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Urinary System Kidneys _______ shaped organs (2). Located between the peritoneum & the back muscles (_________________) _______________= funnel-shaped structure at the top of the ureter where it meets the kidney. ____________= inside the kidney Striated triangles are___________ ____________. Base of each pyramid empties into cuplike cavities called calyces ______________= Outer area of kidney. Contains ____________ of microscopic________________. ____________________ Smooth muscle tube with _____________membrane lining. The ureters start at the renal pelvis & connect to the bladder. Carry urine to the bladder. _____________ & gravity push urine down ____________ to bladder. You have _____ ureters. __________________________ _____________, muscular organ. Made of elastic fibers & involuntary muscle. Stores urine – about _________ ml. Emptying urine (______________) is involuntary, but control of sphincter is voluntary. _____________________ Connects bladder to outside of body. Urinary meatus is the _______________ ______________of the urethra. You only have _____ urethra. ___________________________________________________ Excretion – ________________ waste from the blood. Maintain _________________balance. Secrete waste in the form of______________. ______________ urine from the body. Nephron = ______________unit of the kidney. The function of the nephron is to make____________. Urine Formation = 1st step = ________________ 2nd step = ___________________ 3rd step = ___________________ First step in urine formation is __________________. Blood from renal arteriole enters glomerulus. Blood pressure in glomerulus is _________which forces fluid (filtrate) to filter into_____________ _______________. Filtrate (fluid) doesn’t contain plasma proteins or RBCs – they’re ____ _____. ___________________ 2nd step in urine formation. Water (90%) & useful substances are__________________. If ___________levels of certain substances are high then those substances will not be reabsorbed. ___________________ 3rd step in urine formation. Opposite of reabsorption. _______________ transports substances from blood into nephron tubules. Electrolytes are selectively secreted to maintain body’s acid-base balance. ___________________ Average = ____________ ml per day. _________________= examination of urine to determine presence of blood cells, bacteria, acidity level, specific gravity & physical characteristics Chemical control of urine production. Reabsorption of water in distal convoluted tubule controlled by _________ (antidiuretic hormone) Secretion & regulation of ADH controlled by________________. _____________ inhibit reabsorption of water. (so you will make more urine) Nervous Control of urine production. Direct control through nerve impulses on kidney___________ __________. Indirect control through stimulation of endocrine glands. _________________= involuntary urination Usually happens as we age. Women may have ________ incontinence due to childbirth. Renal calculi = __________ ___________ = renal _____________. Usually form when urine is too concentrated. Form from____________, most common = Calcium. Gradually get bigger. Cause _______ when they move & block__________. Other symptoms = N & V, frequency, chills, fever, hematuria. Diagnosis – by ultrasound or x-ray. Treatment = ↑ fluids, medications, surgical removal, lithotripsy. ______________________ Surgical procedure to break up kidney stones. __________ waves hit dense stones & break them up. Outpatient procedure. (you have it done & go home the same day) ____________________ Infection or ________________ of the kidney. Usually acute nephritis is glomerulonephritis. Urinalysis will reveal: Proteins in the urine Blood in the urine Possible infection __________________ Bladder infection, usually caused by ______________ bacteria. More often in___________. (short urethra) Symptoms = dysuria (_______________) & frequency (feeling like you need to urinate all the time). Treatment = antibiotics Cystitis may also be referred to as a ____________. ____________________ Treatment for kidney failure. If your kidneys do not work then your __________ is not getting clean & toxic materials are flowing around in your blood. Dialysis involves your blood passing through a semipermeable membrane (machine) so that the waste substances will be_____________. Can be done at home or a clinic. Takes 2 to 4 hours, usually 3 times a week. ___________________________ As a last resort to treat kidney failure. Involves donor organ from someone with a similar ________________system. Main complication is _____________of the donated organ. Patient would have to take antirejection drugs which would make their immune system weak. Enuresis = __________________________________ Glycosuria = _______________________________________ Nocturia = ________________________________________________ Polyuria = ____________________________________________ Pyuria = ______________________________________ Anuria = ____________________________________ Dysuria = _________________________________________ Hematuria = ____________________________________________