RENAL SYSTEM 1. Kidneys 2. Ureters 3. Urinary bladder 4. Urethra 1= Basic Functional Unit 2,3,4= Conducting & Storage System 1 2 3 4 • Divided into 2 • Outer Cortex • Inner Medulla • The Functional Unit of kidney is Nephron – Nephron is located both in Cortex and Medulla STRUCTURE OF NEPHRON Nephron has 3 components 1. Vascular Component 2. Tubular Component 3. Tubovascular Component STRUCTURE OF NEPHRON Vascular components • Afferent & Efferent arterioles • Glomerulus • Peritubular capillaries Tubular components • • • • Proximal convoluted tubule Distal convoluted tubule Loop of Henle Collecting duct Tubo-vascular component • Juxtaglomerular appartus STRUCTURE OF NEPHRON AND ITS RELATED BLOOD VESSELS FUNCTIONS OF NEPHRON • Filtration • Reabsorption • Secretion • Excretion Reabsorption Filtration Secretion Excretion FUNCTIONS OF KIDNEY • Filtration • Reabsorption • Secretion • Excretion Filtration • First step in urine formation • Transport of fluid from blood to kidney nephron like urea, glucose, myoglobin, hemoglobin, Serum albumin. Re-absorption • Returning of filtered material to blood vessels like glucose & proteins. Secretion • Some hormones like Erythropoietin & Renin , Toxins, Medicines and Foreign substances. Excretion • Loss of fluid from the body in the form of urine Excretion = Total Filtration +Total Secretion – Reabsorption of urine OTHER FUNCTIONS OF KIDNEY • Urine production • Regulate the volume and composition of the extracellular fluid. – Control pH of blood. – Control blood volume & blood pressure. – Controls osmolarity. – Controls ion balance. • Production of hormones which have important functions – Renin Maintains Extracellular volume of blood plasma, interstitial fluid, lymph by renin-angiotensin system – Erythropoietin Maintains RBC production URINE FILTRATION • Happens in Glomerulus on filtration membrane. • The urine gets filtered by 3 forces due to change in pressure, these are 1. Capillary hydrostatic pressure = 55 mm Hg (OUTWARD PRESSURE MEANS FROM BLOOD VESSELS TO NEPHRON BOWMANS CAPSULE) 2. Colloid osmotic pressure = 30 mm Hg 3. Capsular hydrostatic pressure = 15 mm Hg • Net Filtration Pressure • 55 (30+15) = 45 • 55 - 45 = 10mmHg GLOMERULAR FILTERATION RATE Across the Filtration Membrane which has vast surface area due to many capillaries and blood vessels, this 10 mmHg of Filtration Pressure creates a Glomerular Filtration Rate (GFR) of 125ml/min which equates to a fluid volume of 180L/day entering the glomerular capsule. So most of the filtrate is re-absorbed. So tubular reabsorption occurs. Tubular Reabsorption • Tubular reabsorption occurs in Proximal Convoluted Tubule surrounded by peritubular capillaries. • Plasma is Filtered and Cleared from unwanted materials, toxins, ions by tubular reabsorption process and the remaining filtrate is passed as urine. Peritubular capillaries • The reabsorbed molecules of ions, plasma products, glucose go back to blood through peritubular capillaries. • Peritubular capillaries have - Low hydrostatic pressure & - High colloid osmotic pressure • Which helps in reabsorption process. Tubular secretion • Movement of unwanted material from the peritubular capillaries and interstitial space into the nephron tubules. • So further removal of unwanted substances occurs here. EXCRETION Excretion = Total Filtration +Total Secretion – Reabsorption of urine Urination or Micturition After excretion urine passes through two ureters and goes to the urinary bladder where it gets collected continuously. And as the micturition reflex starts, a person urinates