BC1002: MODULE 1: LAB 4 EXCRETORY SYSTEM week of February 14-18, 2005 Learning objectives: 1. To learn the anatomy and function of the excretory system. 2. To examine the components of urine. Readings: Asking about Life. 3rd edition, pp. 772-783. Anatomy & Physiology for Dummies. pp. 237-253. BC1002, Spring 2005, Module 1, Lab 4-1 Anatomy of the Excretory System Excretory systems are involved in the disposal of metabolic wastes and the control of body fluid composition. The kidneys maintain ion concentration and water volume by balancing the intake of these substances with excretion (via the urine). Another important function of the kidneys is to remove wastes from the body. Studying the structure of the excretory system helps us to understand these functions. We will begin today’s lab by studying the anatomy of the excretory system. Kidney Ureters Urinary Bladder Internal Sphincter Urethra External Sphincter Use the diagram on the following page as a guide to locate the underlined structures on the models in the lab. The kidneys are dark brown, somewhat bean-shaped organs that are embedded in fat and fibrous connective tissue on either side of the vertebral column. Blood enters the kidney through the renal artery, which branches from the abdominal aorta. Blood leaves the kidney through the renal vein, which empties into the inferior vena cava. Urine passes from the kidney to the urinary bladder through the ureter. Leading from the urinary bladder to the exterior is a short tube, the urethra. In females, the urethra is about 4 cm long, and in males, it is about 20 cm in length. The exit of urine from the bladder is called micturition. BC1002, Spring 2005, Module 1, Lab 4-2 The passage of urine from the bladder is controlled by two sphincter muscles: the internal sphincter and the external sphincter. When approximately 300 ml of urine has accumulated in the bladder, the walls of the bladder are stretched sufficiently to elicit a reflex that causes the bladder walls to contract. These contractions force urine past the internal sphincter and into the upper urethra. The presence of urine in this portion of the upper urethra creates the desire to micturate. The external sphincter is under voluntary control; and thus, micturition does not occur until the external sphincter is voluntarily relaxed. Use the diagram to the right as a guide to locate the underlined structures on the model in the lab. The kidney itself is divided into three regions. The outermost region is called the renal cortex, which has a somewhat granular appearance. To the inside of the cortex is the renal medulla. The medulla is divided into the cone-shaped renal pyramids, each of which terminates as a renal papilla. Extending down between the pyramids are the renal columns. The central cream-colored region of the kidney is the renal pelvis. The outer portions of the pelvis divide into short tubes, the calyces (singular calyx). The papillae extend into the calyces, and at this site the calyces receive urine from the papillae. The functional unit of the kidney is the nephron. There are approximately one million nephrons in each kidney. Most nephrons are contained within the cortex, however, about 20% of them lie partially in both the cortex and medulla. The formation of urine by the nephron is the result of three distinct processes that occur in different regions of the nephron: (1) filtration, (2) reabsorption, and (3) secretion. At one end of the nephron is a bulbous structure, the renal corpuscle, which is composed of 2 parts, an outer glomerular (or Bowman's) capsule, and an inner tuft of capillaries, the glomerulus. An afferent arteriole leads into the glomerulus and the efferent arteriole leads out of the glomerulus. The efferent arteriole then branches into many fine peritubular capillaries. The glomerular capsule leads into the proximal convoluted tubule, followed by Henle's loop, which is divided, into a descending loop and an ascending loop. Henle's loop leads into the distal convoluted tubule and finally into the collecting duct, which eventually ends at the renal papilla. BC1002, Spring 2005, Module 1, Lab 4-3 Blood enters the glomerulus through the afferent arteriole. High pressure within the glomerulus causes a considerable amount of blood fluid to be forced into the glomerular capsule. Only blood cells and large protein molecules cannot pass from the glomerulus into the glomerular capsule. The fluid within the glomerulus contains glucose, amino acids, urea, salts, and a large amount of water. While we want to eliminate urea from the body, we cannot afford to lose large quantities of the other substances. The challenge for the