SlideShare une entreprise Scribd logo
1  sur  66
The Urinary
  system
Functions of the Urinary System
• Elimination of waste products
  – Nitrogenous wastes (Urea, NH4+)
  – Toxins (Pesticides, Herbicides, Metal
    ions)
  – Drugs (Meth, Coke, Marijuana, LSD. Also
    most over the counter medicines
    (aspirin)
Functions of the Urinary System
• Regulate aspects of homeostasis
  – Water balance
  – Electrolytes (Prevents the loss of Na, K, Cl, Ca,
    Mg,)
  – Acid-base balance in the blood
  – Blood pressure (Linked to water retention and
    retention of electrolytes)
  – Red blood cell production (Via what hormone?)
  – Activation of vitamin D
Organs of the Urinary system
•   Kidneys
•   Ureters
•   Urinary bladder
•   Urethra




                                 Figure 15.1a
Regions of the Kidney
• Renal cortex – outer
  region. Has a
  “normal” salt
  concentration
• Renal medulla –
  inside the cortex.
• Has a very high salt
  concentration
• Renal pelvis – inner
  collecting tube

                                  Figure 15.2b
The nephron


• The functional unit of the
  kidney is called the
  nephron.
• The mammalian kidney
  allows mammals to produce
  hyperosmotic urine
  – Urine concentration >
    body fluid concentration
The Nephron




The nephron starts in the renal cortex, loops into the renal
medulla and then returns to the cortex.
The nephron filters about 180 L (150 L in women) of blood
each day!
However, you only urinate 1 to 2 L of urine per day.
The nephron is made up of:

• The glomerular
  capsule
  – Filters blood
The nephron is made up of:
• The proximal convoluted
  tubule
The nephron is made up of:

• The nephron loop
The nephron is made up of:
• The distal convoluted tubule
The nephron is made up of:
• And the Collecting duct.
The nephron is made up of:

• The glomerular capsule
• The proximal convoluted
  tubule
• The nephron loop
• The distal convoluted tubule
• And the Collecting duct.
Two types of nephrons




• We have 2 types of nephrons.
• One is found has a long PCT and a short loop
  – Reabsorbs nutrients, disposes of wastes
• The other has a long loop that goes deep into the
  medulla
  – For water retention.
The glomerular capsule
• Blood enters through an afferent arteriole into a capillary bed.
• The capillaries have large filtration pores. Therefore, plasma, ions,
  small proteins, peptide hormones, glucose, fatty acids, nitrogenous
  waste, vitamins and other small molecules leak out.
The glomerular capsule
• The basement membrane prevents large molecules
  from passing out.
• In addition, a net negative electrical charge prevent
  negatively charged proteins from passing. (e.g.
  blood albumin )
The glomerular capsule
• A podocyte wraps around the capillary. Extensions
  called pedicles intertwine blocking large and
  medium sized molecules. A negative charge also
  repels negatively charged molecules
Filtration Membrane




• The walls of the capillary blocks all cells and platelets
• The basement membrane stops large plasma proteins
• Podocytes Stop medium-sized proteins, not small ones
So
• Blood cells and platelets remain in the blood
• Large and medium sized proteins also stay in the blood.
• Everything else is forced into the nephron. This
  includes nutrients and ions.
What causes the fluid to leave?
What causes the fluid to leave?
• A greater fluid pressure in the capillaries than in
  the capsule
What is the result of glomerular filtration?

• The glomerular filtrate has a similar
  composition as blood except for that it lacks
  large proteins and blood cells.
• Therefore, you could say it has a similar
  composition to blood plasma
So then, how do we get hypertonic urine?

• Nephrons and collecting ducts perform 3
  basic processes
  1. glomerular filtration
     a portion of the blood plasma is filtered into the
      kidney
  2. tubular reabsorption
     water & useful substances are reabsorbed into the
      blood
  3. tubular secretion
    1. wastes are removed from the blood & secreted
       into urine
The proximal convoluted tubule


• Tubular reabsorption occurs here. The
  end result is only about ¼ of the
  filtrate is left
• Tubular reabsorption is the process of
  reclaiming water and solutes.
• The nephron must eventually reabsorb
  99% of the filtrate
• The PCT reabsorbs 65% of filtrate to
  peritubular capillaries
Tubular secretion

• Some substances are actively transported into the PCT
• Waste removal: urea, uric acid, bile salts, ammonia,
  catecholamines, many drugs
• Acid-base balance secretion of hydrogen and bicarbonate
  ions regulates pH of body fluids
Water conservation


