khaleel alyahya [email protected]. urinary system kidney ureters urinary bladder urethra

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URINARY SYSTEM HISTOLOGY Khaleel Alyahya [email protected]

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URINARY SYSTEMHISTOLOGY

Khaleel [email protected]

Urinary System

Kidney Ureters Urinary Bladder Urethra

Functions

Maintain the purity & constancy of internal fluids.

Regulate blood volume.

Produce rennin to help regulate blood pressure.

Produce erythropoietin (hormone) to stimulate RBC

production.

Produce urine.

Structure of the Kidneys

Kidney is divided into :Renal Cortex (outer region)

Renal Medulla (inner region)

Cortex Dark brown and granular

Medulla 6-12 pyramid-shape regions (renal pyramids, NO nephrons) The base of pyramid is toward the cortex (corticomedullary border) The apex (renal papilla) toward the hilum that perforated by 12 openings of

the ducts of Bellini. The apex is surrounded by minor calyx. 5 or 8 minor calyces join to form 3 or 4 major calyces that form renal pelvis. Pyramids are separated by cortical columns of Bertin

The Kidneys

Cortical Arch

Renal corpuscles

Convoluted tubules

Medullary rays (cortical continuation of pyramids)

Uriniferous Tubule

Is the functional unit of the kidney.

Is formed of:

1 -Nephron

2-Collecting tubule (duct)

They are densely packed.

They are separated by thin stroma and basal lamina

Corpuscles

Convoluted tubules (cortical labyrinth)

Medullary rays (cortical continuation of pyramids)

Nephron There are 2 types:

Cortical nephrons Juxtamedullary nephrons

Nephron is formed of: Renal corpuscle

(cortical & juxtamedullary). Proximal tubule. Henle’s loop. Distal tubule

Note: Collecting tubule (duct) is NOT a part of the nephron!

Uriniferous Tubule

Uriniferous Tubule

Renal Corpuscle Two poles:

vascular urinary

Glomerulus Bowman’s capsule

parietal layer urinary or glomerular space visceral layer or podocytes

Mesangial cells intraglomerular extraglomerular

Renal Corpuscle

Renal cortex

Renal corpuscle

Renal Corpuscle

Renal Corpuscle

Renal Corpuscle

Renal Corpuscle

Renal Corpuscle

Filtration Barrier

Endothelial wall of the capillaries

Basal lamina

Visceral layer of Bowman’s capsule (podocytes) Podocytes have primary (major) processes and secondary

(minor) processes (pedicles).

Between pedicles (on the surface of capillaries) there are

filtration slits that have slit diaphragm

Filtration Barrier

Proximal Tubule

It has 2 regions: Pars convoluta

proximal convoluted tubule Pars recta

descending thick limb of Henle’s loop

It is composed of simple cuboidal epithilum with acidophilic cytoplasm. The cells have striated or brush border and lateral interdigitations. They have well-defined basal lamina.

Proximal tubules are long and highly convoluted so most of cortical tubular sections are proximal tubules.

Proximal Tubule

Cell of proximal tubule

Thin limb of Henle’s Loop

It has 3 regions: Descending thin limb Henle’s loop Ascending thin limb

Note: It is longer in juxtamedullary nephron than in cortical nephron It is composed of simple squamous epithelium

Renal Medulla

Distal Tubule

It has 3 regions: Ascending thick limb of Henle’s loop

low cuboidal epithelium Macula densa

1st part, tall & narrow cells Pars convoluta

distal convoluted tubule formed of low cuboidal epithelium

Distal tubules drain into collecting tubules

Aldosterone hormone increase the active reabsorbtion of sodium from the lumen of tubule into interstitium

Distal Tubule

Cell of distal tubule

Juxtaglomerular Apparatus

It has 3 components:

The macula densa of distal tubule

Juxtaglomerular cells of afferent glomerular arteriole

modified smooth muscle of tunica media

they secrete renin, angiotensin-converting enzyme and

angiotensin

The extraglomerular mesangial cells

Juxtaglomerular Apparatus

Juxtaglomerular Apparatus

Collecting Tubules Are composed of simple cuboidal epithelium They aren’t part of nephron They have 3 regions:

Cortical Medullary Papillary

They are formed of: principle cells intercalated cells

They are impermeable to water except in presence of antidiuretic hormone.

Collecting Tubules

Cell of collecting tubule

Renal Interstitium

It is a very flimsy, scant amount of CT contains. Fibroblasts. Macrophages. Interstitial cells

their nuclei are elongated and they contain lipid droplets they secrete medullipin I, which is converted in the liver

into medullipin II, that lowers blood pressure

The Ureters

Mucosa

is formed of transitional epith. and lamina propria.

Muscularis (muscular coat)

is formed of 2 layers of smooth muscle:

inner longitudinal

outer circular

Adventitia (fibrous CT covering)

The Ureters

The Urinary Bladder

It has the same structure as the ureter EXCEPT:

The dome-shaped cells of transitional epithelium have

plaques (rigid, thickened regions of plasmalemma)

It has 3 layers of smooth muscle, inner and outer

longitudinal and middle circular

Its outer covering is serosa

The Urinary Bladder

THAT’S ALL FOLKS!

Questions?