nephron is to eliminate the urea while reclaiming the other substances. As the filtrate passes into the proximal convoluted tubule, essentially all the glucose and most of the water, salts, and amino acids are reabsorbed. However, we are still losing too much water and sodium. The descending loop of Henle is very permeable to water but not very permeable to sodium. Consequently water moves out of the tubule, but sodium remains in the tubule. The fluid in the tubule becomes more concentrated as it reaches the bottom of the loop. The ascending loop is relatively impermeable to water, but sodium is actively pumped out of the tubule. BC1002, Spring 2005, Module 1, Lab 4-4 As the fluid moves up the ascending loop, it becomes less concentrated, and by the time it reaches the distal convoluted tubule, the composition of the fluid is little different from the fluid that entered the descending loop. However, considerable amounts of water and sodium have been reclaimed as the fluid passes through Henle’s loop. After Henle's loop, the fluid enters the distal convoluted tubule. Water reabsorption here is facilitated by antidiuretic hormone (ADH), which is released by the pituitary gland. The more ADH released from the pituitary, the greater the water reabsorption in the distal tubule, and the more concentrated the urine. The amount of ADH released is dependent on the hydration state of the individual. If you have been eating large amounts of watermelon, little ADH would be released, less water would be reabsorbed in the distal tubule, and a dilute urine would be produced. If you are dehydrated due to bouncing your buns off in aerobics class, more ADH would be released, more water would be reabsorbed in the distal tubule, and a more concentrated urine would be produced. Following the distal convoluted tubule, the fluid enters the collecting duct, and eventually leaves the nephron at the renal papillae. Observe the demonstration microscope slide of kidney tissue. Identify its parts. Observe the kidney model and be sure you can identify its parts. Kidney Function Kit: follow the instructions for the kidney function kit that will be provided during lab. URINE TESTING Today in lab, you will work in pairs to test several urine samples. For each sample, you will test for appearance, specific gravity, pH, protein, and glucose using the methods outlined below. For each sample you test, please complete a column on the urine testing worksheet. Appearance The first thing to consider in a routine urine test is the visual appearance of the urine. Its color and turbidity may suggest the presence of a pathologic condition. Normal urine varies from light straw color to deep amber. The color of normal urine is due to a pigment called urochrome, a breakdown product of hemoglobin. Normal urine does not have red blood cells. The appearance of red blood cells in the urine is called hematuria. One cause of hematuria is acute inflammation of the urinary organs as a result of disease or irritation from kidney stones. Other causes include tumors and trauma in the excretory system. Although abnormal color may indicate pathology, some foods and drugs can change the urine color without pathological significance. BC1002, Spring 2005, Module 1, Lab 4-5 Specific gravity Specific gravity is a measure of the density of a solution. Pure water has a specific gravity of 1.00. When other substances are dissolved in water the specific gravity of the solution increases. Normal urine has a specific gravity of 1.015 to 1.025. A low specific gravity will be present in chronic nephritis, in which the rate of tubular reabsorption is low, and diabetes insipidus (a condition different from diabetes mellitus). A high specific gravity may indicate diabetes mellitus, fever, or acute nephritis. To determine the specific gravity of urine: 1. Fill a urinometer cylinder 3/4 full of urine (there will be a mark on the side). Remove any foam using a strip of paper toweling. 2. Insert the hydrometer into the urine and read the value on the stem where it intersects the bottom of the meniscus. Make sure that the hydrometer is not touching the sides when you take the reading. 