• The majority of this occurs in the nephron
  loop.
• You also get reabsorption of Na+, K+, and Cl-
The nephron loop
• Split into the descending
  and ascending limbs.
• Part of the descending limb
  is permeable to water and
  urea.
• The ascending limb is
  impermeable to water.
Nephron Loop

• The loop goes down into
  the medulla.
• As you go deeper in the
  medulla, the salt
  concentration increases.
• This causes water to
  leave the nephron.
Therefore
• There is always a
  greater salt
  concentration outside
  of the loop than inside.
• Therefore, water is
  always drawn out as
  you go down the loop.
• The ascending loop is
  not permeable to
  water. Therefore water
  cannot reenter.
• The blood supply is moving counter to the nephron
  loop.
• Therefore, the blood vessels reclaims the water
  being drawn out of the nephron loop.
Thus
• Water exits the descending loop.
• It quickly enters the capillary that runs along the
  loop.
• The capillary is moving in a direction where it always
  takes water in.
Urea
• The descending loop is also
  permeable to urea.
• Therefore, enters the loop
  since there is a greater
  concentration of urea
  outside of the loop than
  inside of the loop.
Reabsorption & Secretion in the Collecting Duct
• By end of DCT, 95% of
  solutes & water have been
  reabsorbed and returned to
  the bloodstream
• Cells in the DCT make the
  final adjustments
  – cells reabsorb Na+ and secrete
    K+
  – Other cells reabsorb K+ &
    bicarbonate ions and secrete
    H+
Hormonal action in the DCT
• Aldosterone increases Na+ and water
  reabsorption & K+ secretion by principal cells
  by stimulating the synthesis of new pumps
  and channels.
• Parathyroid hormone increases the
  reabsorption of Ca+
Formation of Urine




                     Figure 15.5
In summary
• The glomerular capsule filters plasma, nutrients ions,
  urea, and small proteins from the blood.
• In the PCT, the nutrients, ions, and small proteins are
  reabsorbed.
• Urea, Uric acid Hydrogen ions, and Ammonia ions are all
  actively secreted.
In Summary
• Water is reabsorbed in the
  descending nephron loop
  because it is going down a
  concentration gradient.
• In the DCT, water, sodium,
  calcium, and potassium
  ions are all reabsorbed.
• In the DCT Urea, Uric acid,
  NH4+ and H+ are all actively
  secreted.
Collecting duct
• Each nephron connects to
  a collecting duct. However,
  1 collecting duct will be
  attached to many
  nephrons.
• Since the collecting duct
  goes through the medulla
  too, it is also going through
  a concentration gradient.
• Therefore, even more
  water is reabsorbed.
Anti-diuretic hormone
• ADH causes more water channels to open in
  the collecting duct.
• This increases the amount of water that is
  reabsorbed.
• If ADH is blocked (Caffeine, Alcohol, water is
  not reabsorbed.
• This produces a dilute urine and causes you to
  become dehydrated.
Characteristics of Urine Used for
        Medical Diagnosis

• Colored somewhat yellow due to the pigment
  urochrome (Urobilin) (from the destruction of
  hemoglobin) and solutes
• Sterile. Does not have bacteria.
• Slightly aromatic
• Normal pH of around 6 (H+, NH4+ and Uric acid.
Overview of Renal Physiology




• Glomerular filtration of plasma
• Tubular reabsorption
• Tubular secretion
Ureters
• Slender tubes attaching the kidney to the
  bladder from the collecting duct.
• Peristalsis aids gravity in urine transport
Urinary Bladder
• Smooth, collapsible, muscular sac
• Temporarily stores urine




                                      Figure 15.6
Urinary Bladder
• three openings form an area called the trigone
  – Two from the ureters
  – One to the urethra
  – Not to be confused with Oedipus’ daughter Antigone




