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ANATOMY(4201)
COHORT 4
DIPLOMA
IN MEDICAL
SCIENCE
SCHOOL OF ALLIED
SCIENCE
WINDFIELD
INTERNATIONAL
COLLEGE
URINARY SYSTEM
RENAL SYSTEM
ORGAN
SYSTEM
PRODUCE,S
TORES,ELIM
ANATE
URINE
MALE AND
FEMALE-
SIMILAR
LENGTH OF
URETER-
DIFFERENT
URINARY SYSTEM
Kidneys
Ureters
Urinary
bladder
Urethra
Detrusor
KIDNEY
Lie on the posterior abdominal wall
One on each side of the vertebral column
Behind the peritoneum
Below the diaphragm
Extend-12th thoracic vertebra-3rd lumbar vertebra
Protection-lower rib cage
Right kidney usually slightly lower than the left
The Kidney
Are
paired
organs
Reddish
in
colour
Bean
shaped
organ
11cm
long,6cm
wide,3cm
thick,150
g weight
Fibroel
astic
renal
fascia
The
kidneys
held in
place-
renal fat
5
RIGHT KIDNEY AND LEFT KIDNEY
Superiorly- the right adrenal gland
Anteriorly- the right lobe of the liver, the
duodenum and the hepatic flexure of
colon
Posteriorly- the diaphragm, and muscles
of the posterior abdominal wall
Superiorly- the left adrenal gland
Anteriorly- the spleen, stomach, pancreas,
jejunum and splenic flexure of the colon
Posteriorly- the diaphragm and muscles of
the posterior abdominal wall
Protection of the Kidneys
3 layers of
connective
tissue:
Corte
x
Fibrous
Capsule
medulla
Renal cortex
Retroperitoneal space
9
• Funnel shaped
• Distal branches-
calyces
• Papilla at the
apex of a
pyramidKidney
RENAL
PELVIS
THE
HILUM
concave medial
border of the
kidney where
renal blood
vessels, nerve
and lymph
vessels enter
10
Surface anatomy of the Kidney
Hilum is located on
the medial surface
10 cm
5.5cm
3cm
11
Renal pyramids
Renal papilla
Renal Columns
Renal Lobe
12
Walls of Pelvis
•contain smooth
muscle
•lined with transitional
epithelium
• Kidneys are made of nephrons,
which are the functional unit of
the kidney.
• The nephron ends at the
collecting tubule
• Tubule-connective tissue,blood
vessels,nerves,lymph vessel
Kidney-Nephron
-THE NEPHRON
Consists-tubule closed at one
end
-opening into a collecting
tubule
-3cm long
-proximal convulated tubule
-medullary loop(loop of henle)
-distal convulated
tubule,leading into a collecting
duct 14
A Nephron and associated Blood
Vessel
15
Nephron-Tubular System
Proximal
convoluted tubule
Descending loop
of Henle
Ascending loop of
Henle
Distal convoluted
tubule
Collecting duct 16
Elimination of waste
Collecting duct
unite-forms
large ducts
Empty into
minor calyces
Kidney-Hilum-
renal artery
divides
Cortex-afferent
arteriole
enters
glomerular
capsule
Blood vessel-
from
glomerulus is
afferent
arteriole
Breaks up
into a second
cappilary
network
Exchange
occurs
Venus blood-
leaves
kidney
The Glomerulus
Wall and Capsule-single
layer of flattened
epithelial tissue
-More permeable
• The remainder-nephron and
collecting tubule-form by a
single layer of specialiized cell
NURH 1023 - Urinary system 20
The Glomerulus
NURH 1023 - Urinary system 21
The
Formation
of Urine
3 processes involved in the
formation of urine.
