URINARY SYSTEM A&P URINARY SYSTEM • AKA EXCRETORY SYSTEM • REMOVES WASTES & EXCESS WATER • MAINTAIN ACID-BASE BALANCE • HELPS MAINTAIN BODY’S HOMEOSTASIS URINARY SYSTEM PARTS OF THE URINARY SYSTEM: 2 KIDNEYS 2 URETERS 1 BLADDER 1 URETHRA KIDNEYS • BEAN-SHAPED ORGANS • FOUND ON EITHER SIDE OF VERTEBRAL COLUMN • LOCATED IN RETROPERITONEAL SPACE • RETROPERITONEAL SPACE=AREA BEHIND UPPER PART OF ABD CAVITY; SEPARATED FROM ABD CAVITY BY PERITONEAL MEMBRANE KIDNEYS • PROTECTED BY RIBS & FAT CUSHION • HELD IN PLACE BY CONNECTIVE TISSUE • EACH KIDNEY IS ENCLOSED IN MASS OF FATTY TISSUE=ADIPOSE CAPSULE • EACH KIDNEY IS COVERED BY A TOUGH, FIBROUS TISSUE=RENAL FASCIA OR FIBROUS CAPSULE KIDNEYS DIVIDED INTO 2 MAIN SECTIONS: CORTEX & MEDULLA CORTEX= oOUTER SECTION oCONTAINS MOST OF THE NEPHRONS (NEPHRONS AID IN PRODUCTION OF URINE) KIDNEYS MEDULLA= oINNER SECTION oCONTAINS MOST OF THE COLLECTING TUBULES (COLLECTING TUBULES CARRY URINE FROM NEPHRONS THROUGH THE KIDNEY) KIDNEYS • EACH KIDNEY HAS A HILUM • HILUM=NOTCHED OR INDENTED AREA • THE URETER, NERVES, BLOOD VESSELS, & LYMPH VESSELS ENTER & LEAVE THE KIDNEY THROUGH THE HILUM KIDNEYS • NEPHRONS=MICROSCOPIC FILTERING UNITS OF THE KIDNEY • THERE ARE MORE THAN 1 MILLION NEPHRONS PER KIDNEY KIDNEYS EACH NEPHRON CONSISTS OF A: GLOMERULUS BOWMAN’S CAPSULE PROXIMAL CONVOLUTED TUBULE DISTAL CONVOLUTED TUBULE COLLECTING DUCT (TUBULE) KIDNEYS • THE RENAL ARTERY CARRIES BLOOD TO THE KIDNEY • BRANCHES OF THE RENAL ARTERY PASS THROUGH THE MEDULLA TO THE CORTEX • THIS IS WHERE BLOOD ENTERS THE 1ST PART OF THE NEPHRON, THE GLOMERULUS • GLOMERULUS=CLUSTER OF CAPILLARIES KIDNEYS • WATER, MINERAL SALTS, GLUCOSE, METABOLIC PRODUCTS, & OTHER SUBSTANCES ARE FILTERED OUT OF THE BLOOD AS IT PASSES THROUGH THE GLOMERULUS • RBCS & PROTEINS ARE NOT FILTERED OUT KIDNEYS • FILTERED BLOOD LEAVES THE GLOMERULUS & MOVES TO THE RENAL VEIN WHICH CARRIES IT AWAY FROM THE KIDNEY • THE SUBSTANCES FILTERED OUT BY THE GLOMERULUS ENTER THE NEXT SECTION OF THE NEPHRON, BOWMAN’S CAPSULE KIDNEYS • BOWMAN’S CAPSULE=C-SHAPED STRUCTURE THAT SURROUNDS THE GLOMERULUS • IT IS THE START OF THE CONVOLUTED TUBULE • BOWMAN’S CAPSULE PICKS UP THE FILTERED MATERIALS & PASSES THEM INTO THE CONVOLUTED TUBULE KIDNEYS • AS THE FILTERED MATERIAL PASSES THROUGH THE TUBULE, SUBSTANCES NEEDED BY THE BODY ARE REABSORBED AND RETURNED TO THE BLOOD CAPILLARIES • THOSE SUBSTANCES ARE MOST OF THE WATER, GLUCOSE, VITAMINS, AND MINERAL SALTS KIDNEYS • EXCESS GLUCOSE AND MINERAL SALTS, SOME