Urinary Tract Structure and Function 1 Flashcards

(29 cards)

1
Q

Renal?

A

Pertains to the kidneys.

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2
Q

Renal sinus?

A

A recess in the substance of the kidney, occupied by the renal pelvis, calices, vessels, nerves, and fat.

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3
Q

Renal pelvis?

A

The funnel shaped expansion of the proxmial end of the ureter, it is usually within the renal sinus.

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4
Q

Renal papilla?

A

The blunted apex of a renal pyramid.

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5
Q

Calix?

A

A cuplike organ or cavity, for the kidney, one of the recesses of the kidney pelvis which enclose the tips of the pyramids.

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6
Q

Renal lobe?

A

Comprising the tissue contributing to each pyramid.

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7
Q

Urinary system?

A

The main organs of the urinary system:
1.) Pair of kidneys: filter the blood.
2.) Pair of ureters: drains urine from kidney.
3.) Urinary bladder.
4.) Urethra.

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8
Q

Upper and Lower urinary tract?

A

-Upper:
1.) Kidneys.
2.) Ureters.
-Lower:
1.) Urinary bladder.
2.) Urethra.

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9
Q

Overview of urinary tract?

A

-The kidneys are paired.
-The kidneys form urine from blood.
-The ureters convey the urine from the kidneys to the urinary bladder.
-The urinary bladder stores the urine.
-The urethra is the passage from the bladder that the urine passes through to reach the exterior: in addition, the urethra in the male conveys the reproductive products.

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10
Q

Kidneys- function?

A

-To gain an appreciation of the anatomy of the kidneys, it is helpful to think of this in combination with their main function.
-One of the main functions of the kidneys is to maintain the internal environment: link to homeostasis lecture.
-The kidneys maintain the internal environment by filtering the plasma.

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11
Q

Plasma composition?

A

Plasma is made up of:
1.) Water.
2.) Proteins: primarily albumin, globulin, and fibrinogen.
3.) Electrolytes: such as sodium, chloride, and hydrogen carbonate.
4.) Dissolved gases.
5.) Nutrients: such as glucose, lipids, amino acids, vitamins.
6.) Waste products: such as urea, creatinine, uric acid, and lactic acid.
7.) Hormones.
-Initially when filtering the plasma they extract a huge amount of fluid and then subject this ultafiltrate to further processing, such as:
1.) Selectively reabsorbing useful substances.
2.) Concentrating waste products for elimination/removal in the urine.
3.) Altering water concentration to maintain the composition of plasma within the appropriate range.

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12
Q

What are the two endocrine functions of the kidneys?

A
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13
Q

What glands are situated near the kidneys?

A

Adrenal.

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14
Q

Kidney- gross anatomy?

A

-The kidneys are a firm, reddish-brown gland.
-The external appearance of the kidneys varies among mammals:
1.) Kidney shape: dogs, cats, small ruminants.
2.) Flat-shape: pigs.
3.) Heart-shaped: horses.
4.) Lobulated-shape: bovine.
-The kidneys are usually found against the abdominal roof (i.e., dorsally) at the lumbar region.
-Genereally, the right kidney sits further cranially than the left: expect for pigs.
-The right kidney, sitting more cranially, within the renal impression (fossa) of the caudate liver lobe.
-The right kidney is a bit more firmly fixed because of liver fossa, while the left is more mobile and sags within the abdomen.
-The kidneys are each covered by a fibrous capsule that should peel off easily (except at the hilus).
-The ventral surface of the:
1.) Right kidney: descending duodenum, pancreas, caecum, and ascending colon.
2.) Left kidney: descending colon, jejunum (spleen is related to cranial pole).
-The kidneys are retroperitoneal and surrounded (or almost entirely covered) by fat.
-The kidneys have a nice smooth outer surface which is convex: the bovine kidneys have a smooth, but lobulated texture.
-On the medial aspect of the kidneys there is an indentation.
-The indentation leads to a space, the renal sinus, which is occupied by the start of the ureter, the renal pelvis.
-Vessels, nerves, and fat are also located at the indentation.
-The indentation is referred to as the hilus.

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15
Q

Kidneys on cross-section?

A

-The parenchyma of the kidneys are enclosed by a tough fibrous capsule (as discussed eariler).
-When a kidney is cut in a cross-section you can clearly see the parenchyma is divided into:
1.) Outer cortex.
2.) Inner medulla.

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16
Q

Kidney- medulla?

A

-In many species, the inner medulla is arranged as several discrete masses each roughly a pyramid shape.
-The base of the pyramid is capped by the cortex.
-The apex of the pyramid points towards the renal sinus and forms a papilla.
-The papilla fits into a cuplike expansion (called a calix) of the renal pelvis.
-Each of these medullary pyramids with its associated outer cortex forms a renal lobe.
-Kidneys with this organisation are called multipyramidal or multilobar: the external lobes of the bovine kidneys mark the boundaries between the internal pyramidal lobes.
-All mammalian kidneys pass thorugh a multipyramidal phase in thier embryological development.

