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The Urinary System
Chapter 26
(or 25)
Functions of the Urinary System
1. Removal of metabolic wastes (especially nitrogenous wastes e.g. urea & uric acid).
2. Water balance (and therefore blood pressure).
3. Control of electrolyte balance.
4. Control of pH.
5. Removal of toxins.
Anatomy of the Urinary System
• The Kidneys: the functional heart of the urinary system.
• The Ureters: pipeline from the kidneys to the bladder.
• The Urinary Bladder: holding tank of urine.
• The Urethra: avenue of relief
(word of the day “micturition” = voiding the bladder)
The Kidneys
• Location: retroperitoneal against the dorsal wall of the abdominal cavity. The right kidney is slightly lower than the left.
• Size & weight: approximately 150 grams (about 5 ounces) each and 12 cm x 10 cm x 4 cm.
• Shaped like a bean (or are beans shaped like kidneys?)
The Kidney:location
Kidney:up close
& personal
A slice of kidney
Medulla
Cortex
Glomeruli
Capsule
The Nephron: functional unit of the kidney
Afferent Arteriole
Glomeruli
Interlobular artery
Functional histology of a nephron
Kidney tissue
Glomerular (Bowman’s) capsule
Glomerulus
Nephrons
Blood pressure drops due to peripheral resistance
The renal corpuscle and the Juxtaglomerular apparatus
The renal filtration membrane:Podocytes and fenestrated capillaries
Filtration slits Pedicles
Three stages of urine
formation
1. Filtration2. Reabsorption3. Secretion
Filtration pressures: NFP must be positive for U2P
GFRGFR is “Glomerular Filtration Rate”.• It is directly proportional to NFP.• It is a measurement of FLOW in milliliters
per minute (ml/min).• If NFP drops more than 15% below 10
mmHg, GFR goes to 0.• If NFP goes up less than 30% above
normal, the kidneys can handle it without major compensatory mechanisms kicking in.
Compensatory Mechanisms to maintain
GFR
Tubular reabsorption
•Reabsorption of filtered solutes occurs in the Proximal Convoluted Tubules.•Most solutes are reabsorbed by secondary active transport with Na+. Does this look familiar?
Solute reabsorption
Reabsorption of NaCl & water in the Loop of Henle
Reabsorption in the Distal Convoluted Tubule & Collecting
Duct
Summary of tubular reabsorption/excretion
After the Kidneys:
the bladder
& urethra
The HumanBladder:It can hold
a maximum of 800 –
1000 ml!
Physical characteristics of Urine
• Color - Clear to deep yellow, almost rusty, depending on concentration.
• Odor - Fresh urine is slightly aromatic, stale urine smells like downtown Tacoma on a Sunday morning.
• pH – range of 4.5 – 8 depending on diet. High protein leads to low pH (acid ash diet), vegetarian (alkaline ash) diet leads to high pH. Heavy vomiting and bacterial infection can also lead to alkaline urine.
• Specific gravity – Normal range is 1.001 – 1.030. Distilled water has a s.g. of 1.000. Anything solutes cause the specific gravity of a liquid to go up. Concentrated urine has a higher s.g. than dilute urine.
Composition of UrineNormalUreaUric acidCreatinineNaKPhosphatesSulfatesBicarbonateCaMg
AbnormalGlucose “glycosuria”Proteins “proteinuria” or
“albuminuria”Ketones “ketonuria”Hemoglobin
“hemoglobinuria”Erythrocytes “hematuria”Bile pigments “bilirubinura”Leukocytes “pyruia”
Abnormally low output = oliguriaNo output = anuriaAbnormally high output = polyuriaDiuresis = increased urine outputDiuretic = substance that leads to diuresis
The micturition reflex
Stages of Renal Disease
• Stage 1: signs of kidney damage w/ GFR ≥ 90.
• Stage 2: signs of kidney damage w/ GFR 60 – 89.
• Stage 3: GFR 30 – 59.
• Stage 4: GFR 15 – 29.
• Stage 5: < 15
Renal ClearanceThe volume of plasma that is cleared of a particular substance in a given time (usually one minute).
RC = UV/PU = concentration of the substance in urine (mg/ml)V = flow rate of formation (ml/min)P = concentration of the substance in the plasma (mg/ml)High renal clearance values means that the substance is being effectively cleared, low values means that more is being reabsorbed. For some solutes low is good (glucose should be 0). For others, high RC would be expected (creatinine should be complete, urea should be about 80%).
Kidney stonesRenal Calculi
“Well Mr. Osborne, I
don’t think that it’s kidney
stone after all”