The document describes the anatomy and functions of the urinary system. It discusses the key components, including the kidneys, nephrons, ureters, bladder, and urethra. The kidneys filter blood via nephrons to form urine, which travels through the ureters to the bladder. When full, the bladder contracts to expel urine through the urethra. Common diseases like cystitis and kidney stones are also outlined.
2. Learning Outcomes
30-2
.1 Describe the structure, location, and functions of the kidney.
.2 Define the term nephron and describe its structure.
.3 Explain how nephrons filter blood and form urine.
.4 List substances normally found in urine.
1/9/2024
By Shemsedin A.
3. Learning Outcomes (cont.)
30-3
.5 Describe the locations, structures, and functions of the
ureters, bladder, and urethra.
.6 Explain how urination is controlled.
.7 Describe the causes, signs and symptoms, and treatments
of various diseases and disorders of the urinary system.
1/9/2024
By Shemsedin A.
4. Introduction
30-4
System functions to remove waste products from the blood
Main functional units of the kidneys are the nephrons
Nephrons filter the blood and form the urine
Kidneys
Ureters
Bladder
Urethra
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By Shemsedin A.
5. The Kidneys
30-5
Functions
Remove metabolic waste products from the blood
Secrete the hormone erythropoietin, which stimulates
bone marrow to produce red blood cells
Secrete the hormone renin, which helps regulate blood
pressure
Description
The kidneys are bean-shaped organs that lie behind the
peritoneal cavity (retroperitoneal) on either side of the
vertebral column.
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By Shemsedin A.
6. The Kidneys (cont.)
30-6
Renal sinus concave depression of the surface of the kidney
Hilum point of entry for the renal artery, renal vein, and ureter
Renal pelvis expansion of the ureter that further divides into
calyces
Renal cortex outermost portion of the kidney that covers the
pyramids and dips down between them
Renal medulla middle portion that also divides into renal pyramids
Renal column portion of the cortex between pyramids
Kidney
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By Shemsedin A.
7. The Kidneys: Nephrons
30-8
Removes waste products from the blood
Each kidney contains about 1 million nephrons
Made of a renal corpuscle and a renal tubule
Renal
Corpuscles
Composed of a group of capillaries
called a glomerulus
Glomerulus is surrounded by
Bowmans capsule
Blood filtration occurs in corpuscle
Extend from the Bowmans
capsule of a nephron
Consist of three parts:
Proximal convoluted tubule
Loop of Henle
Distal convoluted tubule
Renal
Tubules
Glomerulus
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By Shemsedin A.
8. The Kidneys Nephrons (cont.)
30-10
Veins of the Kidney
Afferent Arteriole
Glomerulus
Efferent Arteriole
Peritubular Capillaries
Afferent arterioles deliver
blood to the glomeruli
Efferent arterioles carry
blood from the glomeruli to
peritubular capillaries
1/9/2024
By Shemsedin A.
9. 30-11
Apply Your Knowledge
What are the functions of the kidney?
ANSWER: The kidney removes metabolic waste products from the blood, secretes erythropoietin to help
regulate RBC production, and secretes renin to help regulate the BP.
Correct!
1/9/2024
By Shemsedin A.
10. Urine Formation:
Glomerular Filtration
First process occurs in renal
corpuscles
Fluid part of the blood is forced from
glomerulous into Bowmans capsule
Becomes glomerular filtrate
30-12
Glomerulus
11. Urine Formation:
Glomerular Filtration (cont.)
Factors affecting glomerular filtration
Filtration pressure amount of pressure that forces
filtrate from the glomerulus into Bowmans capsule.
Determined by blood pressure
Rate of filtration sympathetic nervous system control
Constriction of afferent arterioles decreases filtration pressure
30-13
12. Urine Formation: Tubular Reabsorption
30-14
Second process in urine formation
Glomerular filtrate proximal convoluted tubule
Nutrients, water, and ions pass through the walls of the renal tubule into
the peritubular capillaries
Water reabsorption depends on hormones
Antidiuretic hormone (ADH)
Aldosterone
Both increase water reabsorption, which decreases urine production
Tubular
Reabsorption
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By Shemsedin A.
13. Urine Formation: Tubular Secretion
30-15
Third process of urine
formation
Substances move from
blood in the peritubular
capillaries into the renal
tubules
Secreted substances
Drugs
Hydrogen ions
Waste products
Tubular
Secretion
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By Shemsedin A.