WATER, AND WASTES (UREA, URIC ACID, AND CREATININE) REMAIN IN THE TUBULE • THESE EXCESS SUBSTANCES ARE A CONCENTRATED LIQUID=URINE KIDNEYS • URINE ENTERS COLLECTING DUCTS (TUBULES) LOCATED IN THE MEDULLA • THE COLLECTING DUCTS EMPTY INTO THE RENAL PELVIS (RENAL BASIN), • RENAL PELVIS=FUNNEL-SHAPED STRUCTURE THAT IS THE 1ST SECTION OF THE URETER URETERS • 2 MUSCULAR TUBES • 10-12 INCHES LONG • RENAL PELVIS=FUNNEL-SHAPED 1ST SECTION OF URETER • ONE URETER EXTENDS FROM THE RENAL PELVIS OF EACH KIDNEY TO THE BLADDER URETERS • PERISTALSIS MOVES URINE THROUGH URETER FROM KIDNEY TO BLADDER BLADDER • HOLLOW, MUSCULAR SAC • FOUND BEHIND SYMPHYSIS PUBIS • LOCATED AT MIDLINE OF PELVIC CAVITY • RECEIVES URINE FROM URETERS • STORES URINE UNTIL IT IS VOIDED • VOID=URINATE=MICTURATE BLADDER • LINED WITH MUCOUS MEMBRANE • MUCOUS MEMBRANE HAS RUGAE (FOLDS) • RUGAE DISAPPEAR AS BLADDER EXPANDS TO FILL WITH URINE • BLADDER WALLS ARE MADE OF TRIPLE LAYER OF VISCERAL (SMOOTH) MUSCLE BLADDER • CIRCULAR SPHINCTER MUSCLE CONTROLS THE BLADDER OPENING TO PREVENT EMPTYING • RECEPTORS IN BLADDER SEND OUT A REFLEX ACTION WHICH OPENS THE MUSCLE • URGE TO VOID OCCURS WHEN BLADDER HAS 250ML BUT IT CAN HOLD MUCH MORE BLADDER • INFANTS CANNOT CONTROL THE REFLEX ACTION • AS CHILDREN GROW, THEY LEARN TO CONTROL THE REFLEX URETHRA • TUBE THAT CARRIES URINE FROM BLADDER TO OUTSIDE OF BODY • URINARY MEATUS=EXTERNAL OPENING OF URETHRA URETHRA FEMALE URETHRA: 1.5 INCHES LONG OPENS IN FRONT OF VAGINA CARRIES ONLY URINE URETHRA MALE URETHRA: 8 INCHES LONG PASSES THROUGH THE PROSTATE GLAND EXISTS THE PENIS CARRIES BOTH URINE & SEMEN (NOT AT THE SAME TIME) URINE • LIQUID WASTE PRODUCT OF URINARY SYSTEM • APROX 95% WATER • CONTAINS DISSOLVED WASTE PRODUCTS: UREA, URIC ACID, CREATININE, MINERAL PIGMENTS SALTS, URINE • EXCESS USEFUL PRODUCTS (LIKE SUGAR) CAN ALSO BE FOUND IN URINE • WHEN USEFUL PRODUCTS ARE IN URINE, IT USUALLY INDICATES DISEASE URINE • KIDNEYS FILTER ABOUT 150 QUARTS OF LIQUID DAILY • ABOUT 1,500-2,000 ML (1.5-2 QUARTS) OF URINE ARE PRODUCED DAILY URINATION TERMS TERMS USED TO DESCRIBE CONDITIONS THAT AFFECT URINATION: POLYURIA=EXCESSIVE URINATION OLIGURIA=BELOW NORMAL AMOUNT OF URINE ANURIA=ABSENCE OF URINATION HEMATURA=BLOOD IN URINE URINATION TERMS PYURIA=PUS IN URINE NOCTURIA=URINATION AT NIGHT DYSURIA=PAINFUL URINATION RETENTION=INABILITY TO EMPTY BLADDER INCONTINENCE=INVOLUNTARY URINATION URINATION TERMS PROTEINURA=PROTEIN IN URINE ALBUMINURA=ALBUMIN (A BLOOD PROTEIN) IN URINE