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A comprehensive overview of the urinary system, with a particular focus on the kidneys. Topics covered include the location, dimensions, coverings, regions, functions, and blood flow of the kidneys. The document also delves into the structure and function of nephrons, the structural and functional units of the kidneys, and the processes of filtration, reabsorption, and secretion. The document concludes with a discussion on maintaining water balance and the link between water and salt.
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Essentials of Human Anatomy & Physiology
∙ Three regions of kidneys ∙ Renal cortex – outer region, forms an outer shell ∙ Renal columns – extensions of cortex- material inward ∙ Renal medulla – inside the cortex, contains medullary (renal) pyramids ∙ Medullary pyramids – triangular regions of tissue in the medulla, appear striated
∙ Renal pelvis – inner collecting tube, divides into major and minor calyces ∙ Calyces – cup-shaped structures enclosing the tips of the pyramids that collect and funnel urine towards the renal pelvis
∙ “filtrate” includes: metabolic wastes, ionic salts, toxins, drugs
∙ Rich blood supply to filter blood and adjust blood composition ∙ ~¼ of blood supply passes through the kidneys each minute ∙ Blood enters the kidneys under extremely high pressure ∙ Renal artery arises from abdominal aorta, divides into Segmental artery at hilus ∙ Inside renal pelvis, Segmental artery divides into Lobar artery, which branch into Interlobar artery travelling thru the renal column to reach the renal cortex ∙ At the medulla-cortex junction, the Interlobar artery curves over the medullary pyramids as the Arcuate artery. ∙ Small Interlobular arterioles branch off of the Arcuate artery and move away from the renal cortex and into the Nephron of the kidney
∙ Glomerular capillaries are covered with podocytes from the inner (visceral) layer of the glomerular capsule. ∙ Podocytes have long, branching processes called pedicels that intertwine with one another and cling to the glomerular capillaries. ∙ Filtration slits between the pedicels form a porous membrane around the glomerular capillaries. ∙ The glomerular capillaries sit within a glomerular capsule (Bowman’s capsule) ∙ Expansion of renal tubule ∙ Receives filtered fluid ∙ Renal tubule coils into the PCT, then the dLOH, aLOH, DCT and finally, the CD. ∙ Along the PCT, much of the filtrate is reclaimed
∙ Glomerular (Bowman’s) capsule enlarged beginning of renal tubule ∙ Proximal convoluted tubule- lumen surface (surface exposed to filtrate) is covered with dense microvilli to increase surface area. ∙ The descending limb of the nephron - Loop of Henle ∙ The ascending limb of the nephron coils tightly again into the distal convoluted tubule ∙ Many DCT’s merge in renal cortex to form a collecting duct ∙ Collecting ducts not a part of nephron ∙ Collecting ducts receive urine from nephrons and deliver it to the major calyx and renal pelvis. ∙ CD run downward through the medullary pyramids, giving them their striped appearance.
∙ Filtration- Water & solutes
smaller than proteins are forced through the capillary walls and pores (of the glomerulus) into the renal tubule (Bowman’s capsule).
∙ Reabsorption- Water, glucose,
amino acids & needed ions are transported out of the filtrate into the peritubular capillary cells and then enter the capillary blood.
∙ Secretion- Hydrogen ions,
Potassium ions, creatinine & drugs are removed from the peritubular capillaries (blood) and secreted by the peritubular capillary cells into the filtrate.