Mosby items and derived items © 2005, 2002 by Mosby, Inc. CHAPTER 10 Analgesic Agents.
Slide 1 Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter...
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Transcript of Slide 1 Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter...
Slide 1Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
Chapter 17The Urinary System
Slide 2Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
KIDNEYS• Location—under back muscles, behind parietal peritoneum,
just above waistline; right kidney usually a little lower than left (Figure 17-1)
• Internal structure (Figure 17-2)• Cortex—outer layer of kidney substance• Medulla—inner portion of kidney• Pyramids—triangular divisions of medulla• Papilla—narrow, innermost end of pyramid• Pelvis—expansion of upper end of ureter; lies inside kidney• Calyces—divisions of renal pelvis
Slide 3Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 4Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 5Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
KIDNEYS (cont.)• Microscopic structure—nephrons are microscopic units of
kidneys; consist of (Figure 17-3):• Renal corpuscle
• Bowman’s capsule—the cup-shaped top• Glomerulus—network of blood capillaries surrounded
by Bowman’s capsule
• Renal tubule• Proximal convoluted tubule—first segment• Loop of Henle—extension of proximal tubule; consists
of descending limb, loop, and ascending limb• Distal convoluted tubule—extension of ascending limb
of loop of Henle• Collecting tubule—straight extension of distal tubule
Slide 6Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 7Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
KIDNEYS (cont.)
• Functions• Excretes toxins and nitrogenous wastes• Regulates levels of many chemicals in blood• Maintains water balance• Helps regulate blood pressure via secretion
of renin
Slide 8Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
FORMATION OF URINE (Figure 17-5)
• Occurs by a series of three processes that take place in successive parts of nephron• Filtration—goes on continually in renal corpuscles; glomerular
blood pressure causes water and dissolved substances to filter out of glomeruli into Bowman’s capsule; normal glomerular filtration rate 125 mL per minute
• Reabsorption—movement of substances out of renal tubules into blood in peritubular capillaries; water, nutrients, and ions are reabsorbed; water is reabsorbed by osmosis from proximal tubules
• Secretion—movement of substances into urine in the distal and collecting tubules from blood in peritubular capillaries; hydrogen ions, potassium ions, and certain drugs are secreted by active transport; ammonia is secreted by diffusion
• Control of urine volume—mainly by posterior pituitary hormone’s ADH, which decreases it
Slide 9Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 10Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
URETERS
• Structure (Figure 17-6)—narrow, long tubes with expanded upper end (renal pelvis) located inside kidney and lined with mucous membrane
• Function—drain urine from renal pelvis to urinary bladder
Slide 11Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 12Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
URINARY BLADDER
• Structure (Figure 17-7)• Elastic muscular organ, capable of great expansion• Lined with mucous membrane arranged
in rugae, as is stomach mucosa• Functions
• Storage of urine before voiding• Voiding
Slide 13Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
Slide 14Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
URETHRA
• Structure• Narrow tube from urinary bladder to exterior• Lined with mucous membrane• Opening of urethra to the exterior called urinary meatus
• Functions• Passage of urine from bladder to exterior
of the body• Passage of male reproductive fluid (semen)
from the body
Slide 15Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
MICTURITION• Passage of urine from body (also called urination or voiding)• Regulatory sphincters
• Internal urethral sphincter (involuntary)• External urethral sphincter (voluntary)
• Bladder wall permits storage of urine with little increase in pressure
• Emptying reflex• Initiated by stretch reflex in bladder wall• Bladder wall contracts• Internal sphincter relaxes• External sphincter relaxes, and urination occurs
Slide 16Mosby items and derived items © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.
MICTURITION (cont.)• Urinary retention—urine produced but not voided• Urinary suppression—no urine produced but bladder is normal• Urinary incontinence—urine is voided involuntarily; a common
bladder control problem in elderly people• May be caused by spinal injury or stroke• Retention of urine may cause cystitis
• Cystitis—bladder infection• Overactive bladder—need for frequent urination
• Called interstitial cystitis• Amounts voided are small• Extreme urgency and pain are common