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Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

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Page 1: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)
Page 2: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)
Page 3: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

Layers of kidney

Renal capsule

Renal cortex

Renal medulla(Renal pyramid)

(renal column)

Page 4: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

Renal artery & vein

Renal pelvis

Minor Calyx (calyces)

Major calyx

Renal papillae

ureter

Page 5: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)
Page 6: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

Nephron

Page 7: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

Renal corpuscle

DistalConvolutedTubule

Collecting duct

Proximal ConvolutedTubule

DescendingNephron loop

Ascending Nephron loop

Nephron

Page 8: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

Renal Corpuscle

Glomerular (bowman’s)capsule

Glomerulus

Afferent arteriole

Efferent arteriole

Page 9: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

Renal corpuscle

Page 10: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

UrinalysisCharacteristics

Color – light to dark yellow (urochrome – biproduct of hemoglobin breakdown)

Clarity-clear to cloudyturbid may indicate:

normal: crystals, mucus, vaginal dischargeabnormal: bacteria, blood cells, yeast

Specific gravity (1.003-1.030)below 1.003 may indicate diabetes insipidusabove 1.030 may indicate diabetes mellitus

Page 11: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

Substances tested for in urine

Ketones – breakdown of fatty acids seen in diabetes mellitus and anorexia

Bilirubin – Biproduct of hemoglobin breakdown. Taken up by hepatocytes Presence may RBC destruction

Glucose – reabsorbed in PCT. Presence may indicate diabetes mellitus

Proteins – Most are too large to pass through glomerulus. May indicate kidney damage.

Page 12: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

Substances tested for in urine

Blood – not present in urine. Presence = infection, kidney stones, damage to glomerulus

Urobilinogen – biproduct of bilirubin breakdown by bacteria. Small amountsmay be in urine

Nitrites – not in urine. May indicate urinary tract infection

pH (range = 4.5-8.0)average = 6.0 acidicHigh pH may indicate urinary tract infection (UTI)Low pH may indicate diabetes mellitus, starvation

Leukocytes – not in urine. May indicate infection

Page 13: Layers of kidney Renal capsule Renal cortex Renal medulla (Renal pyramid) (renal column)

Other tests

Acetest – Tests for Ketones

Ictotests – Tests for Bilirubin

Clinitest – Tests for glucose