URINARY SYSTEM Your body takes in nutrients from food and uses them to maintain body functions. After your body has taken what it needs, waste products are left in the blood. The urinary system works to filter the blood to remove nitrogenous waste and keep certain chemicals and water in balance. FUNCTIONS: KIDNEYS --1. Maintain purity and constancy of internal fluids by filtering the blood – removing nitrogenous waste and excess ions from the blood --returning needed substances back to the blood 2. Regulate blood volume and chemical makeup so there is a balance between water, salts, and acids/bases 3. Produce enzyme renin – regulate blood pressure 4. Produce hormone erythropoietin – stimulate erythropoiesis 5. Convert Vitamin D to active form FUNCTIONS: URETERS, BLADDER, URETHRA 1. provide temporary storage for urine (bladder) 2. serves as transportation channels to carry urine (ureter, urethra) Anatomy of the Kidney The kidneys lie against the dorsal body wall in the retroperitoneal position (beneath the parietal peritoneum) in the superior lumbar region. The right kidney is positioned lower than the left to make room for the liver. The medial indention is called the renal hilus. Adrenal glands sit atop of each kidney. Renal capsule is a fibrous layer surrounding the kidneys that contains adipose to hold the kidneys in place. The kidneys are composed of 3 regions: cortex, medulla, pelvis Renal arteries branch from the descending aorta to bring blood to kidneys for filtration. Renal veins return filtered blood to the inferior vena cava. One-quarter of the total blood supply of the body passes through the kidneys each minute. Average adult produces 3 pints of urine a day. NEPHRONS – Each kidney contains millions of nephrons. Nephrons are the structural and functional units of the kidneys. Nephrons regulate the concentration of water and soluble substances by filtering the blood, reabsorbing what is needed and excreting the rest as urine. Each nephron consists of 2 structures: Glomerulus – knot of capillaries Renal tubules – Bowman’s capsule, proximal convoluted tubule, loop of Henle, distal convoluted tubule Formation of URINE: 1. Renal artery brings blood to kidneys – afferent arteriole feeds blood to glomerulus in the cortex. 2. Filtration occurs – water, excess salts, glucose and waste (urea) are forced through the capillary walls into the Bowman’s Capsule. This is FILTRATE! The efferent arterioles receive blood from the glomerulus. 3. Tubular Reabsorption – movement of water, glucose, other nutrients and ions out of the renal tubules back into blood capillaries. 4. Tubular Secretion – ions (Na/K/NH3) and drugs move out of the blood capillaries into the renal tubules. 5. Collecting tubules receive urine and carry it to the calyxes then the pelvis, which connects to the ureter. 6. Ureter carries urine to bladder – micturition or voiding occurs (emptying the bladder). 7. Urine enters urethra and is carried out the body. Urine Composition – 95% water 5% other solutes – urea, uric acid, creatinine & ions Contains urochrome – a yellowish pigment from the breakdown of hemoglobin Urine is sterile. Regulating water & electrolyte BALANCE: Reabsorption of water and electrolytes is regulated primarily by hormones. When blood volume drops, arterial blood pressure drops which decrease the amount of filtrate formed by the kidneys. Receptors in the hypothalamus trigger the posterior pituitary to release antidiuretic hormone (ADH) that causes more reabsorption of water to increase blood volume and pressure. Renin stimulates the adrenal cortex to secrete aldosterone which causes Na and water reabsorption to increase blood volume which increases blood pressure.
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