THE URINARY: Urinary system notes: text notes pages 1-4; all of diagram note packet • “Filtrate” = filtered plasma that exits blood at glomerulus (fenestrated capillaries) in nephrons (functional units of kidneys) ◦ **Filtrate becomes urine ◦ “Filtrate” in nephrons is mostly H2O with glucose, amino acids, and various ions, metabolic wastes BUT NO blood cells & NO proteins (normally) • Kidney location = between last 2 false (floating ribs) and crest of ilium (between T-12 and L-3 vertebrae) ◦ Kidneys are very posterior — “paraspinal” — near spinal column • Hilus = entrance into the kidney and lungs; means an “entrance” ◦ The medial central region of each kidney contains an entry and exit for the follow vessels (called the hilus) — ‣ Ureter ‣ Renal artery and vein ‣ Lymphatic Vessels ‣ Nerve fibers (sympathetic) Kidney Anatomy: page 5 diagram notes • Renal = “kidney” • 1. Renal capsule = equivalent to a visceral pericardium; the outer external connective tissue covering/layer of the kidney have pon't Know thisone • 2. Cortex = outer region of internal kidney; lighter tissue; contains toknow2 the structural and functional unit of the kidney —> the “nephron”; contains most of the nephrons (about 1 million nephrons — microscopic units — in each kidney) ◦ Nephrons are mostly in the cortex and do the work of the kidneys ‣ They form the urine from blood which flows through specialized capillaries called glomerulus and is filtered through a structure called the Bowman’s capsule. • 3. Medulla = also called renal medulla; triangular area; darker tissue; middle internal region of kidney; contains the collecting tubules; contains the “pyramids” (or renal pyramids) ◦ *Region • 4. Pyramids = part of the renal medulla; also called renal pyramids; “cone like things” in kidneys; formed by “collecting ducts” which collect the urine from nephrons ◦ *Structure in medulla • • • • 5. Minor calyx = tube that comes down and carries urine from the bottom of every pyramid (2 of these) 6. Major calyx = formed by 2 minor calyx; all major calyx combined/merged together form renal pelvis 7. Renal pelvis = becomes the ureter; this is formed by all major calyx combing together 8. Ureter = carries urine to urinary bladder A representative nephron: in diagram notes & text notes • Corpuscle = little body • Parts and functions: ◦ Collecting duct = white tubes down the middle ◦ Nephrons = 3 green tubes (microscopic in real life) ◦ Renal corpuscle = glomerulus (capillary bed) & Bowman’s capsule (surrounds glomerulus & collects the filtrate) ‣ Function: production of filtrate cooled by “Bowman’s capsule” ◦ Proximal convoluted tubule = “proximal” — close to glomerulus; convoluted — “twisted and turned”; this transports the filtrate from the Bowman’s capsule ‣ Function: major site of reabsorption • Reabsorption (to take back in) of water nutrients (glucose and amino acids) and ions • During reabsorption (at proximal convoluted tubule), H2O, nutrients, and ions are returned to blood by way of “peritubular capillaries” that surround the tubules of the nephron ◦ Distal convoluted tubule & collecting duct (part of pyramid) = both have variable of reabsorption of water and ions ‣ Function: reabsorption under control of ADH and Aldosterone hormones • ADH (antidiuretic hormone) stimulates reabsorption of H2O from filtrate resulting in less urine production • Aldosterone stimulates reabsorption of sodium ions (Na+) from the filtrate (and urine) resulting in less Na+ in urine Renal corpuscle: page 8-9 diagram notes • JGA — Juxtaglomerular apparatus = group of cells of afferent arterioles (delivers unfiltered blood to the glomerulus) and the cells of the distal convoluted tubule ◦ Cells of JGA produce a substance called “RENIN” in response to low blood pressure and essentially low blood fluid volume [page 9 diagram] ‣ During blood loss OR dehydration, diarrhea (lose a lot of water) ◦ Renin enters the systemic blood —> at the liver, renin stimulates production of “angiotensin 1” which is an inactive hormone [Angiotensin 1 enters the systemic blood — from liver] ‣ At the lungs, angiotensin 1 (inactive hormone) is converted to an active hormone “angiotensin 2” [Angiotensin 2 stimulates secretion of aldosterone and ADH; it also stimulates systemic “vasoconstriction” (gets smaller) resulting in increased systemic blood pressure ‣ *Angiotensin 2 is very powerful vasoconstrictor FYI mm 2