14. Urine Formation (cont.)
30-17
Urine composition
Mostly water
Urea and uric acid
Formed by the breakdown of proteins and nucleic acids
Trace amounts of amino acids and various ions
Secretion of waste products helps maintain the acid-base balance
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By Shemsedin A.
15. 30-18
Apply Your Knowledge
Match the following:
___ Second process in urine formation A. Glomerular filtration
___ Substances move from blood into renal tubules B. Tubular reabsorption
___ Depends on filtration pressure C. Tubular secretion
___ Third process of urine formation
___ First process of urine formation
___ Filtrate flows into the proximal convoluted tubule
C
C
B
A
A
B
ANSWER:
Nice Job!
1/9/2024
By Shemsedin A.
16. Ureters, Urinary Bladder, and Urethra (cont.)
30-20
Urinary bladder
Expandable muscular organ
Stores up to 600 ml urine on average
Detrusor muscle smooth muscle in wall of bladder
Trigone triangle on internal floor of bladder formed by urethra and
ureters
Micturation
Process of urination
Stretching of bladder triggers process
Approximately 150cc of urine
Bladder
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By Shemsedin A.
17. Ureters, Urinary Bladder, and Urethra (cont.)
30-21
Urination
External urethral sphincter
relaxes
Micturation reflex impulses
from pons and hypothalamus
Detrusor muscle contracts
Urine expelled
Impulses to contract
urethra; inhibit micturition
impulse until ready to
urinate
Bladder
distends
Stretch
receptors
Spinal cord
Parasympathetic nerves
stimulate detrusor muscle
Brain stem
and
cerebral
cortex
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By Shemsedin A.
18. Ureters, Urinary Bladder, and Urethra (cont.)
30-22
Urethra
Tube that moves urine from the bladder to the outside world
Shorter in females patient education
Urinate when urge occurs
Drink adequate clear fluids
Wipe front to back
Urinate after intercourse
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By Shemsedin A.
19. Apply Your Knowledge
30-23
True or False:
___ Ureters move urine by peristalsis.
___ The detrusor is formed by the openings of the ureters and urethra.
___ The process of micturition is triggered when the bladder contains about
150 ml urine.
___ The urethra move urine from the kidney to the bladder.
___ The urethra is longer in females.
___ Contraction of the detrusor muscle pushes urine from the bladder.
F
F
T
F
T
trigone
males
ureters
T
ANSWER:
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By Shemsedin A.
20. Diseases and Disorders of the Urinary
System
Disease/Disorder Description
Acute renal failure Sudden loss of kidney function; may be reversible with treatment
Chronic renal failure Kidneys slowly use ability to function; not reversible
Cystitis Urinary bladder infection; more common in females
Glomerulonephritis Inflammation of the glomeruli of the kidney; one cause of
chronic renal failure
Incontinence Inability to control urination
30-24
21. Diseases and Disorders of the Urinary System
Disease/Disorder Description
Polycystic kidney
disease
Enlargement of kidneys because of the presence of
many cysts within them; slow, progressive disease
Pyelonephritis Complicated urinary tract infection; starts with a
bladder infection and spreads to both kidneys; can be
acute or chronic
Renal calculi Kidney stones; can become lodged in ducts within
kidneys or ureters
30-25
22. 30-26
Apply Your Knowledge
Matching:
___ Complicated urinary tract infection A. Pyelonephritis
___ Inability to control urination B. Glomerulonephritis
___ Kidney stones C. Incontinence
___ Slow loss of kidney function D. Chronic renal failure
___ Bladder infection E. Renal calculi
___ Inflammation of the glomeruli F. Cystitis
___ Kidney enlargement due to cysts G. Acute renal failure
___ Sudden loss of kidney function H. Polycystic kidney disease
H
G
F
E
D
C
B
A
ANSWER:
GOOD JOB !
1/9/2024
By Shemsedin A.
23. In Summary
30-27
The organs of the urinary system include the kidneys, ureters,
bladder, and urethra
The kidneys remove metabolic waste products from the blood and
secrete erythropoietin and renin
Urine travels through the ureters to the bladder
Stretching of the bladder triggers micturition reflex
Urine travels from the bladder through the urethra to the outside
world
1/9/2024
By Shemsedin A.