                                                  Figure 15.6
Urinary Bladder Wall
               • Three layers of smooth
                 muscle (detrusor
                 muscle)
               • Walls are thick and
                 folded in an empty
                 bladder
               • Bladder can expand
                 significantly without
                 increasing internal
                 pressure due to
                 Transitional epithelium
Urethra
• Thin-walled tube that carries urine from the bladder to the
  outside of the body by peristalsis
• Release of urine is controlled by two sphincters
   – Internal urethral sphincter (involuntary)
   – External urethral sphincter (voluntary)
Urethra Gender Differences
• Length
  – Females – 3–4 cm (1 inch)
  – Males – 20 cm (8 inches)
• Location
  – Females – along wall of the vagina
  – Males – through the prostate and penis
Urethra Gender Differences
• Function
  – Females – only carries urine
  – Males – carries urine and is a passageway for
    sperm cells
Micturition (Voiding)
• Both sphincter muscles must open
  to allow voiding
  – The internal urethral sphincter is
    relaxed after stretching of the bladder
  – Activation is from an reflex sent to the
    spinal cord and then back via the pelvic
    splanchnic nerves
  – The external urethral sphincter must
    be voluntarily relaxed
Maintaining Water Balance
• Normal amount of water in the human body
  – Young adult females – 50%
  – Young adult males – 60%
  – Babies – 75%
  – Old age – 45%
• Water is necessary for many body functions
  and levels must be maintained
Distribution of Body Fluid
• Intracellular fluid
  (inside cells)
• Extracellular fluid
  (outside cells)
  – Interstitial fluid
  – Blood plasma




                                    Figure 15.8
The Link Between Water and Salt
• Changes in electrolyte balance causes water
  to move from one compartment to another
  – Alters blood volume and blood pressure
  – Can impair the activity of cells
Maintaining Water Balance
• Water intake must equal water output
• Sources for water intake
   – Ingested foods and fluids
   – Water produced from metabolic processes
• Sources for water output
   –   Vaporization out of the lungs
   –   Lost in perspiration
   –   Leaves the body in the feces
   –   Urine production
Maintaining Water Balance
• Dilute urine is produced if water intake is
  excessive
• Less urine (concentrated) is produced if large
  amounts of water are lost
• Proper concentrations of various electrolytes
  must be present
Regulation of Water and Electrolyte
           Reabsorption

• Regulation is primarily by hormones
  – Antidiuretic hormone (ADH) prevents excessive
    water loss in urine
  – Aldosterone regulates sodium ion content of
    extracellular fluid
     • Triggered by the rennin-angiotensin mechanism
• Cells in the kidneys and hypothalamus are
  active monitors
Maintaining Water and Electrolyte
            Balance




                              Figure 15.10
Maintaining Acid-Base Balance in
              Blood
• Blood pH must remain between 7.35 and 7.45
  to maintain homeostasis
  – Alkalosis – pH above 7.45
  – Acidosis – pH below 7.35
• Most ions originate as byproducts of cellular
  metabolism
Maintaining Acid-Base Balance in
              Blood
• Most acid-base balance is maintained by the
  kidneys
• Other acid-base controlling systems
  – Blood buffers
  – Respiration
Blood Buffers
• Molecules react to prevent dramatic changes
  in hydrogen ion (H+) concentrations
  – Bind to H+ when pH drops
  – Release H+ when pH rises
• Three major chemical buffer systems
  – Bicarbonate buffer system
  – Phosphate buffer system
  – Protein buffer system
The Bicarbonate Buffer System
• Mixture of carbonic acid (H2CO3) and sodium
  bicarbonate (NaHCO3)
• Bicarbonate ions (HCO3–) react with strong
  acids to change them to weak acids
• Carbonic acid dissociates in the presence of a
  strong base to form a weak base and water
Respiratory System Controls of Acid-
           Base Balance

• Carbon dioxide in the blood is converted to
  bicarbonate ion and transported in the plasma
• Increases in hydrogen ion concentration
  produces more carbonic acid
• Excess hydrogen ion can be blown off with the
  release of carbon dioxide from the lungs
• Respiratory rate can rise and fall depending
  on changing blood pH
Renal Mechanisms of Acid-Base
            Balance
• Excrete bicarbonate ions if needed
• Conserve or generate new bicarbonate ions if
  needed
• Urine pH varies from 4.5 to 8.0

Contenu connexe

Tendances

Urine Production
Urine ProductionUrine Production
Urine Production
MukmienBMK
 
Chapter 44:Homeostasis
Chapter 44:HomeostasisChapter 44:Homeostasis
Chapter 44:Homeostasis
Heather Powell
 
Kidneys& Its Function
Kidneys& Its FunctionKidneys& Its Function
Kidneys& Its Function
raj kumar
 

Tendances (20)

Urinary
UrinaryUrinary
Urinary
 
Renal system Physiology and Homeostasis
Renal system Physiology and HomeostasisRenal system Physiology and Homeostasis
Renal system Physiology and Homeostasis
 
Cm5 renal function
Cm5 renal functionCm5 renal function
Cm5 renal function
 
Kidney
KidneyKidney
Kidney
 
Urine Production
Urine ProductionUrine Production
Urine Production
 
Chapter 44:Homeostasis
Chapter 44:HomeostasisChapter 44:Homeostasis
Chapter 44:Homeostasis
 