• Simple filtration
• Selective reabsorbtion
• Hormonal control-
• Parathyroid hormone,
calcitonin
• Anti diuretic hormone
• Aldosterone
• Secretion
22
Glomerular
Filtration
• Through semi-
permeable walls of
glomerulus and
glomerular capsule
• Fluid is forced out
of capillaries and
collected by the
glomerular capsule
23
Selective
reabsorption
Process by which the
composition and volume
of the glomerular filtrate
are altered during its
passage through the
convoluted tubules, the
medullary loop and the
collecting tubule.
Carried out by
epithelial cells
Materials that are
reabsorbed include
water, glucose and
amino acids
25
26
Tubular Secretion
• Occurs in the convoluted tubules
• Adds materials to filtrate
• Movement of materials from
peritubular capillaries into tubules
• Materials secreted include K+ and H+
• This helps control pH
27
28
Ureters
Superiorly
Continuous with the renal pelvis
Inferiorly
Pass through the abdominal cavity, behind
the peritoneum, infront of the psoas muscle,
into the pelvic cavity ehere they enter the
posterior wall of the bladder
25-30 cm in length with
diameter 3mm
29
Further Information
The urine
accumulates the
pressure in the
bladder rises,
the ureters
compressed
and the
openings
occluded.
This prevents
reflux of urine
into the ureters (
towards the
kidneys ) as the
bladder fills.
During
micturition,
pressure the
muscular
bladder wall
contracts.
30
31
Ureter- Cross Section
32
Function of the
Ureters
• The ureters propel
urine from the
kidneys into the
bladder by peristaltic
contraction of their
muscular wall
33
The Urinary Bladder
The urinary bladder is a sac which acts as a reservoir for
urine
It lies in the pelvic cavity.
Its size and position vary depending on the amount of
urine it contains.
When distended the bladder rises into the abdominal
cavity
Capacity approx. 700mL
34
Bladder
35
Structure of the Urinary Bladder
It is pear
shaped
but
becomes
oval
shaped
when
filled
with
urine
Composed of 3 layers
of tissues:
• The outer layer of
loose connective
tissue, containing
blood and
lymphatic vessels
and nerves,
covered on the
upper surface by
the peritoneum
) The middle layer,
consisting of a
mass of interlacing
smooth muscle
fibres and elastic
tissue loosely
arranged in three
layers. This is
called the detrusor
muscle and it
empties the bladder
when it contracts
3) The
lining of
transition
al
epitheliu
m
36
37
The Urethra
Is a canal that
extends from
the neck of the
bladder and its
length differs in
the male and
female
The male
urethra is
associated with
the urinary and
the reproductive
system
The female
urethra opens at
the external
urethral orifice
just in front of
the vagina.
The external
urethral orifice is
guarded by a
sphincter under
voluntary
control
38
Urethra
Anatomical
differences
mean that male
and female
urethras are
different.
• Female:
4cm long
• Male:
14cm long
Extends from
the base of
the bladder to
the outside
world.
39
The Structure of
the Urethra
The urethra is
composed of 3
layers of tissue:
• 1. A muscular coat
• -continous with bladder
• -origin from internal urethral sphincter
• -consist of elastic tissue and smooth muscle
• -under autonomic nerve control
• 2. A thin spongy coat
• - Submuocosa
• - Contain blood vessels and nerve
• 3. A lining of mucous membrane
• - Continous bladder
• - Lower part - Consist of stratified squmous
epithelium
• - Continous externally with the skin of the
vulva
40
Urethra
• Muscle layer
• Submucosa layer
• Mucosa
41
MICTURITION
Urinary Bladder –
reservior for urine.
300-400ml urine
accumulate – afferent
autonomic nerve fibres
are stimulated
Infant - spinal reflex
and micturition.
