VT 106

Comparative Anatomy and Physiology

Urinary System

URINARY SYSTEM

kidneys – filter blood and form urine

ureters – carry urine from kidneys to bladder

urinary bladder – stores urine

urethra – voids urine to outside

FUNCTIONS OF URINARY SYSTEM

1) Filtration and Reabsorption of Blood – wastes are excreted and nutrients

are reabsorbed into blood

Excretion of Wastes – excreted in urine

nitrogenous wastes

ammonia and urea – main nitrogenous waste of mammals

uric acid – main nitrogenous waste of birds and reptiles

bilirubin – from hemoglobin

creatinine – from creatine phosphate

foreign drugs and toxins

Regulation of Blood Osmolarity, Ion Concentration, and pH

osmolarity = number of solute particles / liter of solution

ions (electrolyte balance) – Na+, K+, Ca+2, Cl-, phosphate

pH – H+, bicarbonate ions

water – maintains blood volume and pressure

2) Secretion of Hormones and Enzymes

calcitriol – increases absorption of dietary calcium

erythropoetin – stimulates RBC production

renin (enzyme) – activates RAA pathway

KIDNEY GROSS ANATOMY

paired retroperitoneal organs cushioned by perirenal fat

renal capsule – dense irregular CTon surface of kidney

renal hilus – medial indentation where vessels, nerves and ureter enter or exit

renal cortex – outer region of kidney

renal medulla – inner region of kidney, composed of renal pyramids

unipyramidal (1 pyramid) – cat, dog, horse

multipyramidal (multiple pyramids) – cattle, pig

renal papilla – apex of pyramid

drains urine into ureter or into funnel-shaped renal pelvis

RENAL HISTOLOGY

NEPHRON – basic functional unit of kidney (100s of thousands/kidney)

renal corpuscle – site of filtration

renal tubule – collects filtered fluid, site of reabsorption & secretion

Blood Supply to Nephron

renal artery – carries blood to kidney

afferent arteriole – supplies one renal corpuscle

glomerulus – capillary bed in renal corpuscle

efferent arteriole – drains renal corpuscle

peritubular capillaries – surround renal tubules

renal vein – returns blood from kidney

Renal Corpuscle – found in cortex

1) glomerulus – capillary bed where fluid filters out

2) glomerular (Bowman’s) capsule – simple squamous epithelium

surrounding glomerulus

fluid (filtrate) from glomerulus collects in capsule

Renal Tubule – tubule modifies content of filtrate to form urine

1) proximal convoluted tubule (PCT) – twisted tube in cortex

closest to renal corpuscle

2) Loop of Henle

descending limb – enters medulla

ascending limb – returns to cortex

3) distal convoluted tubule (DCT) – twisted tube in cortex

farthest from renal corpuscle

Collecting Ducts– collect urine from renal tubules and carry it towardsureter

FiltrateFlow Summary

glomerular capsule ---> proximal convoluted tubule ---> descending Loop

of Henle ---> ascending Loop of Henle ---> distal convoluted tubule ---> collecting duct ---> (renal pelvis) ---> ureter

RENAL PHYSIOLOGY

3 Processes Involved in Production of Urine:

1) Glomerular Filtration – fluid filters out of blood, into glomerular capsule

filtrate – blood minus cells, platelets and large plasma proteins

contains water, nutrients, wastes, ions

2) Tubular Reabsorption – filtrate passes through renal tubule and water,

nutrients, and some ions are reabsorbed into the blood

3) Tubular Secretion – renal tubule cells secrete additional wastes from blood

into urine to be eliminate

Glomerular Filtration

glomerular blood pressure drives filtration

normally higher than in other capillary beds because diameter of afferent arteriole

is usually larger than diameter of efferent arteriole

capsular pressure – resistance in glomerular capsule that opposes filtration

normally low as long as urine outflow is not obstructed

Glomerular Filtration Rate (GFR) – total amount of filtrate formed/minute

usually maintained at a constant rate

high GFR – urine formed so quickly there is not time for reabsorption

(nutrients and water lost in urine)

low GFR – wastes filtered out slowly, slow movement allows too much reabsorption(wastes accumulate in blood)

Regulating GFR – maintaining normal GFR despitefluctuations in arterial blood pressure

1) Renal Autoregulation – nephrons respond to changes inblood pressure

decreased glomerular blood pressure (would decrease GFR)

reflex dilation of afferent arteriole = increased blood flow into

glomerulus= increased GBP = returns GFR to normal

(increased blood pressure = vasoconstriction of afferent arteriole)

2) AutonomicRegulation – sympathetic n.s. decreases blood flow to kidneys

causes vasoconstriction of afferent arterioles = decreased blood flow into

glomerulus = decreased GBP = decreased GFR

3) Hormonal Regulation

RAA pathway – triggered by low blood pressure in kidney

nephron – constriction of efferent arteriole = increased GBP =

increases GFR back to normal

aldosterone secretion – reabsorption of Na+ and water in kidney

increased blood volume = increased GBP = increased GFR

ADH = increasesreabsorption of water by renal tubules

increases blood volume = increased GBP = increased GFR

Tubular Reabsorption and Secretion

all nutrients, 99% of water, and many ions are normally reabsorbed into blood

additional wastes are secreted from blood into the urine

Proximal Convoluted Tubule (65% of water and solute reabsorption occurs here)

all organic nutrients are reabsorbed – glucose, amino acids, lipids

primary active transport drives most reabsorption

Na/K pumps pump Na out of tubule cells, back into blood

low Na in tubule cells causes Na to be reabsorbed from filtrate

water follows Na by osmosis and is also reabsorbed

less water in filtrate = concentration of other solutes increased

other solutes (eg. Cl, K, Ca) diffuse from filtrate into blood (reabsorbed)

secondary active transport– Na gradient used to move other solutes

Na cotransport – nutrients and bicarbonate reabsorbed with Na

Na countertransport – H+ secreted into urine as Na is reabsorbed

Loop of Henle – 25% of reabsorption, but ascending limb is impermeable to water

countercurrent multiplication – forms a concentration gradient in the medulla

Na and Cl are reabsorbed without water following high NaCl concentration in the medulla of the kidney

