Essential Questions What are the functions of the urinary system? What are some disorders of the urinary system? How are disorders of the urinary system treated? How do you relate the body’s hormone control to the urinary system? 4.02 Understand the functions and disorders of the urinary system 2 Functions: Excretion Formation Fluid of urine and electrolyte balance Elimination of urine 4.02 Understand the functions and disorders of the urinary system 3 Functions: Excretion Formation Fluid of urine and electrolyte balance Elimination of urine 4.02 Understand the functions and disorders of the urinary system 4 Excretion What Why is excretion? does the body have excretory functions? What is the composition of wastes excreted by the urinary system? How is it relevant to health? 4.02 Understand the functions and disorders of the urinary system 5 Filtration Reabsorption Secretion 4.02 Understand the functions and disorders of the urinary system 6 • Blood from renal artery enters glomerulus • High pressure in glomerulus forces fluid into Bowman’s capsule, where it is filtered 4.02 Understand the functions and disorders of the urinary system 7 BOWMAN’S CAPSULE Bowman’s capsule filters out 125cc of fluid/min. …how many cc’s per hour is this? As the filtrate continues through nephron, 90% of water is reabsorbed—what would happen if reabsorption here failed? 4.02 Understand the functions and disorders of the urinary system 8 What substances are Where do they go? reabsorbed? If blood levels of certain substances are high, the substances will not be reabsorbed. How does this help maintain homeostasis? 4.02 Understand the functions and disorders of the urinary system 9 What is secretion? Describe how this process is the opposite of reabsorption…. 4.02 Understand the functions and disorders of the urinary system 10 What substances are secreted into the collecting tubules? 4.02 Understand the functions and disorders of the urinary system 11 Fluid and electrolyte balance Electrolytes are selectively secreted to maintain body’s acid-base balance. • What are electrolytes? • What do they do? • What is the relevance to health? 4.02 Understand the functions and disorders of the urinary system 12 Fluid and electrolyte balance Chemical control • • ADH Aldosterone Nervous control 4.02 Understand the functions and disorders of the urinary system 13 Fluid and electrolyte balance Chemical control • ADH – Antidiuretic hormone • Aldosterone 4.02 Understand the functions and disorders of the urinary system 14 Fluid and electrolyte balance Chemical control ADH is released by the posterior pituitary gland What is the function of ADH (antidiuretic hormone)? 4.02 Understand the functions and disorders of the urinary system 15 Fluid and electrolyte balance Chemical control The amount of ADH produced is related to the level of body hydration What factors regulate the release of ADH? 4.02 Understand the functions and disorders of the urinary system 16 Forming more dilute urine: Define “dilute urine” What are diuretics? What effect do they have on the production of urine? Give examples of substances that have diuretic effects. 4.02 Understand the functions and disorders of the urinary system 17 Fluid and electrolyte balance Chemical control Aldosterone Where does it come from? What does it do? Aldosterone release is the result of the reninangiotensin system. What does this mean? 4.02 Understand the functions and disorders of the urinary system 18 Fluid and electrolyte balance What effect does this cycle have on your blood pressure? 4.02 Understand the functions and disorders of the urinary system 19 Fluid and electrolyte balance Nervous control How does the nervous system control urinary secretions? What other systems are involved in the production and excretion of urine? 4.02 Understand the functions and disorders of the urinary system 20 Review urine formation, electrolyte exchange, and some factors that effect urine volume. 4.02 Understand the functions and disorders of the urinary system 21 What do you predict will happen to blood pressure when the blood volume increases? What if blood volume decreases? 4.02 Understand the functions and disorders of the urinary system 22 If more water is reabsorbed back into the body---what will happen to urine concentration? (more or less concentrated?) 4.02 Understand the functions and disorders of the urinary system 23 Elimination of urine What causes the bladder to empty? Is this a voluntary or involuntary action? What can prevent urination? How is urinary retention treated? 4.02 Understand the functions and disorders of the urinary system 24 Elimination of urine Urinary output Average urinary output = 1500 ml per day *How many ounces is this? What effects the color of your urine? 4.02 Understand the functions and disorders of the urinary system 25 An examination of urine What does normal urine look like? What constitutes an abnormal urinalysis? 4.02 Understand the functions and disorders of the urinary system 26 4.02 Understand the functions and disorders of the urinary system 27 4.02 Understand the functions and disorders of the urinary system 28 4.02 Understand the functions and disorders of the urinary system 29 4.02 Understand the functions and disorders of the urinary system 30 Cystitis What is cystitis (cyst= medical term for ____ +itis =___ ) Most common cause: E. Coli What are the major symptoms of cystitis? 4.02 Understand the functions and disorders of the urinary system 31 Cystitis More common in females—Why ?? 4.02 Understand the functions and disorders of the urinary system 32 Glomerulonephritis Disease which injures the glomerulus. What will happen as a result of damaged glomeruli? 4.02 Understand the functions and disorders of the urinary system 33 Glomerulonephritis Two types: • Acute • Chronic Define these terms. How do these terms relate to glomerulonephritis symptoms? What is the prognosis for each? 4.02 Understand the functions and disorders of the urinary system 34 Renal calculi Also known as nephrolithiasis nephro lith iasis What are renal calculi made of? What are the symptoms? 4.02 Understand the functions and disorders of the urinary system 35 Renal calculi What will happen if the ureters are blocked? 4.02 Understand the functions and disorders of the urinary system 36 Renal calculi How is it treated? 4.02 Understand the functions and disorders of the urinary system 37 Renal calculi How does lithotripsy work? Is it a cure? 4.02 Understand the functions and disorders of the urinary system 38 Renal failure Acute • What causes it? • What are the symptoms? 4.02 Understand the functions and disorders of the urinary system 39 Renal failure chronic May be none in early stages, urinalysis may reveal proteinuria Why would protein be present in the urine? Why is this not normal? 4.02 Understand the functions and disorders of the urinary system 40 Renal Failure Chronic kidney disease leads to a buildup of fluid and waste products in the body. How are these systems affected by renal failure? 4.02 Understand the functions and disorders of the urinary system 41 Renal Failure How is it treated? • Peritoneal dialysis • What is the process involved in this treatment? 4.02 Understand the functions and disorders of the urinary system 42 Renal Failure How is it treated? • Hemodialysis • What is hemodialysis? • What determines the patient’s treatment schedule? 4.02 Understand the functions and disorders of the urinary system 43 Renal Failure Compare the treatment of acute and chronic renal failure. 4.02 Understand the functions and disorders of the urinary system 44 How does hemodialysis mimic glomerular function? 4.02 Understand the functions and disorders of the urinary system 45 Renal transplant What is involved in this treatment option? When does a patient get a transplant? 4.02 Understand the functions and disorders of the urinary system 46 Renal transplant What is the major complication of renal transplantation? 4.02 Understand the functions and disorders of the urinary system 47 Essential Questions What are the functions of the urinary system? What are some disorders of the urinary system? How are disorders of the urinary system treated? How do you relate the body’s hormone control to the urinary system? 4.02 Understand the functions and disorders of the urinary system 48