BIOL 1308 Chapter16_lecture

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    Inquiry into LifeTwelfth Edition

    Chapter 16

    Lecture PowerPoint to accompany

    Sylvia S. Mader

    Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

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    16.1 Urinary System

    Functions of the Urinary System

    Excretion of Metabolic Wastes

    Urea, Creatinine, Uric acid

    Maintenance of Water-Salt Balance NaCl, K+, HCO3

    -, Ca2+

    Maintenance of Acid-Base Balance

    Excretion of H+, reabsorption of HCO3-

    Secretion of Hormones Renin, Erythropoietin

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    The Urinary System

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    16.1 Urinary System

    Organs of the Urinary System Kidneys

    Located in lumbar region

    Behind peritoneum

    Covered by tough capsule of fibrous connective tissue

    Concave side has a depression called a hilum

    Location of renal artery and vein

    Ureters Conduct urine from kidney to bladder

    Three-layered wall

    Mucosa, smooth muscle, outer connective tissue

    Conveys urine by peristalsis

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    16.1 Urinary System

    Organs of the Urinary System

    Urinary Bladder

    Stores urine

    Has three openings

    Two for the ureters, one for the urethra

    The bladder wall is expandable

    Two sphincter muscles control the release of urine into the

    urethra

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    16.1 Urinary System

    Organs of the Urinary System

    Urethra

    A small tube that leads from the urinary bladder to anexternal opening

    Its function is to remove urine from the body

    The urethra is longer males than females

    The urethra also transports semen in males

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    16.1 Urinary System

    Urination

    Stretch receptors in

    wall of bladder

    Send impulses whenbladder fills to 250 ml

    Motor impulses from

    spinal cord

    Bladder contraction

    Micturition occurs

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    16.2 Anatomy of the Kidney

    and Excretion

    There are three regions to a kidney

    The renal cortex

    The renal medulla

    The renal pelvis

    Nephrons are the functional units of the kidney

    Each kidney has over one million nephrons

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    Gross Anatomy of the Kidney

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    16.2 Anatomy of the Kidney

    and Excretion

    Anatomy of a Nephron

    A nephron is composed of a system of tubules

    Each nephron has its own blood supply

    From renal artery, afferent arteriole leads into the glomerulus

    Blood leaves the glomerulus via an efferent arteriole

    Efferent arteriole takes blood to peritubular capillaries

    These surround rest of the nephron

    Blood then goes to renal vein

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    Nephron Anatomy

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    16.2 Anatomy of the Kidney

    and Excretion

    Parts of a Nephron

    Glomerular capsule (Bowmans capsule)

    Cuplike structure

    Inner layer has podocytes Form pores for passage of small molecules

    Proximal convoluted tubule (PCT)

    Cuboidal epithelial cells with microvilli

    Increased surface area for absorption

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    16.2 Anatomy of the Kidney

    and Excretion

    Parts of a Nephron

    Loop of Henle

    U-shaped tube

    Simple squamous epithelium

    Distal Convoluted tubule (DCT)

    Lack microvilli

    Designed for tubular excretion rather than reabsorption

    Collecting Ducts

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    Processes in Urine Formation

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    16.2 Anatomy of the Kidney

    and Excretion

    Urine Formation

    Glomerular Filtration

    Blood enters the afferent arteriole and glomerulus

    Blood pressure forces water and small molecules into theglomerular capsule (filtration)

    Large molecules and formed elements cannot leave the

    capillaries

    Remaining processes must reabsorb desirable substances

    and allow wastes to pass

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    16.2 Anatomy of the Kidney

    and Excretion

    Urine Formation

    Glomerular Filtration

    Filterable Blood

    Components

    Nonfilterable Blood

    Components

    Water Blood cells and

    platelets

    Nitrogenous wastes Plasma proteins

    Nutrients

    Salts

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    16.2 Anatomy of the Kidney

    and Excretion

    Urine Formation Tubular Reabsorption

    Molecules are reabsorbed both actively and passively

    Sodium reabsorbed by active transport

    Chloride follows passively Water absorbed by osmosis

    Only molecules recognized by carrier proteins are activelyreabsorbed

    Glucose is an example

    There is a limited number of carrier proteins Excess glucose ends up being excreted

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    16.2 Anatomy of the Kidney

    and Excretion

    Urine Formation

    Tubular Reabsorption

    Reabsorbed Filtrate

    Components

    Nonreabsorbed

    FiltrateComponents

    Most water Some water

    Nutrients Much nitrogenous

    wastesRequired salts (ions) Excess salts (ions)

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    16.2 Anatomy of the Kidney

    and Excretion

    Urine Formation

    Tubular Secretion

    Hydrogen ions, potassium, creatinine, many drugs

    Actively transported from the blood

    Urine Contains

    Filtered substances that have not been reabsorbed

    Substances that have been actively secreted

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    16.3 Regulatory Functions

    of the Kidneys

    Reabsorption of Water

    Excretion of hypertonic urine depends on

    reabsorption of water from the loops of the nephrons

    and the collecting ducts

    Reabsorption of water requires

    Reabsorption of salt

    Establishment of solute gradient

    Reabsorption of water

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    16.3 Regulatory Functions

    of the Kidneys

    Reabsorption of Water

    Reabsorption of Salt Regulated by the absorption and excretion of ions

    Na+, K+, HCO3-, Mg2+

    More than 99% of Na+ filtered at the glomerulus is returnedto the blood

    67% is reabsorbed at the proximal tubule

    25% is reabsorbed at the ascending limb of the nephron loop

    The rest is reabsorbed from the distal convoluted tubule andthe collecting duct

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    16.3 Regulatory Functions

    of the Kidneys

    Reabsorption of Water

    Reabsorption of Salt Hormonal Regulation at the Distal Convoluted Tubule

    Occurs when blood pressure at the glomerulus is low

    Juxtaglomerular Apparatus secretes renin

    Renin is an enzyme that changes angiotensinogen intoAngiotensin I

    Angiotensin I is then converted into Angiotensin II

    Angiotensin II stimulates the adrenal cortex to release aldosterone

    Aldosterone promotes the excretion of K+ and the reabsorption ofNa+

    The reabsorption of Na+ is followed by the reabsorption of H2O

    Blood volume and blood pressure increase

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    16.3 Regulatory Functions

    of the Kidneys

    Reabsorption of Water

    Reabsorption of Salt Hormonal Regulation at the Distal Convoluted Tubule

    Atrial naturietic hormone (ANH)