3. Take the temperature of the urine and calculate the adjusted specific gravity. Hydrometers are calibrated for a specific temperature; ours are calibrated for either 20º C or 60º F (15.5º C). Look at the hydrometer scale to determine the calibration temperature. If the temperature is greater than the calibrated temperature add 0.001 for each 3º C; subtract 0.001 for each 3º C below the calibrated temperature. Please see Appendix M1-L4 –1 for information on converting between Celsius degreesand Fahrenheit degrees. Protein Protein is normally not present in the urine because the large size of protein molecules prevent them from being filtered out of the blood in the glomerulus. When protein is present in the urine, the condition is called albuminuria. Physiologic albuminuria can occur due to excessive muscular exertion, prolonged cold baths, or excessive ingestion of protein. Pathologic albuminuria can occur due to kidney congestion (higher filtration pressure), toxemia of pregnancy, febrile diseases, and some anemias in which large amount erythrocyes break down. We will test for the presence of protein with two methods. The first is the test strip; follow the instructions for their use. It is not uncommon for women to test positive for protein in their urine at trace levels. This is usually of no particular importance. Several other tests can be used to detect protein. All of these methods cause protein to precipitate due to heat or chemical treatment. We will use Exton's method for detection of protein in the urine. Exton’s method: 1. Pipette 1 ml of urine and 1 ml of Exton's reagent into a test tube. Mix thoroughly. 2. Heat the mixture in a boiling water bath for a few minutes. If a precipitate forms in the tube, protein is present in the urine. BC1002, Spring 2005, Module 1, Lab 4-6 Hydrogen ion concentration Freshly voided urine will normally have a pH ranging from 4.8 to 7.5, with an average pH of 6. The pH will vary with the time of day the sample was collected and the diet. As a urine sample ages, it becomes more alkaline. Urine test sticks will normally be used to determine the pH. To determine the pH of your urine, dip a pH testing strip into the urine and match the color to the key on the side of the strip tube. Glucose Glucose is normally present in the urine at very low concentrations (0.01 to 0.03 mg/100 ml). While glucose freely passes from the blood into the glomerular filtrate, it is normally reabsorbed in the proximal convoluted tubule. Glucosuria, the presence of glucose in the urine, occurs when an individual suffers from diabetes mellitus. Persons with diabetes mellitus either release insufficient amounts of the hormone insulin from their pancreas or their tissues are unresponsive to insulin. One of the important functions of insulin is that it facilitates the transport of glucose from the blood into cells. When insulin levels are insufficient, glucose is not transported into cells normally; thus, blood glucose levels are elevated. The glucose levels in the glomerular filtrate directly reflect blood glucose levels. The kidney has the ability to reabsorb up to 180 mg of glucose per 100 ml of glomerular filtrate. If blood glucose levels exceed this amount, the kidneys cannot reabsorb all of the glucose, and glucose will appear in the urine. We will look for the presence of glucose in urine using both test sticks and Benedict's reagent. For the Benedict's test perform the following: 1. Label test tubes for the 4 samples of urine. 2. Pour 5 ml of Benedict's reagent into each tube. 3. Add 0.5 ml of urine to each tube. 4. Place the tubes in a boiling water bath for 5 min. Determine the amount of glucose present using the following chart. Color Amount of Glucose blue to cloudy green yellowish green greenish yellow yellow orange red negative 0.5 - 1 gm% 1 - 1.5 gm% 1.5 - 2.5 gm% 2.5 - 4 gm% > 4 gm% Test results confirmation You may confirm your results using Four Factor Urinary Test Strips. These strips will test for pH, glucose, proteins, and ketones. Please record these on your worksheet also. You will need to carefully follow the instructions on the side of the canister, including the timing for each test. BC1002, Spring 2005, Module 1, Lab 4-7 Assignment due at beginning of lab next week Lab data worksheet, to be completed during lab as a pair of students: For each of the urine tests you perform today, report the results of the test on the data worksheet (page 4-9). The following parts should be typed and submitted INDIVIDUALLY at the beginning of lab next week: For each of the urine tests, state the normal range of values for the test and if the urine you tested fell outside of that range. For each test where you found an abnormal constituent in the abnormal urine, discuss physiologic reasons why that substance should not normally be present in urine. Although in your report you may refer to a disease that produces this abnormality, a reference to only the disease with no mention of the underlying physiology is not an adequate answer. You MUST reference and correctly cite the sources of your information. Please see Appendix M1-L4-2 for more details on citation format. Finally, what are