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Class Notes (Summary) Urinary System and Fluid Balance I Anatomy and Physiology

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The text discusses the urinary system and fluid balance in the human body. The urinary system consists of the kidneys, ureters, urinary bladder, and urethra. The kidneys filter waste from the blood and regulate fluid balance and electrolyte concentration. The nephron is the functional unit of the kidney, consisting of a glomerulus and tubules. Urine is formed through filtration, reabsorption, and secretion in the nephron. The kidneys also regulate acid-base balance, extracellular fluid composition, and blood pressure through mechanisms involving hormones like renin, aldosterone, and antidiuretic hormone. There are two types of epithelium lining the urinary system: simple cuboidal epithelium and simple squamous epithelium. The body has intracellular and extracellular fluid compartments that are regulated to maintain homeostasis. The urinary system excretes waste products and excess water and ions to control the volume and composition of body fluids.

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URINARY SYSTEM AND FLUID BALANCE




COMPOSITION OF THE URINARY SYSTEM:
 KIDNEYS (2)
 URETERS (2)
 URINARY BLADDER (1)
 URETHRA (1)
URINE – contains excess water, ions, wastes & toxic substances
FUNCTIONS OF THE URINARY SYSTEM:
 Excretion: removes waste from blood (with skin, liver, lungs)
 Regulation of Blood Volume and Pressure: controls ECF volume
 Regulation of Concentration of Solutes in Blood – positively and negatively charged ions
 Regulation of Extracellular Fluid pH – Hydrogen ions
 Regulation of RBC Synthesis: erythropoietin (low BP)
 Vitamin D Synthesis: calcium


KIDNEYS

– bean-shaped; size of a tightly clenched fist

- Posterior abdominal wall, each side of vertebral column
 RETROPERITIONEAL – “behind peritoneum”
 RENAL – Latin for “kidney”
1. RENAL CAPSULE – surrounds each kidney
2. HILUM
- medial side of kidney
a. renal artery and nerves enter the kidney
b. renal vein, ureter and lymphatic vessels exit the kidney
3. RENAL SINUS – contains blood vessels; collecting urine & adipose tissue
DIVISIONS: (surrounds renal sinus)
a. CORTEX – outer;
1|Urinary system

, b. MEDULLA – inner
4. RENAL PYRAMIDS – “cone-shaped”
a. Base - between the cortex and medulla
b. Tips – center of the kidney
5. CALYX – “funnel-shaped”; surrounds the tips of renal pyramids
6. RENAL PELVIS – joint of calyces; larger funnels
7. URETER – narrowing of the renal pelvis; small tubes, kidneys->urinary bladder



NEPHRON – functional unit of the kidney; 1.3M

PARTS:
a. RENAL CORPUSCLE
1. Bowman capsule – enlarged end of nephron
– form double-walled chamber



 CAVITY: opens to proximal convoluted tubule ( fluid:away)
 INNER LAYER: has podocytes (spec.cells, processes with gaps) w/c wrap
glomerulus
capillaries.
 OUTER LAYER: simple squamous epithelial cells

2. Glomerulus – tuft capillaries = ball of yarn
- within indentation of bowman capsule
 Glomerular capillaries – pores in walls


b. PROXIMAL COVOLUTED TUBULE
c. LOOP OF HENLE: (1 thick, 2 thin segments)
 Thin Segment of the Descending Limb – extends to renal sinus; hairpin turn,
 Thin & Thick Segments of the Ascending Limb - back to cortex
d. DISTAL CONVOLUTED TUBULE


Renal Corpuscle > Proximal Convoluted Tubule > Thin Segment of the Descending Limb > Thin Segment of the
Ascending Limb > Thick Segment of the Ascending Limb > Distal Convoluted Tubule > Collecting Duct >
Papillary Duct > Calyx


Renal artery -> (RENAL PYRAMIDS) Interlobar artery -> (CORTEX & MEDULLA) -> Arcuate artery -> (CORTEX)
Interlobular artery -> (GLOMERULAR) -> afferent arterioles -> Efferent arterioles -> Peritubular capillaries ->
Interlobular vein -> Arcuate vein -> renal vein -> Inferior Vena Cava
NEPHRONS – sorts substances: waste products, toxins, excess materials
 JUXTAMEDULLARY NEPHRONS (15%) – have loops of Henle deep to the medulla
 CORTICAL NEPHRONS (85%) – do not extend deep into the medulla
FILTRATION MEMBRANE – consists of glomerular capillaries, podocytes and of the basement membrane
FILTRATE – fluid that passes across the filtration membrane
RENAL ARTERIES – branch off the abdominal aorta and enter the kidneys
2|Urinary system

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