    Another hormone regulating sodium

    Secreted by right atrium of heart in response to stretching

    Indicates increased blood volume

    Inhibits renin secretion by juxtaglomerular apparatus

    Inhibits aldosterone release

    Promotes sodium excretion - natriuresis

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    Juxtaglomerular Apparatus

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    16.3 Regulatory Functions

    of the Kidneys

    Establishment of Solute Gradient

    A long loop of nephron has two parts

    Descending limb and ascending limb

    Salt diffuses out of lower part of ascending limb Upper part of ascending limb actively transports more salt out

    This creates high osmotic pressure (high solute concentration)within the tissues of the renal medulla

    Urea contributes to high solute concentration in medulla

    Leaks from lower collecting duct This results in a concentration gradient favoring reabsorption of

    water

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    Reabsorption of Water

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    16.3 Regulatory Functions

    of the Kidneys

    Reabsorption of Water

    Water leaves distal convoluted tubule because of the

    osmotic gradient

    Water also leaves descending limb of loop of thenephron

    Countercurrent multiplier

    As filtrate enters collecting duct it is hypotonic to cells

    of renal cortex

    Permeability of collecting duct under hormonal control

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    16.3 Regulatory Functions

    of the Kidneys

    Reabsorption of Water Permeability of collecting duct is under hormonal

    control

    Antidiuretic hormone (ADH) is produced by the posteriorpituitary gland

    In the absence of ADH, a dilute urine is produced

    In the presence of ADH, the collecting duct become more

    permeable to water and a concentrated urine is produced

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    16.3 Regulatory Functions

    of the Kidneys

    Diuretics Increase flow of urine

    Alcohol

    Shuts off ADH

    Dehydration causes hangover

    Caffeine

    Increases glomerular filtration rate

    Decreases tubular reabsorption of sodium

    Diuretic drugs

    Many inhibit active transport of sodium at loop of the nephron or thedistal convoluted tubule

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    16.3 Regulatory Functions

    of the Kidneys

    Acid-Base Balance

    Normal pH for most body fluids is 7.4

    Alkalosis: pH is greater than 7.4 Acidosis: pH is less than 7.4

    Several Mechanisms Maintain a pH of ~ 7.4

    Acid-Base buffer system Respiratory Center

    The Kidneys

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    16.3 Regulatory Functions

    of the Kidneys

    Acid-Base Balance Acid-Base Buffer Systems

    Chemical or combination of chemicals

    Can take up excess H+ or OH-

    Prevents large changes in pH

    When H+ added to blood the following occurs

    H+ + HCO3- H2CO3

    When OH- added to blood the following occurs

    OH- + H2CO3 HCO3- + H2O

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    16.3 Regulatory Functions

    of the Kidneys

    Acid-Base Balance

    Respiratory Center

    Increasing breathing rate removes CO2 Removes hydrogen ions

    Forces reaction to the right

    H+ + HCO3- H2CO3 H2O + CO2

    Respiratory system adjusts proportion of

    bicarbonate and carbonic acid

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    16.3 Regulatory Functions

    of the Kidneys

    Acid-Base Balance

    The Kidneys

    Only kidneys can remove many acids and bases

    Slower acting than respiratory system but more powerful

    Reabsorbs bicarbonate ions

    Excretes hydrogen ions

    In urine ammonia can absorb hydrogen ions

    Phosphate provides another means of buffering hydrogen

    ions in urine

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    Acid-Base Balance

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    16.4 Disorders of the Urinary System

    Disorders of the Kidneys Pyelonephritis: Infections of the kidneys

    Kidney infections usually result from bladder infections

    Most are curable with antibiotics if diagnosed in time

    Some infections can cause severe damage

    Kidney Stones

    Hard granules that form in the renal pelvis

    Composed of substances such as calcium, phosphate, uric acid andprotein

    Excess animal protein in the diet, imbalanced urinary pH, and

    urinary tract infections may be contributing factors May pass unnoticed in the urine,large stones can be very painful

    The presence of albumin or blood cells in the urine are earlysigns of kidney damage

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    16.4 Disorders of the Urinary System

    Disorders of the Kidneys Hemodialysis

    Artificial kidney machine or continuous ambulatory peritonealdialysis (CAPD)

    Dialysis Diffusion of dissolved molecules through a membrane

    Selective permeability

    Blood is cleansed

    pH is adjusted

    Water and salt balance maintained

    In CAPD the peritoneum is the dialysis membrane

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    An Artificial Kidney Machine

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    16.4 Disorders of the Urinary System

    Disorders of the Bladder and Urethra Bladder Infections

    Urine leaving the bladder is usually bacteria-free

    The urethra is normally colonized with bacteria

    Sometimes bacteria make their way to the bladder

    Usually treatable with antibiotics

    Bladder Stones

    Occur as a result of bladder infections or prostate enlargement

    May actually be kidney stones that were carried to the bladder

    Can be removed surgically or broken apart by lithotripsy

    Bladder Cancer

    Smoking greatly increases the risk

    Some types are very malignant necessitating removal of thebladder.