Distal Convoluted Tubule–hormones regulate amount of reabsorption here

PTH – target cellsreabsorb Ca

aldosterone – target cellsreabsorb Naand some water, and secreteK

Na-H+ countertransport – secretes variable amounts of H+ to maintain pH

reabsorbs bicarbonate – amount depends pH

Collecting Duct – same functions as DCT

most important for facultative reabsorption of water

Water Reabsorption

obligatory reabsorption – 85% of water reabsorption

occurs in PCT and loop of Henle

water always follows reabsorbed solutes by osmosis

facultative reabsorption – remaining 15% of water reabsorption

occurs in DCT andcollecting duct

variable amounts of water reabsorbed depending on hydration

regulated by ADH

no ADH = no water channels = no water reabsorbed

large volume of dilute urine produced

more ADH = more water channels = more water reabsorption

smaller volume of concentrated urine produced

Fluid balance

Water Loss – urine, perspiration, exhaled water vapor, feces

Water Gain – ingestion (drinking and eating)

metabolic water from aerobic respiration

Dehydration – water loss exceeds water gain = low blood pressure

body’s response to dehydration – less urine produced, thirst

more ADH secreted = small volume of concentrated urine produced

Overhydration – water gain exceeds water loss = high blood pressure

body’s response to overhydration – more urine produced

less ADH is secreted = large volume of dilute urine produced

diabetes insipidus – hyposecretion of ADH = polyuria / polydipsia

diuretics – drugs that inhibit reabsorption of water in kidneys

diuresis – production of large volumes of urine

used to treat hypertension (high BP) and edema

URINE STORAGE AND ELIMINATION

Ureters – carry urine from kidneys to urinary bladder

run retroperitoneal and enter dorsal bladder

transitional epithelium – lines inner surface of ureters

longitudinal and circular layers of smooth muscle

peristalsis(waves of contraction)move urine down ureters to bladder

Urinary Bladder – collects and stores urine

balloon-shaped sac with a narrow neck attached to urethra

transitional epithelium – lines inner surface

detrusor muscle– 3 layers of smooth muscle in wall

contracts during urination to expel urine

internal sphincter normally contracted to hold urine

Urethra – carries urine from bladder to external urethral orifice

female urethra – short, opens into vestibule of vulva

urethral sphincter – skeletal muscle surrounding urethra at pelvic outlet; allows voluntary control over urination

male urethra – carries urine and reproductive secretions

long; passes through prostate gland and penis

urethral sphincter at pelvic outlet

Micturition Reflex – autonomic reflex

micturition = urination

stretch receptors in wall of bladder trigger a sacral spinal reflex

parasympathetic motor fibers stimulate contraction of detrusor muscle

and relaxation of internal sphincter

cerebral cortex perceives fullness – has voluntary control

skeletal muscles in urethral sphincter must be voluntarily relaxed

urinary incontinence – lack of voluntary control over urination

AVIAN URINARY SYSTEM

each kidney has 3 lobes

kidneys are located in recesses in dorsal body wall

ureters drain into the cloaca (common opening for digestive, urinary, and repro. tracts)

more water from urine can be reabsorbed by large intestine

urine is eliminated with feces through the vent

urine composition

uric acid – main nitrogenous waste in bird and reptile urine

forms a white paste – little water is used in its formation

adaptation for egg-laying species

urinary waste must be stored in the egg until hatching

volume and toxicity of uric acid are very low

Urinalysis– examining urine

Volume – well hydrated = larger volume

poorly hydrated = small volume

diabetes

Color – pale = dilute urine

dark = concentrated urine

blood, hemoglobin, myoglobin

Specific Gravity (density compared to water) – indicates solute concentration

low specific gravity = dilute urine

high specific gravity = concentrated urine

albuminuria (albumin) – glomerular damage, high BP

glucosuria (glucose) – diabetes mellitus

hemoglobinuria (hemoglobin) – intravascular hemolysis

hematuria (RBCs) – inflammation, uroliths, trauma

myoglobinuria (myoglobin) – myositis, muscle trauma

ketonuria (ketones) – diabetes, fasting

bilirubinuria (bilirubin) – liver disease

pyuria (WBCs) – infection

casts – clumps of material that block tubules

microbes – infection

blood tests of renal function

uremia – build-up of urinary waste in blood from decreased renal function

BUN (blood urea nitrogen), creatinine

prerenal uremia – inadequate blood flow to kidneys

(heart failure, blood loss, dehydration)

renal uremia – kidney damage

2/3 of nephrons must be nonfunctional to see clinical signs

postrenal uremia – obstruction of urine outflow

(eg. uroliths, tumors)

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