cone-shaped sections in the kidney.

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Renal circulationRenal circulation

Renal artery

Renal vein

Nephron

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Afferent arteriole

Glomerulus

Efferent arteriole

Peritubular capillaries

Vein

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Renal corpuscleRenal corpuscle

Bowman’scapsule

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Proximal convoluted tubule

Loop of Henle

Distal convoluted tubule

Collecting duct

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What are the filtration units of the kidney?

A.Renal corpuscleB.GlomerulusC.NephronD.Renal pelvis

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Correct answer: C

Rationale: The renal corpuscle is part of the nephron.The renal corpuscle contains the glomerulus.The renal pelvis funnels urine out of the kidney.

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Urine formationUrine formationUrine formation involves three processes:1.Glomerular filtration2.Tubular reabsorption3.Tubular secretion

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Glomerular filtrationGlomerular filtration

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Regulation of GFRRegulation of GFR Glomerular filtration rate [GFR]

should be constant, despite changes in blood pressure.

If flow is too high, the body will lose excessive water and nutrients.

If flow is too low, tubules may reabsorb toxins.

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<View animation on "Renin-angiotensin-aldosterone system">

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Tubular Tubular reabsorption and reabsorption and

secretionsecretion

<View animation on "Urine formation">

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Most sodium is reabsorbed from the glomerular filtrate in the:

A.proximal convoluted tubule.B.distal convoluted tubule.C.collection duct.D.glomerulus.

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Correct answer: A

Rationale:The distal convoluted tubule and collection ducts reabsorb variable amounts of water and salt.In the glomerulus, water and small solutes filter out of the blood and into Bowman’s capsule.

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Hormones that affect the Hormones that affect the urinary systemurinary system

HORMONE EFFECT ON RENAL TUBULE

Aldosterone Reabsorbs: NaCl; H2OExcretes: K+

Atrial natriuretic peptide (ANP) Excretes: NaCl; H2O

Antidiuretic hormone (ADH) Excretes: H2O

Parathyroid hormone (PTH) Reabsorbs: CalciumExcretes: Phosphate

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Composition of urineComposition of urine Consists of 95% water; 5% dissolved

substances Reveals information about health of

kidneys and other organs

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Storage and elimination of Storage and elimination of urineurine

Ureter

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Urinary bladderUrinary bladder

External urinary meatusExternal urinary sphincter

Internal urethral sphincter

Trigone

Rugae

Detrusor muscle

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UrethraFemale Male

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UrinationUrination1. Stretch receptors send impulses to

spinal cord.2. Spinal cord sends motor impulses to

bladder.3. Pons can override impulses.4. The brain sends signals to contract

or relax sphincters.<View animation on "Micturition reflex">

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The triangular-shaped smooth area on the floor of the bladder is called the:

A.rugae.B.papilla.C.cortex.D.trigone.

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Correct answer: D

Rationale:Rugae are folds of tissue on the inside of the bladder.Papillae are the blunt points of the renal pyramids.The cortex is the outer zone of the kidney.