17
Q

Kidneys- pyramids?

A

Renal lobes are fused to varying degrees depending on species.

18
Q

Kidney- blood supply?

A

-Each kidney is supplied by a renal artery, a direct branch from the abdomnial aorta.
-The renal artery then divides into several interlobar arteries: these follow the division between the renal pyramids (still present or use to be present).
-The interlobar arteries give rise to arcuate arteries: these arteries curve over the base of the pyramids.
-The interlobar arteries give rise to the interlobular arteries and are located in the cortex: these give rise to the afferent arteriole supplying the renal glomerulus.

19
Q

The nephron?

A

-The nephron is the functional unit within the kidney.
-Simplistically and in layman’s terms, it is a really long epithelial tube divided into different sections with varying convolutions (twists and turns).
-Each interlobular arrtery gives rise to a cluster of capillaries called the glomerulus.
-The nephron begins as a blind ended cup-shape expansion, invaginating the glomerulus.
-The glomerulus and the cup-like expansion of the nephron are collectively called a renal corpuscle.
-The renal corpuscles are scattered across the cortex giving the cortex a fine granular appearance.
-The long epithelial nephron tubule is then sequentially divided into the following sections:
1.) Proxmial convoluted tubule.
2.) Descending and ascending limb of nephron.
3.) Distal convoluted tubule.
4.) Collecting tubules and ducts.

20
Q

The nephron- Proximal convoluted tubule?

A

Proximal convoluted tubule.
-Longest and most convoluted part of the nephron, comprising much of the renal cortex.
- A rich capillary network surrounds the proximal convoluted tubule and returns absorbed molecules to the circulation.
-Lined by a simple cuboidal epithelium with a prominent brush border.

21
Q

The nephron- Descending and ascending limb of the nephron/loop of Henle?

A

Loop of Henle:
-Starts at the cortex and extends into the medulla.
-The thick descending/ascending limbs are lined by cuboidal epithelium.
- The thin descending/ascending limbs are lined by simple squamous epithelium.

22
Q

The nephron- distal convoluted tubule?

A

Distal convoluted tubule:
-Shorter tubule.
-Lacks a brush border compared to the proximal convoluted tubule.
-Has a larger lumen on transverse cross-section.

23
Q

The nephron- Collecting duct?

A

Collecting duct:
-Each collecting tubule serves many nephrons.
-Opens into a large papillary duct close to the apex (i.e., tip of the pyramid).

24
Q

Ureters?

A

The proximal end of the ureter is either:
-Expanded to form the renal pelvis (most domestic species; carnivores, horses, sheep).
-The papillae drain into calyces, which drain into two branches of the ureter (bovine).
-The papillae drain into calyces, which drain into a renal pelvis (Pig).
-The inner mucosal lining forms longitudinal folds, allowing for expansion.
-Consists of two muscular coats:
1.) Outer circular.
2.) Inner longitudinal.
-Peristaltic waves of contraction move the urine to the bladder.
-Penetrate the dorsal surface of the urinary bladder wall at an oblique angle.

25
Urinary Bladder?
-The urinary bladder is very distensible and, because of this, doesn't have a constant size, portion, or relationship to other organs. -The urinary bladder consists of: 1.) Apex. 2.) Body. 3.) Neck. -The urinary bladder is supported by three ligaments: 1.) Median ligament x1: runs from the apex to the umbilicus (in the foetus, supports the urachus). 2.) Lateral ligaments x2: run from the bladder to the pelvic wall (contain the round ligaments, which are remnants of the umbilical arteries). -When empty, the mucosa of the urinary bladder is corrugated and has a negligible lumen. -When the urinary bladder extends with the filling of urine, it becomes pear-shaped with an obvious apex, body, and neck. -As the urinary bladder distends with urine, it extends into the abdomen, but the neck remains fixed in the pelvis due to its continuation with the urethra.
26
Ureters and Bladder?
-The ureters enter the bladder on the dorsal surface at an angle. -The angle prevents urine flowing back up the ureter.
27
Urinary bladder muscles?
-The bladder muscle is made up of three sheets of muscle. -The arrangement of the three sheets is often described as detrusor (detrusor= a general term for a muscle that expresses a substance). -The external sphincter is formed by the striated urethras m.
28
Urinary bladder- innervation?
-Autonomic fibres reach the urinary bladder via: 1.) Sympathetic from hypogastric nerves: urine storage (e.g., continence). 2.) Parasympathetic from pelvic nerves: urine evacuation (e.g., micturition). -Sensory fibres are reached via the pudendal nerve. -Blood supply to the urinary bladder via vaginal (or prostatic) artery and supplemented by reduced umbilical arteries: vaginal (or prostatic) a branch of the internal iliac a.
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