• Kidneys carry out – Filter nitrogenous wastes, toxins, ions, etc. from blood to be excreted as urine. – Regulate volume and chemical composition of blood (water, salts, acids, bases). – Produce regulatory enzymes. • Renin – regulates BP/ kidney function • Erthropoeitin – stimulates RBC production from bone marrow. – Metabolism of Vitamin D to active form. ORGANS • Two Kidneys: Perform all functions except actual excretion. • Two Ureters: Convey urine from Kidneys to Urinary Bladder. • Urinary Bladder: Holds Urine until excretion. • Urethra: Conveys urine from bladder to outside of body. The Kidneys • Lie against posterior abdominal. • Right kidney is lower than left kidney due to the shape of the liver. • Lateral surface of kidney is convex while medial is concave. – Concave side has a cleft – Renal Hilus – Inside hilus is Renal sinus where kidneys receive renal vessels and nerves. Kidney Component • Renal arteries and veins • Renal cortex • Renal medulla • Nephron • Renal pyramids (6-10) • Renal papilla • Calyx (ces) • Renal pelvis Mammalian Kidney • Are paired kidneys. • Each kidney has a medial indentation (hilus), where the renal artery, renal vein, and ureter are seen. • Each kidney is enclosed in a tough fibrous capsule. • A longitudinal section of a kidney reveals an outer cortex, deeper medulla, and medial pelvis. - Calyces surround the tips of medullary pyramids and collect urine draining from them. Kidney Anatomy Kidney Layers Nephrons Blood processing unit which serves to produce urine. • 1 million per kidney • Consists of Bowman corpuscle and renal tubule. • Are structural and functional units of the kidneys. • The glomerulus is a tuft of blood capillaries. -The renal tubule is Subdivided into: - Bowman’s capsule - Proximal convoluted tubule - Loop of Henle - Distal convoluted tubule. The Nephron Reabsorption and Secretion • 180 L of water leaves the blood and enters the glomerular filtrate • Most of the water and dissolved solutes that enter the glomerular filtrate must be returned to the blood by reabsorption • Water is reabsorbed by the proximal convoluted tubule, descending loop of Henle, and collecting duct. Proximal Tubular Secretory Clearance Kidney Calculi The Ureters – 25 cm long – Enters on the floor of bladder • Are slender tubes running from each kidney to the bladder. • Carry urine from the kidneys to the bladder. • Begin as a continuation of the renal pelvis in the kidney. Ureter Wall Layers The Bladder • Is a muscular sac posterior to the pubic symphysis. • The function of the bladder is to store urine. • A collapsible muscular sac that store urine. • Lies on the pelvic floor, posterior to the pubic symphysis. • As urine accumulates, the walls distend and stretch. There is no increase in internal pressure until there is about 300mL of accumulated urine. – Average bladder volume is 500 ml – Max capacity is 700-800 ml The Urethra -Is a tube that leads urine from the bladder to the body exterior. In females, it is 3-4 cm long and conducts only urine. • In males, it is 20 cm long and conducts both urine and seminal fluid. • The internal sphincter of smooth muscle is at the bladder-urethra junction. The external sphincter of Skeletal muscle is located more inferiorly. • In males, the prostate gland surrounds its urethra. – Three regions: – Prostatic urethra – 2.5 cm – Membranous urethra – 0.5 cm – Penile urethra – 15 cm Female Urethra • The female urethra is a narrow membranous canal, about 4 cm long. • It begins after the internal urethrla orifice with an intramural part in the muscular wall of the urinary bladder. • Its diameter when undilated is about 6 mm. • It perforates the fasciæ of the urogenital diaphragm, and its external orifice is situated directly in front of the vaginal opening and about 2.5 cm behind the glans clitoridis. • Many small urethral glands open into the urethra. Bladder Anatomy Female Urethra Micturition