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Urinary System

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Urinary System Urinary System BSC 2086 A & P 2 Professor Tcherina Duncombe Palm Beach State College • Filter plasma, separate and Functions eliminate wastes •Regulate blood volume and pressure •Regulate osmolarity of body fluids by water control •Secrete enzyme renin •Secrete hormone erythropoietin •Acid-base balance • Detoxify using peroxisomes •Calcium homeostasis •Gluconeogenesis: starvation Proteins - - - Nitrogenous Wastes • Urea – proteinsamino acids NH2 removed forms ammonia, liver converts to urea • Uric acid – nucleic acid catabolism • Creatinine – creatine phosphate catabolism • Renal failure – azotemia: BUN, nitrogenous wastes in blood – uremia: toxic effects as wastes accumulate 23-5 Kidney Location 23-6 Anatomy of Kidney • Renal cortex: outer 1 cm • Renal medulla: renal columns, pyramids - papilla • Lobe of kidney: pyramid and it’s overlying cortex 23-7 Blood Supply Diagram 23-8 Renal Corpuscle • Glomerular filtrate collects in capsular space, flows into renal tubule 23-9 Nephron Lobe of Kidney 23-11 Filtration Membrane • Fenestrated endothelium – 70-90nm pores exclude blood cells • Basement membrane – proteoglycan gel, negative charge excludes molecules > 8nm – blood plasma 7% protein, glomerular filtrate 0.03% • Filtration slits – podocyte arms have pedicels with negatively charged filtration slits, allow particles < 3nm to pass • Proteinuria • hematuria 23-12 Nephron Diagram • Peritubular capillaries shown only on right 23-13 Renal (Uriniferous) Tubule • Proximal convoluted tubule (PCT) – longest, most coiled, simple cuboidal with brush border • Nephron loop - U shaped; descending and ascending limbs – thick segment (simple cuboidal) initial part of descending limb and part or all of ascending limb, active transport of salts – thin segment (simple squamous) very water permeable • Distal convoluted tubule (DCT) – cuboidal, minimal microvilli 23-14 Renal (Uriniferous) Tubule 2 • Collecting duct – several DCT’s join • Flow of glomerular filtrate: – glomerular capsule PCT nephron loop DCT collecting duct papillary duct minor calyx major calyx renal pelvis ureter urinary bladder urethra 23-15 Nephrons • True proportions of nephron loops to convoluted tubules shown • Cortical nephrons (85%) – short nephron loops – efferent arterioles branch off peritubular capillaries • Juxtamedullary nephrons (15%) – very long nephron loops, maintain salt gradient, helps conserve water 23-16 Urine Formation Preview ( Plasma to Urine) Glomerular filtrate Tubular fluid Urine (collecting duct) 23-20 Filtration Membrane Diagram 23-21 Filtration Pressure • GFR: filtrate formed/min •Females: 150 L/day • nephrosclerosis •Males : 180L/day •Urine: 1-2L/day 23-23 Juxtaglomerular Apparatus Regulation: • Myogenic •Tubuloglomerular - vasomotion - monitor salinity 23-24 Tubular Reabsorption and Secretion 23-25 Renal Autoregulation of GFR • BP constrict afferent arteriole, dilate efferent • BP dilate afferent arteriole, constrict efferent • Stable for BP range of 80 to 170 mmHg (systolic) • Cannot compensate for extreme BP 23-26 Negative Feedback Control of GFR 23-27 Mechanisms of Reabsorption in the Proximal Convoluted Tubule 2 Routes 23-28 Effects of Angiotensin II 23-29 Countercurrent Multiplier of Nephron Loop Diagram 23-30 Maintenance of Osmolarity in Renal Medulla 23-31 Summary of Tubular Reabsorption and Secretion 23-32 Male Bladder and Urethra • 18 cm long • Internal urethral sphincter • External urethral sphincter 3 regions prostatic urethra during orgasm receives semen membranous urethra passes through pelvic cavity spongy urethra 23-33 Urinary Bladder and Urethra - Female 23-34 Female Urethra • 3 to 4 cm long • External urethral orifice – between vaginal orifice and clitoris • Internal urethral sphincter – detrusor muscle thickened, smooth muscle, involuntary control External urethral sphincter skeletal muscle, voluntary control 23-35 Neural Control of Micturition 23-36 Hemodialysis 23-37 Coupled Channel Collecting Duct: Water conservation/urine concentration •Water diuresis •Dehydration Collecting Duct Concentrates Urine • Osmolarity 4x as concentrated deep in medulla • Medullary portion of CD is more permeable to water than to NaCl 23-42 •Returns salt to medulla •Multiplier •Recaptures salt Composition and Properties of Urine • Appearance – almost colorless to deep amber; yellow color due to urochrome, from breakdown of hemoglobin (RBC’s) • Odor - as it stands bacteria degrade urea to ammonia • Specific gravity – density of urine ranges from 1.001 -1.028 • Osmolarity - (blood - 300 mOsm/L) ranges from 50 mOsm/L to 1,200 mOsm/L in dehydrated person • pH - range: 4.5 - 8.2, usually 6.0 • Chemical composition: 95% water, 5% solutes – urea, NaCl, KCl, creatinine, uric acid 23-45 Renin-Angiotensin-Aldosterone 23-47 Aldosterone Regulation Antidiuretic Hormone Antidiuretic Hormone Atrial Natriuretic Peptide Parathyroid gland: calcium regulation Voiding Urine - Micturition • 200 ml urine in bladder, stretch receptors send signal to sacral spinal cord • Signals ascend to – inhibitory synapses on sympathetic neurons – micturition center (integrates info from amygdala, cortex) • Signals descend to – further inhibit sympathetic neurons – stimulate parasympathetic neurons • Result – urinary bladder contraction – relaxation of internal urethral sphincter • External urethral sphincter - corticospinal tracts to sacral spinal cord inhibit somatic neurons23-57 - relaxes .
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