Micturition – Autonomic
efferent fibres
convey
impulses to the
bladder
• Contraction of the
detrusor muscle
• Relaxation of the
internal urethral
sphincter
42
Contraction of the external urethral
sphincter and muscle of the pelvic
floor- inhibit micturition
Awareness to pass urine
Sensory impules pass upward
Micturition reflex is stimulated
43
Micturition in Adult
Detrusor muscle contract
Reflex relaxation – internal
sphincter
Voluntary relaxation – external
sphincter
Assisted – increase pressure within
the pelvic cavity
Achieved – lowering the
diaphragm
-contracting the abdominal
muscle(
Valsava’s manoeuvre)
44
REFERENCE
45
Pre-U Text STPM
Website-https//medical.com
Essential of Anatomy and 3th
edition
SPM Biology-Reference Book

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Presentation urinary system-by Ruth Naomi Manuel

  • 1. ANATOMY(4201) COHORT 4 DIPLOMA IN MEDICAL SCIENCE SCHOOL OF ALLIED SCIENCE WINDFIELD INTERNATIONAL COLLEGE
  • 4. KIDNEY Lie on the posterior abdominal wall One on each side of the vertebral column Behind the peritoneum Below the diaphragm Extend-12th thoracic vertebra-3rd lumbar vertebra Protection-lower rib cage Right kidney usually slightly lower than the left
  • 6. RIGHT KIDNEY AND LEFT KIDNEY Superiorly- the right adrenal gland Anteriorly- the right lobe of the liver, the duodenum and the hepatic flexure of colon Posteriorly- the diaphragm, and muscles of the posterior abdominal wall Superiorly- the left adrenal gland Anteriorly- the spleen, stomach, pancreas, jejunum and splenic flexure of the colon Posteriorly- the diaphragm and muscles of the posterior abdominal wall
  • 7.
  • 8.
  • 9. Protection of the Kidneys 3 layers of connective tissue: Corte x Fibrous Capsule medulla Renal cortex Retroperitoneal space 9
  • 10. • Funnel shaped • Distal branches- calyces • Papilla at the apex of a pyramidKidney RENAL PELVIS THE HILUM concave medial border of the kidney where renal blood vessels, nerve and lymph vessels enter 10
  • 11. Surface anatomy of the Kidney Hilum is located on the medial surface 10 cm 5.5cm 3cm 11
  • 12. Renal pyramids Renal papilla Renal Columns Renal Lobe 12
  • 13. Walls of Pelvis •contain smooth muscle •lined with transitional epithelium
  • 14. • Kidneys are made of nephrons, which are the functional unit of the kidney. • The nephron ends at the collecting tubule • Tubule-connective tissue,blood vessels,nerves,lymph vessel Kidney-Nephron -THE NEPHRON Consists-tubule closed at one end -opening into a collecting tubule -3cm long -proximal convulated tubule -medullary loop(loop of henle) -distal convulated tubule,leading into a collecting duct 14
  • 15. A Nephron and associated Blood Vessel 15
  • 16. Nephron-Tubular System Proximal convoluted tubule Descending loop of Henle Ascending loop of Henle Distal convoluted tubule Collecting duct 16
  • 17. Elimination of waste Collecting duct unite-forms large ducts Empty into minor calyces Kidney-Hilum- renal artery divides Cortex-afferent arteriole enters glomerular capsule
  • 18. Blood vessel- from glomerulus is afferent arteriole Breaks up into a second cappilary network Exchange occurs Venus blood- leaves kidney
  • 19. The Glomerulus Wall and Capsule-single layer of flattened epithelial tissue -More permeable • The remainder-nephron and collecting tubule-form by a single layer of specialiized cell
  • 20. NURH 1023 - Urinary system 20
  • 21. The Glomerulus NURH 1023 - Urinary system 21
  • 22. The Formation of Urine 3 processes involved in the formation of urine. • Simple filtration • Selective reabsorbtion • Hormonal control- • Parathyroid hormone, calcitonin • Anti diuretic hormone • Aldosterone • Secretion 22
  • 23. Glomerular Filtration • Through semi- permeable walls of glomerulus and glomerular capsule • Fluid is forced out of capillaries and collected by the glomerular capsule 23
  • 24.
