layers of kidney renal capsule renal cortex renal medulla (renal pyramid) (renal column)
Embed Size (px)
TRANSCRIPT



Layers of kidney
Renal capsule
Renal cortex
Renal medulla(Renal pyramid)
(renal column)

Renal artery & vein
Renal pelvis
Minor Calyx (calyces)
Major calyx
Renal papillae
ureter


Nephron

Renal corpuscle
DistalConvolutedTubule
Collecting duct
Proximal ConvolutedTubule
DescendingNephron loop
Ascending Nephron loop
Nephron

Renal Corpuscle
Glomerular (bowman’s)capsule
Glomerulus
Afferent arteriole
Efferent arteriole

Renal corpuscle

UrinalysisCharacteristics
Color – light to dark yellow (urochrome – biproduct of hemoglobin breakdown)
Clarity-clear to cloudyturbid may indicate:
normal: crystals, mucus, vaginal dischargeabnormal: bacteria, blood cells, yeast
Specific gravity (1.003-1.030)below 1.003 may indicate diabetes insipidusabove 1.030 may indicate diabetes mellitus

Substances tested for in urine
Ketones – breakdown of fatty acids seen in diabetes mellitus and anorexia
Bilirubin – Biproduct of hemoglobin breakdown. Taken up by hepatocytes Presence may RBC destruction
Glucose – reabsorbed in PCT. Presence may indicate diabetes mellitus
Proteins – Most are too large to pass through glomerulus. May indicate kidney damage.

Substances tested for in urine
Blood – not present in urine. Presence = infection, kidney stones, damage to glomerulus
Urobilinogen – biproduct of bilirubin breakdown by bacteria. Small amountsmay be in urine
Nitrites – not in urine. May indicate urinary tract infection
pH (range = 4.5-8.0)average = 6.0 acidicHigh pH may indicate urinary tract infection (UTI)Low pH may indicate diabetes mellitus, starvation
Leukocytes – not in urine. May indicate infection

Other tests
Acetest – Tests for Ketones
Ictotests – Tests for Bilirubin
Clinitest – Tests for glucose