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Essentials of Anatomy and Physiology Fifth edition Seeley, Stephens and Tate Chapter 18: Urinary System Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 2.1 General Information Waste products of metabolism are toxic (CO2, ammonia, etc.) Removal from tissues: by blood and lymph Removal from blood by: Respiratory system Urinary system Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.1a Functions of the Urinary System Elimination of waste products Nitrogenous wastes Toxins Drugs Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.1a Functions of the Urinary System Regulate homeostasis Water balance Electrolytes Acid-base balance in the blood Blood pressure Red blood cell production Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.1b Organs of the Urinary system Kidneys Ureters Urinary bladder Urethra Figure 15.1a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.2 Location of the Kidneys Retroperitoneally Lateral to vertebral column The right kidney is slightly lower than the left Atop each kidney is an adrenal gland Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.3 Organs of the Urinary system Kidneys Figure 15.1a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.2 Coverings of the Kidneys Renal capsule Surrounds each kidney Adipose capsule Surrounds the kidneys Provides protection to the kidneys Helps hold kidneys in place Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.4 Regions of the Kidney Renal cortex: outer region Renal medulla: pyramids and columns Renal pelvis: collecting system Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 15.2b Slide 15.5 Kidney Structures Medullary pyramids – triangular regions of tissue Renal columns – cortical material between pyramids Calyces (sing. Calyx) cup-shaped structures collect urine Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.6 Structures involved in Urine Formation Vascular Components Afferent arteriole Glomerulus Efferent arteriole Peritubular capillaries Tubular Components Bowman’s capsule Proximal convoluted tubule Loop of Henle Distal convoluted tubule Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.6 Blood Flow in/to the Kidneys • Is extensive!!! Figure 15.2c Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.7 Nephrons The structural and functional units of the kidneys Responsible for forming urine Components of the nephrons Renal corpuscle Glomerulus and Bowman’s capsule Renal tubules Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.8 Glomerulus (“a ball of yarn”) A specialized capillary bed Attached to arterioles on both sides Wide afferent arteriole Narrow efferent arteriole Figure 15.3c Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.9a Glomerulus Covered by glomerular capsule first part of the renal tubule AKA Bowman’s capsule Figure 15.3c Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.9b Renal Tubule Bowman’s capsule Proximal convoluted tubule (PCT) Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 15.3b Slide 15.10 Renal Tubule Loop of Henle Distal convoluted tubule DCT Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 15.3b Slide 15.10 Peritubular Capillaries Arise from efferent arteriole Attached to a venule distally Surround renal tubule Reabsorb substances from tubules into blood Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.12 Renal Tubule Peritubular capillaries Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 15.3b Slide 15.10 Urine Formation Processes Filtration Reabsorption Secretion Figure 15.4 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.13 Filtration Nonselective passive process Depends on hydrostatic pressure Stops if B.P. falls too low Water and some solutes (no proteins) forced through capillary walls Taken out of blood Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.14 Filtration Blood cells cannot pass Filtrate is collected in the glomerular capsule This will become urine Leaves capsule through the renal tubule Alterations to filtrate occur in tubule Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.14 Reabsorption Moving reusable material back into the blood The peritubular capillaries reabsorb several materials Some water Glucose Amino acids Ions Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.15 Reabsorption, con’t… Some is passive, most is active 65% of reabsorption occurs in the PCT Glucose, Na+, Ca++, Cl-, HCO3 Water (by osmosis) Amino acids (by pinocytosis) Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.15 Reabsorption, con’t… Loop of Henle 15% more filtrate reabsorbed Descending limb: Water, by osmosis Ascending limb: Cl- by active transport Na+ by diffusion Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.15 Materials Not Reabsorbed Nitrogenous waste products Urea Uric acid Creatinine Excess water Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.16 Secretion: Reabsorption in Reverse Some materials move from peritubular capillaries into renal tubules Hydrogen and potassium ions Creatinine Most secretion occurs in DCT Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.17 Secretion: Reabsorption in Reverse What’s left?? Urine! Moving urine out of kidneys: tubules collecting duct minor calyces major calyces renal pelvis ureter Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.17 Formation of Urine Figure 15.5 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.18 Normal components of Urine Straw colored (pale yellow) Sterile Slightly aromatic Normal pH of around 6 Specific gravity of 1.001 to 1.035 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.19 Normal volume of Urine 0.6 – 2.5 liters/day. Depends on: Adequate B.P. Fluid intake Temperature, humidity Activity levels <30cc/hour output = kidney failure Average is 115-125 ml/hr Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.19 Abnormal components of Urine Glucose Ketones Hemoglobin/blood cells Proteins pH <4 or >8 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.19 Ureters Tubes attaching kidney to urinary bladder Continuous with the renal pelvis Enter the posterior aspect of the bladder Retroperitoneal Peristalsis, gravity move urine Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 15.20