The urinary system.ppt
The urinary system.pptThe urinary system.ppt
The urinary system.ppt
 
The urinary system
The urinary systemThe urinary system
The urinary system
 
Renal system
Renal systemRenal system
Renal system
 
10th excretory system
10th excretory system10th excretory system
10th excretory system
 
Powerpoint presentation on Urine formation
Powerpoint presentation on Urine formationPowerpoint presentation on Urine formation
Powerpoint presentation on Urine formation
 
Urinary system+ formation of concentrated urine
Urinary system+ formation of concentrated urineUrinary system+ formation of concentrated urine
Urinary system+ formation of concentrated urine
 
urine formation
urine formationurine formation
urine formation
 
702 kidney
702 kidney702 kidney
702 kidney
 
12. urinary system
12. urinary system12. urinary system
12. urinary system
 
Renal system
Renal systemRenal system
Renal system
 
Excretory system
Excretory systemExcretory system
Excretory system
 
Excretory system:Kidneys,ureter,urethra and urinary bladder
Excretory system:Kidneys,ureter,urethra and urinary bladderExcretory system:Kidneys,ureter,urethra and urinary bladder
Excretory system:Kidneys,ureter,urethra and urinary bladder
 
Kidney function and nephrons
Kidney function and nephronsKidney function and nephrons
Kidney function and nephrons
 
Kidneys& Its Function
Kidneys& Its FunctionKidneys& Its Function
Kidneys& Its Function
 

Similaire à Chapter 15 the uirnary system

URINARY SYSTEM.ppt555555555555555555555555
URINARY SYSTEM.ppt555555555555555555555555URINARY SYSTEM.ppt555555555555555555555555
URINARY SYSTEM.ppt555555555555555555555555
JamesAmaduKamara
 
Kidney and urinary system parts and their functions
Kidney and urinary system parts and their functionsKidney and urinary system parts and their functions
Kidney and urinary system parts and their functions
keerthikrishna41
 
Kidney anatomy, physiology and disorders
Kidney anatomy, physiology and disordersKidney anatomy, physiology and disorders
Kidney anatomy, physiology and disorders
University of Mauritius
 
EXCRETORY-PRODUCTS-THEIR-ELIMINATION.pptx
EXCRETORY-PRODUCTS-THEIR-ELIMINATION.pptxEXCRETORY-PRODUCTS-THEIR-ELIMINATION.pptx
EXCRETORY-PRODUCTS-THEIR-ELIMINATION.pptx
musiclovers17
 
anatomyandphysiologyoftheurinarysystem-1-180326104626.pdf
anatomyandphysiologyoftheurinarysystem-1-180326104626.pdfanatomyandphysiologyoftheurinarysystem-1-180326104626.pdf
anatomyandphysiologyoftheurinarysystem-1-180326104626.pdf
Happychifunda
 

Similaire à Chapter 15 the uirnary system (20)

The Excretory system
The Excretory systemThe Excretory system
The Excretory system
 
Urinary system
Urinary systemUrinary system
Urinary system
 
URINARY SYSTEM.ppt555555555555555555555555
URINARY SYSTEM.ppt555555555555555555555555URINARY SYSTEM.ppt555555555555555555555555
URINARY SYSTEM.ppt555555555555555555555555
 
Kidney and urinary system parts and their functions
Kidney and urinary system parts and their functionsKidney and urinary system parts and their functions
Kidney and urinary system parts and their functions
 
URINARY%20SYSTEM.pdf.pdf
URINARY%20SYSTEM.pdf.pdfURINARY%20SYSTEM.pdf.pdf
URINARY%20SYSTEM.pdf.pdf
 
Kidney anatomy, physiology and disorders
Kidney anatomy, physiology and disordersKidney anatomy, physiology and disorders
Kidney anatomy, physiology and disorders
 
09 urinary system
09 urinary system09 urinary system
09 urinary system
 
urinary system.pptx
urinary system.pptxurinary system.pptx
urinary system.pptx
 
URINE FORMATION.pdf
URINE FORMATION.pdfURINE FORMATION.pdf
URINE FORMATION.pdf
 
Urinary System.pptx
Urinary System.pptxUrinary System.pptx
Urinary System.pptx
 
Excretory System
Excretory SystemExcretory System
Excretory System
 
The urinary system
The urinary systemThe urinary system
The urinary system
 
urinary system- pptx.pptx
urinary system- pptx.pptxurinary system- pptx.pptx
urinary system- pptx.pptx
 
excretory system URINARY SYSTEM GENITOURINARY SYSTEM
excretory system URINARY SYSTEM GENITOURINARY SYSTEMexcretory system URINARY SYSTEM GENITOURINARY SYSTEM
excretory system URINARY SYSTEM GENITOURINARY SYSTEM
 
