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Chapter 15 The Urinary System Suggested Lecture Presentation Robert J. Sullivan Marist College Copyright © 2009 Pearson Education, Inc. Urinary System Contribution to Homeostasis Regulates body water levels Excess water taken in is excreted Output varies from 2-1/2 liter/day to 1 liter/hour Regulates nitrogenous and other solute waste Nitrogen from amino acids are made into urea in liver and transported to kidney as waste Other solutes Sodium, chloride, potassium, calcium, hydrogen ions, creatinine Copyright © 2009 Pearson Education, Inc. Urinary System Cortex Kidney Renal artery Renal vein Nephrons Aorta Inferior vena cava Cortex Renal pelvis Medulla Ureter Bladder Medulla Collecting duct Ureter Urethra a) The components of the urinary system. Copyright © 2009 Pearson Education, Inc. b) Internal structure of the kidney. c) The cortex and medulla of the kidney are composed of numerous nephrons. Figure 15.2 1 Functions of Renal Organs Table 15.2 Copyright © 2009 Pearson Education, Inc. Organs of the Urinary System Kidneys Principle organ Cortex Medulla Copyright © 2009 Pearson Education, Inc. Urinary System Cortex Kidney Renal artery Renal vein Nephrons Aorta Inferior vena cava Cortex Renal pelvis Medulla Ureter Bladder Medulla Collecting duct Ureter Urethra a) The components of the urinary system. Copyright © 2009 Pearson Education, Inc. b) Internal structure of the kidney. c) The cortex and medulla of the kidney are composed of numerous nephrons. Figure 15.2 2 Organs of the Urinary System Ureters Transport urine to bladder Urinary bladder Stores urine (600 (600–1000 1000 ml) Urethra Carries urine from body Two sphincters Copyright © 2009 Pearson Education, Inc. Organs of the Urinary System Urinary bladder Rectum Prostate gland Internal urethral sphincter Uterus Vagina Penis External urethral sphincter Rectum Urethra Testis a) The male Copyright © 2009 Pearson Education, Inc. b) The female Figure 15.3 Tubular and Vascular Nephron Components Copyright © 2009 Pearson Education, Inc. Figure 15.5 3 Nephrons: Produce Urine Tubules Function Filter fluid and reabsorb needed substances Structures Proximal tubule Loop of Henle Distal tubule Collecting duct Copyright © 2009 Pearson Education, Inc. Nephrons: Produce Urine Blood vessels associated with tubules Arterioles Afferent Efferent Capillaries Glomerular Peritubular Vasa recta Copyright © 2009 Pearson Education, Inc. Formation of Urine Copyright © 2009 Pearson Education, Inc. Figure 15.6 4 Formation of Urine: Glomerular Filtration Glomerular filtration Filters fluid from capillaries into glomerular capsule Rate of filtration Resting rate under local chemical control Stress causes sympathetic nervous system to reduce blood flow to kidneys Copyright © 2009 Pearson Education, Inc. Formation of Urine: Tubular Reabsorption Tubular reabsorption returns water and needed solutes to blood capillaries Sodium moved by active transport from tubule cells to interstitial fluid and diffuses to capillaries Chloride passively accompanies sodium (balanced charge) Water reabsorbed with salts Movement of sodium creates energy to transport glucose and amino acids into renal tubule then diffuses to the interstitial fluid Copyright © 2009 Pearson Education, Inc. Tubular Secretion Tubular secretion removes other substances from blood Purpose g of chemical levels in body y Regulation Excretion of harmful chemicals Substances secreted Penicillin, cocaine, marijuana, pesticides, preservatives, hydrogen ions, ammonium, potassium Copyright © 2009 Pearson Education, Inc. 5 Concentration or Dilution of Urine: ADH Dilute urine Excreting excess water Mechanism Cycling of NaCl and urea create a concentration gradient in the medulla that allows water to diffuse from the renal tubules into the interstitial fluid and then into the blood capillaries Copyright © 2009 Pearson Education, Inc. Formation of Dilute Urine Copyright © 2009 Pearson Education, Inc. Figure 15.10 Concentration or Dilution of Urine: ADH Concentrated urine Conserving water Mechanism Countercurrent exchange Increased ADH causes increased permeability to the collecting tubules and increased conservation of water Copyright © 2009 Pearson Education, Inc. 6 Formation of Concentrated Urine Copyright © 2009 Pearson Education, Inc. Figure 15.11 Urination Micturition reflex Internal urethral sphincter Smooth muscle External urethral sphincter Skeletal muscle Copyright © 2009 Pearson Education, Inc. Kidney’s Role in Homeostasis Maintains water balance Adjusts blood volume and blood pressure Aldosterone, renin, ANH help maintain salt balance in order to control blood volume Maintains acid–base balance and blood pH Regulates red blood cell production via erythropoietin Activates an inactive form of vitamin D Copyright © 2009 Pearson Education, Inc. 7 Kidney’s Role in Homeostasis Copyright © 2009 Pearson Education, Inc. Figure 15.13 Kidney’s Role in Homeostasis Copyright © 2009 Pearson Education, Inc. Figure 15.15 Disorders of the Urinary System Kidney stones Crystallized minerals Block urine flow Urinary tract infections (UTI) Bacteria Copyright © 2009 Pearson Education, Inc. 8 Disorders of the Urinary System Acute and chronic renal failure Therapies Dialysis Kidney transplant Copyright © 2009 Pearson Education, Inc. 9