  • 25. Selective reabsorption Process by which the composition and volume of the glomerular filtrate are altered during its passage through the convoluted tubules, the medullary loop and the collecting tubule. Carried out by epithelial cells Materials that are reabsorbed include water, glucose and amino acids 25
  • 26. 26
  • 27. Tubular Secretion • Occurs in the convoluted tubules • Adds materials to filtrate • Movement of materials from peritubular capillaries into tubules • Materials secreted include K+ and H+ • This helps control pH 27
  • 28. 28
  • 29. Ureters Superiorly Continuous with the renal pelvis Inferiorly Pass through the abdominal cavity, behind the peritoneum, infront of the psoas muscle, into the pelvic cavity ehere they enter the posterior wall of the bladder 25-30 cm in length with diameter 3mm 29
  • 30. Further Information The urine accumulates the pressure in the bladder rises, the ureters compressed and the openings occluded. This prevents reflux of urine into the ureters ( towards the kidneys ) as the bladder fills. During micturition, pressure the muscular bladder wall contracts. 30
  • 31. 31
  • 33. Function of the Ureters • The ureters propel urine from the kidneys into the bladder by peristaltic contraction of their muscular wall 33
  • 34. The Urinary Bladder The urinary bladder is a sac which acts as a reservoir for urine It lies in the pelvic cavity. Its size and position vary depending on the amount of urine it contains. When distended the bladder rises into the abdominal cavity Capacity approx. 700mL 34
  • 36. Structure of the Urinary Bladder It is pear shaped but becomes oval shaped when filled with urine Composed of 3 layers of tissues: • The outer layer of loose connective tissue, containing blood and lymphatic vessels and nerves, covered on the upper surface by the peritoneum ) The middle layer, consisting of a mass of interlacing smooth muscle fibres and elastic tissue loosely arranged in three layers. This is called the detrusor muscle and it empties the bladder when it contracts 3) The lining of transition al epitheliu m 36
  • 37. 37
  • 38. The Urethra Is a canal that extends from the neck of the bladder and its length differs in the male and female The male urethra is associated with the urinary and the reproductive system The female urethra opens at the external urethral orifice just in front of the vagina. The external urethral orifice is guarded by a sphincter under voluntary control 38
  • 39. Urethra Anatomical differences mean that male and female urethras are different. • Female: 4cm long • Male: 14cm long Extends from the base of the bladder to the outside world. 39
  • 40. The Structure of the Urethra The urethra is composed of 3 layers of tissue: • 1. A muscular coat • -continous with bladder • -origin from internal urethral sphincter • -consist of elastic tissue and smooth muscle • -under autonomic nerve control • 2. A thin spongy coat • - Submuocosa • - Contain blood vessels and nerve • 3. A lining of mucous membrane • - Continous bladder • - Lower part - Consist of stratified squmous epithelium • - Continous externally with the skin of the vulva 40
  • 41. Urethra • Muscle layer • Submucosa layer • Mucosa 41
  • 42. MICTURITION Urinary Bladder – reservior for urine. 300-400ml urine accumulate – afferent autonomic nerve fibres are stimulated Infant - spinal reflex and micturition. Micturition – Autonomic efferent fibres convey impulses to the bladder • Contraction of the detrusor muscle • Relaxation of the internal urethral sphincter 42
  • 43. Contraction of the external urethral sphincter and muscle of the pelvic floor- inhibit micturition Awareness to pass urine Sensory impules pass upward Micturition reflex is stimulated 43
  • 44. Micturition in Adult Detrusor muscle contract Reflex relaxation – internal sphincter Voluntary relaxation – external sphincter Assisted – increase pressure within the pelvic cavity Achieved – lowering the diaphragm -contracting the abdominal muscle( Valsava’s manoeuvre) 44
  • 45. REFERENCE 45 Pre-U Text STPM Website-https//medical.com Essential of Anatomy and 3th edition SPM Biology-Reference Book