EXCRETORY-PRODUCTS-THEIR-ELIMINATION.pptx
EXCRETORY-PRODUCTS-THEIR-ELIMINATION.pptxEXCRETORY-PRODUCTS-THEIR-ELIMINATION.pptx
EXCRETORY-PRODUCTS-THEIR-ELIMINATION.pptx
 
Kidneys
KidneysKidneys
Kidneys
 
anatomyandphysiologyoftheurinarysystem-1-180326104626.pdf
anatomyandphysiologyoftheurinarysystem-1-180326104626.pdfanatomyandphysiologyoftheurinarysystem-1-180326104626.pdf
anatomyandphysiologyoftheurinarysystem-1-180326104626.pdf
 
Anatomy and physiology of the Urinary system by Dipali Harkhani
Anatomy and physiology of the Urinary system by Dipali HarkhaniAnatomy and physiology of the Urinary system by Dipali Harkhani
Anatomy and physiology of the Urinary system by Dipali Harkhani
 
The urinary system 2018
The urinary system 2018The urinary system 2018
The urinary system 2018
 
EXCRETORY SYSTEM PPT.pptx
EXCRETORY SYSTEM PPT.pptxEXCRETORY SYSTEM PPT.pptx
EXCRETORY SYSTEM PPT.pptx
 

Dernier

+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...
+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...
+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...
?#DUbAI#??##{{(☎️+971_581248768%)**%*]'#abortion pills for sale in dubai@
 
Finding Java's Hidden Performance Traps @ DevoxxUK 2024
Finding Java's Hidden Performance Traps @ DevoxxUK 2024Finding Java's Hidden Performance Traps @ DevoxxUK 2024
Finding Java's Hidden Performance Traps @ DevoxxUK 2024
Victor Rentea
 
Why Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire businessWhy Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire business
panagenda
 
Architecting Cloud Native Applications
Architecting Cloud Native ApplicationsArchitecting Cloud Native Applications
Architecting Cloud Native Applications
WSO2
 

Dernier (20)

How to Troubleshoot Apps for the Modern Connected Worker
How to Troubleshoot Apps for the Modern Connected WorkerHow to Troubleshoot Apps for the Modern Connected Worker
How to Troubleshoot Apps for the Modern Connected Worker
 
EMPOWERMENT TECHNOLOGY GRADE 11 QUARTER 2 REVIEWER
EMPOWERMENT TECHNOLOGY GRADE 11 QUARTER 2 REVIEWEREMPOWERMENT TECHNOLOGY GRADE 11 QUARTER 2 REVIEWER
EMPOWERMENT TECHNOLOGY GRADE 11 QUARTER 2 REVIEWER
 
Boost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdfBoost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdf
 
Vector Search -An Introduction in Oracle Database 23ai.pptx
Vector Search -An Introduction in Oracle Database 23ai.pptxVector Search -An Introduction in Oracle Database 23ai.pptx
Vector Search -An Introduction in Oracle Database 23ai.pptx
 
+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...
+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...
+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...
 
Mcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot Model
Mcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot ModelMcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot Model
Mcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot Model
 
Understanding the FAA Part 107 License ..
Understanding the FAA Part 107 License ..Understanding the FAA Part 107 License ..
Understanding the FAA Part 107 License ..
 
Apidays New York 2024 - APIs in 2030: The Risk of Technological Sleepwalk by ...
Apidays New York 2024 - APIs in 2030: The Risk of Technological Sleepwalk by ...Apidays New York 2024 - APIs in 2030: The Risk of Technological Sleepwalk by ...
Apidays New York 2024 - APIs in 2030: The Risk of Technological Sleepwalk by ...
 
TrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
TrustArc Webinar - Unlock the Power of AI-Driven Data DiscoveryTrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
TrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
 
Platformless Horizons for Digital Adaptability
Platformless Horizons for Digital AdaptabilityPlatformless Horizons for Digital Adaptability
Platformless Horizons for Digital Adaptability
 
Finding Java's Hidden Performance Traps @ DevoxxUK 2024
Finding Java's Hidden Performance Traps @ DevoxxUK 2024Finding Java's Hidden Performance Traps @ DevoxxUK 2024
Finding Java's Hidden Performance Traps @ DevoxxUK 2024
 
Why Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire businessWhy Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire business
 
FWD Group - Insurer Innovation Award 2024
FWD Group - Insurer Innovation Award 2024FWD Group - Insurer Innovation Award 2024
FWD Group - Insurer Innovation Award 2024
 
Architecting Cloud Native Applications
Architecting Cloud Native ApplicationsArchitecting Cloud Native Applications
Architecting Cloud Native Applications
 
Strategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
Strategize a Smooth Tenant-to-tenant Migration and Copilot TakeoffStrategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
Strategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
 
AWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of Terraform
 
presentation ICT roal in 21st century education
presentation ICT roal in 21st century educationpresentation ICT roal in 21st century education
presentation ICT roal in 21st century education
 
Introduction to Multilingual Retrieval Augmented Generation (RAG)
Introduction to Multilingual Retrieval Augmented Generation (RAG)Introduction to Multilingual Retrieval Augmented Generation (RAG)
Introduction to Multilingual Retrieval Augmented Generation (RAG)
 
"I see eyes in my soup": How Delivery Hero implemented the safety system for ...
"I see eyes in my soup": How Delivery Hero implemented the safety system for ..."I see eyes in my soup": How Delivery Hero implemented the safety system for ...
"I see eyes in my soup": How Delivery Hero implemented the safety system for ...
 
Six Myths about Ontologies: The Basics of Formal Ontology
Six Myths about Ontologies: The Basics of Formal OntologySix Myths about Ontologies: The Basics of Formal Ontology
Six Myths about Ontologies: The Basics of Formal Ontology
 