ketones, why would one test for them in a medical setting? Why might ketones be elevated, what symptoms might the patient have, and how could high ketones be prevented or eliminated? (If you use online resources to answer these questions, please be careful and use only legitamate websites (this leads to another question: how do you determine if a website (particularly one that gives medical information) is legitamate and medically sound?). BC1002, Spring 2005, Module 1, Lab 4-8 BC1002 Module 1: Lab 4 Urine Testing Worksheet Spring 2005 Names_________________________ _________________________ Sample 1 Sample 2 Sample 3 Sample 4 appearance Normal results specific gravity pH pH strip 4-factor strip protein Exton’s method 4-factor strip glucose Benedict’s test 4-factor strip BC1002, Spring 2005, Module 1, Lab 4-9 Appendix M1-L4-1 (http://www.ncdc.noaa.gov/ol/climate/conversion/tempconvert.html) Celsius to Fahrenheit Conversion Chart °C 50 49 48 47 46 45 44 43 42 41 40 39 38 37 36 35 34 33 32 31 30 29 28 °F 122.0 120.2 118.4 116.6 114.8 113.0 111.2 109.4 107.6 105.8 104.0 102.2 100.4 98.6 96.8 95.0 93.2 91.4 89.6 87.8 86.0 84.2 82.4 °C 27 26 25 24 23 22 21 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 °F 80.6 78.8 77.0 75.2 73.4 71.6 69.8 68.0 66.2 64.4 62.6 60.8 59.0 57.2 55.4 53.6 51.8 50.0 48.2 46.4 44.6 42.8 41.0 °C 4 3 2 1 0 -1 -2 -3 -4 -5 -6 -7 -8 -9 -10 -11 -12 -13 -14 -15 -16 -17 -18 °F 39.2 37.4 35.6 33.8 32.0 30.2 28.4 26.6 24.8 23.0 21.2 19.4 17.6 15.8 14.0 12.2 10.4 8.6 6.8 5.0 3.2 1.4 -0.4 °C -19 -20 -21 -22 -23 -24 -25 -26 -27 -28 -29 -30 -31 -32 -33 -34 -35 -36 -37 -38 -39 -40 °F -2.2 -4.0 -5.8 -7.6 -9.4 -11.2 -13.0 -14.8 -16.6 -18.4 -20.2 -22.0 -23.8 -25.6 -27.4 -29.2 -31.0 -32.8 -34.6 -36.4 -38.2 -40.0 For greater accuracy use formula below: To convert from Celsius to Fahrenheit: °F =(9/5)°C+32 To convert from Fahrenheit to Celsius: °C=(5/9) x (°F-32) °C = temperature in degrees Celsius °F = temperature in degrees Fahrenheit BC1002, Spring 2005, Module 1, Lab 4-10 Appendix M1-L4-2 (http://www.ncdc.noaa.gov/ol/climate/conversion/tempconvert.html) Literature Cited List any publications referred to in your report alphabetically by first author; do not number them. Every item in your bibliography should be referred to in the body of your paper, or it shouldn't be listed at all. If you use information from an intermediary source, you should list the original reference but should also note the intermediary: "...cited in...". We will use the following standard forms (some journals use variations of these), shown in order for (1) an article with one author, (2) an article with more than one author, (3) a book, and (4) a chapter from an edited volume: Reynolds, P.D. 1992. Mantle-mediated shell decollation increases posterior aperture size in Dentalium rectius Carpenter 1864 (Scaphopoda: Dentaliida). Veliger 35:26-35. Gapp, D.A., R.N. Taranto, E F. Walsh, P.J. Favorito, and Y. Zhang. 1990. Insulin cells are found in the main and accessory urinary bladders of the painted turtle, Chrysemys picta. J. Exp. Zool. 254:332-337. Stokes, D., L. Stokes, and E. Williams. 1991. The Butterfly Book. Little, Brown and Co., Boston. 96 pp. Pearcy, R.W., and W.A. Pfitsch. 1994. Consequences of sunflecks for photosynthesis and growth of forest understory plants. Pages 343-359 in E.D. Schulze and M.M. Caldwell, editors. Ecophysiology of Photosynthesis. Springer Verlag, New York. For information you found online: (from: http://www.apastyle.org/elecsource.html) • If a document is contained within a large and complex Web site (such as that for a university or a government agency), identify the host organization and the relevant program or department before giving the URL for the document itself. Precede the URL with a colon. • Use the complete publication date given on the article. • Note that there are no page numbers. • In an Internet periodical, volume and issue numbers often are not relevant. If they are not used, the name of the periodical is all that can be provided in the reference. • Whenever possible, the URL should link directly to the article. • Break a URL that goes to another line after a slash or before a period. Do not insert (or allow your word-processing program to insert) a hyphen at the break. Chou, L., McClintock, R., Moretti, F., Nix, D. H. (1993). Technology and education: New wine in new bottles: Choosing pasts and imagining educational futures. Retrieved August 24, 2000, from Columbia University, Institute for Learning Technologies Web site: http://www.ilt.columbia.edu/publications/papers/newwine1.html BC1002, Spring 2005, Module 1, Lab 4-11
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