The Kidney
kidneys
located in retroperitoneum posterior abdominal wall
glomeruli
exclusive site of plasma filtration located in outer cortex
medulla
consists of pyramid shaped tissues
papilla
apex of pyramids of medulla; contains a duct that enters a cavity
calyces
funnel urine from collecting tubules to renal pelvis
150 mL
amount of urine accumulated for nerve reflex to signal an urge to urinate
Passage of Urine
Plasma ultrafiltrate -> glomerulus -> nephrons -> calyces -> renal pelvis -> ureters -> bladder -> urethra
1.3 million
amount of nephrons in each kidney
glomerulus
capillary tuft surrounded by Bowman's capsule where filtration occurs
proximal convoluted tubule
responsible for most reabsorption
loop of Henle
tubular portion of nephron immediately following and continuous with the proximal tubule located in the renal medulla
distal convoluted tubule
reabsorption and secretion of small molecules takes place in the tubules; reabsorption of water to concentrate urine
collecting tubule
reabsorption of essential nutrients and water
25%
percentage of total circulation kidneys receive
hydrostatic pressure
averages 55mm Hg (half of mean arterial blood pressure) and is driving force behind glomerular filtration
ultrafiltrate
the portion filtered out of the blood by the glomerulus that runs through the tubules as essential nutrients and water are reabsorbed into the blood stream and waste is concentrated to form urine; high in water and low in protein compared to plasma
enzyme renin
present in afferent arteriole of juxtaglomerular apparatus
renin
released in response to decreased arterial blood pressure or volume, decreased sodium or increased potassium, or vascular hemorrhage; causes angiotensin formation and aldosterone secretion
aldosterone
released by the adrenal cortex and stimulated by renin to allow kidneys to reabsorb water and sodium and increase blood pressure through the distal convoluted tubule
180,000 mL
amount of plasma filtered each day producing a final urine volume of 600-1800 mL
600-1800 mL
amount of urine produced per day in a healthy adult
water
largest component of urine
urea, chloride, sodium, and potassium
other principle solutes present in urine
filter and excrete waste, regulate acid/base balance, produce EPO, and regulate arterial blood pressure
four overall functions of the kidneys
filtration, absorption, and secretion
the three main mechanisms the nephron uses in the formation of urine
120-130 mL
amount of blood filtered by the kidneys per minute
antidiuretic hormone (ADH) (vasopressin)
produced in hypothalamus and released by posterior pituitary gland, opens the spaces between the cells within the tubules, allowing for the endothelium to become highly permeable to water; if not present the spaces are joined tightly
1%
percentage of plasma filtered that results in urine
anuria
absence of urine
oliguria
a significant decrease (<400mL/day) of urine
polyuria
a significant amount (>3L/day) of urine
cystitis
infection and inflammation of the urinary system usually the bladder
nephritis
inflammation of the kidney
glomerulonephritis
inflammation of the glomeruli due to immunologic, metabolic, and hereditary disorders
pyelonephritis
infection of the kidneys leading to inflammation
nephrosis
a disorder associated with renal disorders caused by excess protein, lipids, and edema and decreased plasma albumin
reabsorption
movement of water and essential nutrients (amino acids, salts, and glucose) back into the blood
secretion
movement of waste products such as creatinine through the tubules into urine
active transport
moves against a gradient, requires energy
passive transport
movement from higher concentration to an area of lower concentration
7.35-7.45
normal pH range of blood
blood bicarbonate buffer system
buffers that prevent pH from changing
pulmonary system
get rid of excess or retain extra carbon dioxide (an acid)
renal system
increases or decreases H+ excretion, formation of ammonia, and reabsorption of bicarbonate
ADH inhibited
ADH when blood pressure is high leading to dilute urine
ADH released
ADH when blood pressure drops leading to concentrated urine