Chapter 15 the uirnary system

  • 1. The Urinary system
  • 2. Functions of the Urinary System • Elimination of waste products – Nitrogenous wastes (Urea, NH4+) – Toxins (Pesticides, Herbicides, Metal ions) – Drugs (Meth, Coke, Marijuana, LSD. Also most over the counter medicines (aspirin)
  • 3. Functions of the Urinary System • Regulate aspects of homeostasis – Water balance – Electrolytes (Prevents the loss of Na, K, Cl, Ca, Mg,) – Acid-base balance in the blood – Blood pressure (Linked to water retention and retention of electrolytes) – Red blood cell production (Via what hormone?) – Activation of vitamin D
  • 4. Organs of the Urinary system • Kidneys • Ureters • Urinary bladder • Urethra Figure 15.1a
  • 5. Regions of the Kidney • Renal cortex – outer region. Has a “normal” salt concentration • Renal medulla – inside the cortex. • Has a very high salt concentration • Renal pelvis – inner collecting tube Figure 15.2b
  • 6. The nephron • The functional unit of the kidney is called the nephron. • The mammalian kidney allows mammals to produce hyperosmotic urine – Urine concentration > body fluid concentration
  • 7. The Nephron The nephron starts in the renal cortex, loops into the renal medulla and then returns to the cortex. The nephron filters about 180 L (150 L in women) of blood each day! However, you only urinate 1 to 2 L of urine per day.
  • 8. The nephron is made up of: • The glomerular capsule – Filters blood
  • 9. The nephron is made up of: • The proximal convoluted tubule
  • 10. The nephron is made up of: • The nephron loop
  • 11. The nephron is made up of: • The distal convoluted tubule
  • 12. The nephron is made up of: • And the Collecting duct.
  • 13. The nephron is made up of: • The glomerular capsule • The proximal convoluted tubule • The nephron loop • The distal convoluted tubule • And the Collecting duct.
  • 14. Two types of nephrons • We have 2 types of nephrons. • One is found has a long PCT and a short loop – Reabsorbs nutrients, disposes of wastes • The other has a long loop that goes deep into the medulla – For water retention.
  • 15. The glomerular capsule • Blood enters through an afferent arteriole into a capillary bed. • The capillaries have large filtration pores. Therefore, plasma, ions, small proteins, peptide hormones, glucose, fatty acids, nitrogenous waste, vitamins and other small molecules leak out.
  • 16. The glomerular capsule • The basement membrane prevents large molecules from passing out. • In addition, a net negative electrical charge prevent negatively charged proteins from passing. (e.g. blood albumin )
  • 17. The glomerular capsule • A podocyte wraps around the capillary. Extensions called pedicles intertwine blocking large and medium sized molecules. A negative charge also repels negatively charged molecules
  • 18. Filtration Membrane • The walls of the capillary blocks all cells and platelets • The basement membrane stops large plasma proteins • Podocytes Stop medium-sized proteins, not small ones
  • 19. So • Blood cells and platelets remain in the blood • Large and medium sized proteins also stay in the blood. • Everything else is forced into the nephron. This includes nutrients and ions.
  • 20. What causes the fluid to leave?
  • 21. What causes the fluid to leave? • A greater fluid pressure in the capillaries than in the capsule
  • 22. What is the result of glomerular filtration? • The glomerular filtrate has a similar composition as blood except for that it lacks large proteins and blood cells. • Therefore, you could say it has a similar composition to blood plasma
  • 23. So then, how do we get hypertonic urine? • Nephrons and collecting ducts perform 3 basic processes 1. glomerular filtration  a portion of the blood plasma is filtered into the kidney 2. tubular reabsorption  water & useful substances are reabsorbed into the blood 3. tubular secretion 1. wastes are removed from the blood & secreted into urine
  • 24. The proximal convoluted tubule • Tubular reabsorption occurs here. The end result is only about ¼ of the filtrate is left • Tubular reabsorption is the process of reclaiming water and solutes. • The nephron must eventually reabsorb 99% of the filtrate • The PCT reabsorbs 65% of filtrate to peritubular capillaries
  • 25.
  • 26. Tubular secretion • Some substances are actively transported into the PCT • Waste removal: urea, uric acid, bile salts, ammonia, catecholamines, many drugs • Acid-base balance secretion of hydrogen and bicarbonate ions regulates pH of body fluids
  • 27. Water conservation • The majority of this occurs in the nephron loop. • You also get reabsorption of Na+, K+, and Cl-
  • 28. The nephron loop • Split into the descending and ascending limbs. • Part of the descending limb is permeable to water and urea. • The ascending limb is impermeable to water.
  • 29. Nephron Loop • The loop goes down into the medulla. • As you go deeper in the medulla, the salt concentration increases. • This causes water to leave the nephron.
  • 30. Therefore • There is always a greater salt concentration outside of the loop than inside. • Therefore, water is always drawn out as you go down the loop. • The ascending loop is not permeable to water. Therefore water cannot reenter.
  • 31. • The blood supply is moving counter to the nephron loop. • Therefore, the blood vessels reclaims the water being drawn out of the nephron loop.
  • 32. Thus • Water exits the descending loop. • It quickly enters the capillary that runs along the loop. • The capillary is moving in a direction where it always takes water in.
  • 33.
  • 34. Urea • The descending loop is also permeable to urea. • Therefore, enters the loop since there is a greater concentration of urea outside of the loop than inside of the loop.
  • 35. Reabsorption & Secretion in the Collecting Duct • By end of DCT, 95% of solutes & water have been reabsorbed and returned to the bloodstream • Cells in the DCT make the final adjustments – cells reabsorb Na+ and secrete K+ – Other cells reabsorb K+ & bicarbonate ions and secrete H+
  • 36. Hormonal action in the DCT • Aldosterone increases Na+ and water reabsorption & K+ secretion by principal cells by stimulating the synthesis of new pumps and channels. • Parathyroid hormone increases the reabsorption of Ca+
