Transcript Slide 1

Urogenital System
Inferior
vena cava
• Urinary System
Adrenal
(Excretory System) gland
• Reproductive System
Descending
aorta
Renal vein
Renal
artery
Right
kidney
Left
kidney
Ureter
Ureter
Bladder
Urethra
Urinary System
• Organs
–
–
–
–
Kidneys (primary excretory organ)
Ureters
Bladder
Urethra
• Functions
– Remove nitrogenous waste product of protein metabolism and
other harmful substances
– Eliminates them in the form of ammonia, uric acid or urea
– Eliminates controlled amounts of water and salts to maintain the
internal environment
Function is NOT to make urine
Function is to maintain homeostasis of blood (excrete wastes,
absorb nutrients, maintain electrolytes, pH balance)
Rugae
Sends blood to arterioles
Receives 15-20%
of systemic blood
at rest
Nephron
Functional Unit of Kidney
Glomerulus
Afferent
arteriole
Efferent
arteriole
Renal Corpuscle
Renal papilla
Nephron
• Up to 1 million in kidney
• Functions
– Filtration
• removes dissolved substances from glomerulus (blood
supply)
• what remains is called the filtrate
– Reabsorption
• Substances from filtrate leave nephron
• Reabsorb from tubule into blood or interstitial fluid
– Secretion
• Releases substances from blood supply or interstitial fluid
into tubule
• (opposite direction from reabsorption)
a.a., glucose, H2O, Na+
H2O, K+
a.a., glucose, H2O
H2O
H2O
NaCl
H2O, urea
Filtration
Reabsorption
NH3
ADH
Secretion
Filtration
• Blood pressure forces water and dissolved substances
out of the glomerulus blood into Bowman’s capsule
• Dissolved substances (filtrate): H2O, glucose, amino
acids, electrolytes, and wastes (no proteins or cells)
• Averages 125 ml/min for both kidneys (180 liters/day)
• The vast majority of the filtrate (99%) must be taken
back to body’s blood supply.
• Urinate (wastes) on avg. 1500 ml/day (0.4 gallons)
Reabsorption
•
•
The return of substances from filtrate in the
nephron tubule to the blood or interstitial fluid
Major Substances:
–
–
–
–
•
•
•
•
H2O - osmosis
NaCl - active transport
Glucose, amino acids - active co-transport
Some urea and other salts
PCT – most reabsorption
Descending loop – reabsorb H2O
Ascending loop & DCT – reabsorbs salt
Collecting duct – reabsorbs H2O
Secretion
• The active release of substances INTO the nephron
tubule.
• Purposes:
–
–
–
–
Secreted Substances: toxins and drug residues
Electrolyte balance: K+ exchanged for Na+
Acid-base balance: H+ , NH3
Antidiuretic hormone (ADH): produced by posterior pituitary,
increases water permeability of the DCT and collecting duct
• Cranberry juice – acidifies urine to help discourage
bacteria and some types of kidney stones; decrease UTI
by inhibiting bacteria from adhering to urinary tract walls
Osmotic Pressure (Osmolarity)
Urine
• Micturation – process of urination
Normal Urine
H2O
95%
Nitrogeneous
wastes
urea, uric acid,
ammonia, creatine
Electrolytes
Abnormal Urine
Glucose
Recent intake of sugary foods,
diabetes melitis (Glycosuria)
Protein
Physical exertion, high protein;
hypertension, glomerulonephritis
(Proteinuria)
Na+, NH4+, K+,
Cl-, PO4-3, SO4-2
Ketone bodies
Starvation, untreated diabetes mellitus
Toxins
bacterial poisons
Hemoglobin
Hemolytic anemia, severe burns
Pigments
products of breaking down
RBC,
Bile pigments
Hepatitis, cirrhosis, bile obstruction
filtered from food and drugs
Erythrocytes
Bleeding due to trauma, kidney stones,
Hormones
infection, cancer (Hematuria)
Leukocytes
Urinary tract infection
Disorders and Diseases
•
•
•
•
•
•
Pyuria – pus in urine
Dysuria – painful urination
Polyuria – large amounts of urine
Oliguria – very little urine
Anuria – absence of urine
Renal Calculi – crystallized calcium in renal pelvis or calyx (kidney
stones)
• Neurogenic bladder – involuntary urine retention, bulging bladder,
burning sensation
• Overactive bladder – frequent urination, pain, oliguria
• UTI: bacterial infection
– Urethritis: inflammation of urethra; result of gonorrhea and
Chlamydia; most common in males
– Cystitis: inflammation of bladder; more common in females due
to shorter urethra
– Nephritis: inflammation of kidney
• Pyelonephritis – inflammation of renal pelvis
• Renal Failure – kidney failure