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Urinary System and Fluid Balance - Anatomy & Physiology

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  • Major functions of the urinary system

    Filters blood to remove waste, regulates fluid and electrolyte balance, controls blood pressure, and maintains acid-base homeostasis.

  • External structure of the kidney

    Located retroperitoneally; covered by a renal capsule, surrounded by adipose tissue and renal fascia.

  • Location and structure of ureters, bladder, and urethra

    Ureters transport urine from kidneys to bladder; bladder stores urine; urethra conducts urine out of the body.

  • Differences between male and female urethras

    Male urethra is longer and serves both urinary and reproductive systems; female urethra is shorter and only for urine excretion.

  • Major internal kidney divisions

    Cortex (outer layer), medulla (inner layer), renal pyramids, and major blood vessels like the renal artery and renal vein.

  • Path of blood through the kidney starting at afferent arteriole

    Blood enters via afferent arteriole → glomerulus → efferent arteriole → peritubular capillaries or vasa recta → renal vein.

  • Structures of the renal corpuscle

    Includes the glomerulus (capillary network) and Bowman's capsule (surrounding capsule).

  • Difference between cortical and juxtamedullary nephrons

    Cortical nephrons have short loops of Henle; juxtamedullary nephrons have long loops important for urine concentration.

  • Glomerular vs. peritubular capillaries

    Glomerular capillaries filter blood; peritubular capillaries surround tubules for reabsorption and secretion.

  • Juxtaglomerular complex components

    Includes macula densa, juxtaglomerular cells, and extraglomerular mesangial cells; regulates blood pressure and filtration.

  • Path of filtrate to urine

    From renal corpuscle → proximal tubule → loop of Henle → distal tubule → collecting duct → ureter → bladder → urethra.

  • Three major processes in urine formation

    Filtration in glomerulus, reabsorption mainly in tubules, and secretion in tubules.

  • Filtration membrane structure

    Consists of fenestrated endothelium, basement membrane, and podocyte filtration slits.

  • How kidney creates high glomerular capillary pressure

    Constriction of efferent arteriole and dilation of afferent arteriole maintain high pressure for filtration.

  • Hydrostatic and colloid osmotic forces in filtration

    Hydrostatic pressure pushes fluid out; colloid osmotic pressure pulls fluid in; balance determines filtration rate.

  • Glomerular filtration rate (GFR) average value

    Average GFR is about 125 mL/min in healthy adults.

  • Factors increasing or decreasing GFR

    Blood pressure, sodium levels, and hormones like renin-angiotensin affect GFR.

  • Transport mechanisms in nephron

    Include active transport, osmosis, and facilitated diffusion depending on nephron segment.

  • Function of aquaporins

    Protein channels that facilitate water reabsorption across nephron tubule membranes.

  • Substances reabsorbed in nephron tubule

    Includes Na+, K+, Ca2+, and glucose at various nephron segments.

  • Countercurrent mechanism role

    Loop of Henle and vasa recta create a gradient to concentrate urine by reabsorbing water and solutes.

  • Locations of tubular secretion

    Occurs mainly in the proximal tubule, distal tubule, and collecting duct.

  • Difference between reabsorption and secretion

    Reabsorption moves solutes from tubule to blood; secretion moves solutes from blood to tubule; energy use varies.

  • How urine formation processes affect solute excretion

    Filtration, reabsorption, and secretion rates determine solute excretion like sodium.

  • Myogenic and tubuloglomerular feedback

    Intrinsic mechanisms that regulate afferent arteriole diameter to control GFR and urine volume.

  • Renin-angiotensin and sympathetic control of GFR

    Renin-angiotensin constricts arterioles; sympathetic activity reduces GFR during stress.

  • Hormonal regulation of reabsorption and secretion

    Renin-angiotensin, aldosterone, and ADH regulate sodium and water reabsorption affecting urine concentration.

  • Function of ureters, bladder, and urethra

    Ureters transport urine; bladder stores urine; urethra expels urine.

  • Micturition reflex control

    Involves involuntary spinal reflex and voluntary control via the external urethral sphincter.

  • Fluid compartments in the body

    Include intracellular fluid and extracellular fluid (interstitial fluid and plasma).

  • Definition of electrolyte

    Substances that dissociate into ions and conduct electricity in solution.

  • Functions of sodium, potassium, chloride, and calcium

    Sodium regulates fluid balance; potassium controls membrane potential; chloride balances charge; calcium supports bones and muscle function.

  • Role of electrolytes in osmotic pressure

    Electrolytes determine osmotic pressure by controlling water movement between compartments.

  • Definition of acid, base, pH, and buffer

    Acid releases H+; base accepts H+; pH measures H+ concentration; buffers resist pH changes.

  • Normal arterial blood pH range

    Between 7.35 and 7.45.

  • Bicarbonate buffer system function

    Maintains pH by reversible reaction between H2CO3 and HCO3- to neutralize acids and bases.

  • Normal PCO2 and HCO3- ranges in arterial blood

    PCO2: 35-45 mmHg; HCO3-: 22-26 mEq/L; both influence blood pH.

  • Respiratory system role in pH regulation

    Controls CO2 levels; hypoventilation increases CO2 and lowers pH; hyperventilation decreases CO2 and raises pH.

  • Kidney role in acid-base balance

    Secretes H+ and reabsorbs or produces HCO3- to regulate blood pH.

  • Compensation for acidosis and alkalosis

    Respiratory or renal adjustments restore pH by altering CO2 or HCO3- levels.

  • Systems maintaining blood volume and pH homeostasis

    Cardiovascular, endocrine, and urinary systems coordinate to regulate volume and pH.

  • Causes of respiratory and metabolic acidosis/alkalosis

    Disruptions like hypoventilation, diarrhea, or kidney dysfunction affect acid-base balance.