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Renal System Caroll Bai & Brianna Estrada Period: 4 Anatomy/ Physiology Overview ❖ Consists of the two kidneys, ureters, the bladder, and the urethra ❖ Produces, stores, and eliminates fluid waste Structure- Kidneys ❖ Location ❖ Function ❖ Regions ➢ Renal sinus, pelvis, medulla, cortex, capsule ➢ Medulla and cortex ❖ Nephron: functional unit of a kidney Structure- Kidney pathway ❖ Vasculature ➢ Renal arteries, abdominal aorta, interlobar arteries, arcuate arteries, afferent arterioles, glomerular capillaries, efferent arterioles, and peritubular capillaries ➢ Renal veins Structure- Ureters ❖ Ureters ➢ Tubular organ, extends from each kidney to bladder (25 cm long) ➢ Mucous, muscular, fibrous coat ➢ Peristalsis Structure- Bladder ❖ Bladder ➢ Trigone ➢ Inner layer- mucous coat ➢ Second layersubmucous coat ➢ Third layer- muscular coat ➢ Outer layer- serous coat Structure- Urethra ❖ Urethra ➢ Function ■ Tube that carries urine from bladder to outside of body ➢ Gender difference ➢ Urethral glands Nephron- Renal Corpuscle ❖ Glomerulus ➢ Filters water and dissolved substances from plasma ❖ Bowman’s Capsule ➢ Receives the glomerular filtrate Nephron- Renal Tubule ❖ Proximal convoluted tubule ➢ Tubular reabsorption ❖ Loop of Henle ➢ Descending limb ■ Reabsorption of water by osmosis ➢ Ascending limb ■ Reabsorption of metal ions by active transport ❖ Distal convoluted tubule ➢ Tubular secretion by active transport Nephron- Collecting Duct ❖ Reabsorption of water by osmosis Urine Creation ❖ Afferent & efferent arterioles ❖ Structures involved ➢ Nephron ➢ Glomerulus ➢ Bowman’s Capsule ➢ Loop of Henle ➢ Collecting duct ❖ Glomerular filtration ❖ Tubular reabsorption ❖ Tubular secretion Glomerular Filtration ❖ ❖ ❖ ❖ Bowman’s Capsule Permeable capillaries (fenestrae) Filters by size of molecule Filtered ➢ H2O ➢ NaCl, K+, HCO3➢ Glucose ➢ Amino Acids ➢ Creatinine ➢ Urea Tubular Reabsorption ❖ Proximal convoluted tubule (but happens all throughout) ❖ Reabsorbed back into blood: ➢ K+ ➢ H2O ➢ NaCl ➢ Amino acids ➢ HCO3➢ Glucose ■ If present in urine, could indicate abnormality Tubular Secretion ❖ Distal convoluted tubule ❖ Secreted: ➢ Uric acid ➢ K+ ➢ H+ ➢ Organic acids ■ Antibiotics (penicillin) Glomerular Filtration Rate (GFR) ❖ How much blood passes through the glomeruli each minute ❖ Tests efficiency of kidneys ❖ Affected by: ➢ Filtration pressure ➢ RAAS (Renin Angiotensin Aldosterone System) ➢ ANP (Atrial Natriuretic Peptide) ■ Increases GFR ■ Increases Na+ excretion Filtration Pressure ❖ Hydrostatic Pressure ➢ Glomerular- blood ■ “Pushing” ex. balloon ➢ Capsule- filtrate ■ “Pulling” ❖ Colloid Osmotic (Oncotic) ➢ “Pulling” ex. sponge ❖ Net Pressure ➢ All pressures added together Urine Regulation ❖ ADH ➢ Regulates water reabsorption in collecting duct ➢ Low ADH: diluted urine ➢ High ADH: concentrated urine Urine ❖ Composition ➢ Mostly water ➢ Urea, uric acid, and creatinine ➢ Some amino acids and electrolytes ❖ Renal clearance: rate at which a chemical is removed from the plasma ❖ Insulin clearance test & creatinine clearance test ❖ Para-aminohippuric acid (PAH) Micturition (Urinary reflex) ❖ The process or reflex or urinating ❖ Structures ➢ Bladder ➢ Micturition reflex center ➢ Detrusor muscle ➢ Internal urethral sphincter ➢ External urethral sphincter Works Cited "Aldosterone." Wikipedia. N.p., n.d. Web. 8 Apr. 2015. <http://en.wikipedia.org/wiki/Aldosterone>. "Forces of Filtration." YouTube. YouTube, n.d. Web. 13 Apr. 2015. <https://www.youtube.com/watch?v=VMvD29-Agtg>. "Glomerular Filtration Rate: MedlinePlus Medical Encyclopedia." U.S National Library of Medicine. U.S. National Library of Medicine, n.d. Web. 13 Apr. 2015. <http://www.nlm.nih.gov/medlineplus/ency/article/007305.htm>. "Nephron Function." YouTube. YouTube, n.d. Web. 13 Apr. 2015. <https://www.youtube.com/watch?v=vNvZaGcLzEo>. "Renin-Angiotensin-Aldosterone System." YouTube. YouTube, n.d. Web. 13 Apr. 2015. <https://www.youtube.com/watch?v=PDE2qdS2ZvY>.