  • 37. Formation of Urine Figure 15.5
  • 38. In summary • The glomerular capsule filters plasma, nutrients ions, urea, and small proteins from the blood. • In the PCT, the nutrients, ions, and small proteins are reabsorbed. • Urea, Uric acid Hydrogen ions, and Ammonia ions are all actively secreted.
  • 39. In Summary • Water is reabsorbed in the descending nephron loop because it is going down a concentration gradient. • In the DCT, water, sodium, calcium, and potassium ions are all reabsorbed. • In the DCT Urea, Uric acid, NH4+ and H+ are all actively secreted.
  • 40. Collecting duct • Each nephron connects to a collecting duct. However, 1 collecting duct will be attached to many nephrons. • Since the collecting duct goes through the medulla too, it is also going through a concentration gradient. • Therefore, even more water is reabsorbed.
  • 41. Anti-diuretic hormone • ADH causes more water channels to open in the collecting duct. • This increases the amount of water that is reabsorbed. • If ADH is blocked (Caffeine, Alcohol, water is not reabsorbed. • This produces a dilute urine and causes you to become dehydrated.
  • 42. Characteristics of Urine Used for Medical Diagnosis • Colored somewhat yellow due to the pigment urochrome (Urobilin) (from the destruction of hemoglobin) and solutes • Sterile. Does not have bacteria. • Slightly aromatic • Normal pH of around 6 (H+, NH4+ and Uric acid.
  • 43. Overview of Renal Physiology • Glomerular filtration of plasma • Tubular reabsorption • Tubular secretion
  • 44.
  • 45. Ureters • Slender tubes attaching the kidney to the bladder from the collecting duct. • Peristalsis aids gravity in urine transport
  • 46. Urinary Bladder • Smooth, collapsible, muscular sac • Temporarily stores urine Figure 15.6
  • 47. Urinary Bladder • three openings form an area called the trigone – Two from the ureters – One to the urethra – Not to be confused with Oedipus’ daughter Antigone Figure 15.6
  • 48. Urinary Bladder Wall • Three layers of smooth muscle (detrusor muscle) • Walls are thick and folded in an empty bladder • Bladder can expand significantly without increasing internal pressure due to Transitional epithelium
  • 49. Urethra • Thin-walled tube that carries urine from the bladder to the outside of the body by peristalsis • Release of urine is controlled by two sphincters – Internal urethral sphincter (involuntary) – External urethral sphincter (voluntary)
  • 50. Urethra Gender Differences • Length – Females – 3–4 cm (1 inch) – Males – 20 cm (8 inches) • Location – Females – along wall of the vagina – Males – through the prostate and penis
  • 51. Urethra Gender Differences • Function – Females – only carries urine – Males – carries urine and is a passageway for sperm cells
  • 52. Micturition (Voiding) • Both sphincter muscles must open to allow voiding – The internal urethral sphincter is relaxed after stretching of the bladder – Activation is from an reflex sent to the spinal cord and then back via the pelvic splanchnic nerves – The external urethral sphincter must be voluntarily relaxed
  • 53.
  • 54. Maintaining Water Balance • Normal amount of water in the human body – Young adult females – 50% – Young adult males – 60% – Babies – 75% – Old age – 45% • Water is necessary for many body functions and levels must be maintained
  • 55. Distribution of Body Fluid • Intracellular fluid (inside cells) • Extracellular fluid (outside cells) – Interstitial fluid – Blood plasma Figure 15.8
  • 56. The Link Between Water and Salt • Changes in electrolyte balance causes water to move from one compartment to another – Alters blood volume and blood pressure – Can impair the activity of cells
  • 57. Maintaining Water Balance • Water intake must equal water output • Sources for water intake – Ingested foods and fluids – Water produced from metabolic processes • Sources for water output – Vaporization out of the lungs – Lost in perspiration – Leaves the body in the feces – Urine production
  • 58. Maintaining Water Balance • Dilute urine is produced if water intake is excessive • Less urine (concentrated) is produced if large amounts of water are lost • Proper concentrations of various electrolytes must be present
  • 59. Regulation of Water and Electrolyte Reabsorption • Regulation is primarily by hormones – Antidiuretic hormone (ADH) prevents excessive water loss in urine – Aldosterone regulates sodium ion content of extracellular fluid • Triggered by the rennin-angiotensin mechanism • Cells in the kidneys and hypothalamus are active monitors
  • 60. Maintaining Water and Electrolyte Balance Figure 15.10
  • 61. Maintaining Acid-Base Balance in Blood • Blood pH must remain between 7.35 and 7.45 to maintain homeostasis – Alkalosis – pH above 7.45 – Acidosis – pH below 7.35 • Most ions originate as byproducts of cellular metabolism
  • 62. Maintaining Acid-Base Balance in Blood • Most acid-base balance is maintained by the kidneys • Other acid-base controlling systems – Blood buffers – Respiration
  • 63. Blood Buffers • Molecules react to prevent dramatic changes in hydrogen ion (H+) concentrations – Bind to H+ when pH drops – Release H+ when pH rises • Three major chemical buffer systems – Bicarbonate buffer system – Phosphate buffer system – Protein buffer system
  • 64. The Bicarbonate Buffer System • Mixture of carbonic acid (H2CO3) and sodium bicarbonate (NaHCO3) • Bicarbonate ions (HCO3–) react with strong acids to change them to weak acids • Carbonic acid dissociates in the presence of a strong base to form a weak base and water
  • 65. Respiratory System Controls of Acid- Base Balance • Carbon dioxide in the blood is converted to bicarbonate ion and transported in the plasma • Increases in hydrogen ion concentration produces more carbonic acid • Excess hydrogen ion can be blown off with the release of carbon dioxide from the lungs • Respiratory rate can rise and fall depending on changing blood pH
  • 66. Renal Mechanisms of Acid-Base Balance • Excrete bicarbonate ions if needed • Conserve or generate new bicarbonate ions if needed • Urine pH varies from 4.5 to 8.0

Notes de l'éditeur

  1. Components of filtration membrane and what they do
  2. 4 physiological processes we will study