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URINARY SYSTEM: II (cont . )

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URINARY SYSTEM: II. (cont.). URINARY SYSTEM: II.  TO IDENTIFY THE COMPONENTS OF THE URINARY SYSTEM.  TO CHARACTERIZE THE GENERAL ORGANIZATION OF THE KIDNEY.  TO EXAMINE THE HISTOLOGICAL STRUCTURE OF THE NEPHRON AND THE COLLECTING DUCTS. - PowerPoint PPT Presentation

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Page 1: URINARY SYSTEM: II

URINARY SYSTEM: II(cont.)

Page 2: URINARY SYSTEM: II

TO IDENTIFY THE COMPONENTS OF THE URINARY SYSTEM

TO IDENTIFY THE COMPONENTS OF THE URINARY SYSTEM

TO EXAMINE THE HISTOLOGICAL STRUCTURE OF THE NEPHRON AND THE COLLECTING DUCTS

TO EXAMINE THE HISTOLOGICAL STRUCTURE OF THE NEPHRON AND THE COLLECTING DUCTS

TO CORRELATE STRUCTURE OF VARIOUS COMPONENTS WITH FUNCTION

TO CORRELATE STRUCTURE OF VARIOUS COMPONENTS WITH FUNCTION

URINARY SYSTEM: IIURINARY SYSTEM: II

TO CHARACTERIZE THE GENERAL ORGANIZATION OF THE KIDNEY

TO CHARACTERIZE THE GENERAL ORGANIZATION OF THE KIDNEY

Page 3: URINARY SYSTEM: II

URINARY SYSTEM

KIDNEY (ORGANIZATION)

CORTEXCORTEX

MEDULLAMEDULLA

- region immediately beneath renal capsule

- composed of two distinct regions:

(1) CORTICAL LABYRINTH

(2) MEDULLARY RAY

- located immediately beneath renal cortex

- consists of triangular blocks of tissue called the PYRAMIDS

- RENAL COLUMNS are strands of cortical tissue that extend down between adjacent pyramids

RCRC

PP

PPPP

PP

PP

PPPP

Page 4: URINARY SYSTEM: II

URINARY SYSTEM

KIDNEY (ORGANIZATION)

PP

PPPP

PP

PP

PPPP

RENAL LOBE

- a single pyramid with its associated overlying cortex

RENAL LOBULE

- defined within cortex and involves a single medullary ray (central axis of lobule) with adjacent adjacent cortical labyrinth

- defined as a functional unit that consists of a collecting duct and all the nephrons that it drains

Cortical Labyrinth with interdigitating Medullary Rays

Page 5: URINARY SYSTEM: II

URINARY SYSTEM

THE NEPHRON & COLLECTING DUCTS

1) THE NEPHRON1) THE NEPHRON

2) COLLECTING DUCTS2) COLLECTING DUCTS

a) RENAL CORPUSCLE

- distributed throughout cortex and various zones of medulla

BOWMAN’S CAPSULE + GLOMERULUS

b) PROXIMAL TUBULE

CONVOLUTED AND STRAIGHT PORTIONS

c) HENLE’S LOOP

THICK AND THIN PORTIONS

d) DISTAL TUBULE

STRAIGHT AND CONVOLUTED PORTIONS

Page 6: URINARY SYSTEM: II

URINARY SYSTEM

THE NEPHRON & COLLECTING DUCTS

CORTICAL LABYRINTH

1- RENAL CORPUSCLES

2- PROXIMAL CONVOLUTED TUBULES

3- DISTAL CONVOLUTED TUBULES

MEDULLARY RAY

1- STRAIGHT PORTIONS OF PROXIMAL TUBULE (THICK DESCENDING)

2- STRAIGHT PORTIONS OF DISTAL TUBULE (THICK ASCENDING)

3- COLLECTING DUCTS

CORTEX:

Page 7: URINARY SYSTEM: II

URINARY SYSTEM

THE NEPHRON & COLLECTING DUCTS

OUTER ZONE

INNER ZONE

MEDULLA:

1- STRAIGHT PORTIONS OF PROXIMAL TUBULE (THICK DESCENDING)

2- STRAIGHT PORTIONS OF DISTAL TUBULE (THICK ASCENDING)

4- COLLECTING DUCTS

3- THIN SEGMENTS OF LOOP OF HENLE (DESCENDING & ASCENDING)

2- COLLECTING DUCTS

1- THIN SEGMENTS OF LOOP OF HENLE (DESCENDING & ASCENDING)

Page 8: URINARY SYSTEM: II

URINARY SYSTEM

THE NEPHRON & COLLECTING DUCTS

1) THE NEPHRON1) THE NEPHRON

2) COLLECTING DUCTS2) COLLECTING DUCTS

a) RENAL CORPUSCLE

- distributed throughout cortex and various zones of medulla

BOWMAN’S CAPSULE + GLOMERULUS

b) PROXIMAL TUBULE

CONVOLUTED AND STRAIGHT PORTIONS

c) HENLE’S LOOP

THICK AND THIN PORTIONS

d) DISTAL TUBULE

STRAIGHT AND CONVOLUTED PORTIONS

HISTOLOGICAL STRUCTURE AND FUNCTIONHISTOLOGICAL STRUCTURE AND FUNCTION

Page 9: URINARY SYSTEM: II

URINARY SYSTEM

RENAL CORPUSCLE

BOWMAN’S CAPSULE + GLOMERULUS

1. BOWMAN’S CAPSULE:

- the beginning of the nephron that consists of a blind sac lined with simple squamous epithelium that is continuous with the PCT

- parietal layer & visceral layer (specialized)

2. GLOMERULUS:

- specialized tuft of capillaries which housed in the capsular space (10-20 capillary loops)

- blood flowing through glomerulus capillaries undergoes a filtration process to produce the initial urine filtrate

FILTRATION APPARATUS OF KIDNEY

Page 10: URINARY SYSTEM: II

URINARY SYSTEM

RENAL CORPUSCLEBOWMAN’S CAPSULE + GLOMERULUSFILTRATION APPARATUS OF KIDNEY

VASCULAR POLE

URINARY POLE

GLOMERULUS (FILTRATION MEMBRANE):

1- fenestrated capillaries; discontinuous endothelium; fenestrae have a diameter of 500-1000Å and lack a diaphragm

2- continuous basal lamina

3- podocytes of visceral layer; processes contact basal lamina and are separated by slits measuring approximately 250Å

Page 11: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&Eca

psul

eca

psul

e

CO

RTE

XC

OR

TEX

MED

ULL

AM

EDU

LLA

MRMR

CLCL

MRMR

CLCL

MRMR

AVAV

Page 12: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

GLOMERULUSGLOMERULUS

GLOMERULUSGLOMERULUS

MEDULLARY RAYMEDULLARY RAY MEDULLARY RAYMEDULLARY RAYCORTICAL LABYRINTHCORTICAL LABYRINTH

Page 13: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

MEDULLARY RAY

MEDULLARY RAY

MEDULLARY RAY

MEDULLARY RAY

CORTICAL LABYRINTHCORTICAL LABYRINTHMEDULLARY

RAYMEDULLARY

RAY

MEDULLARY RAY

MEDULLARY RAY

RCRC

RCRC

RCRC

RCRC

RCRC

RCRC

RCRC

RCRC

Page 14: URINARY SYSTEM: II

URINARY SYSTEM

CORTICAL LABYRINTHCORTICAL LABYRINTH

1- RENAL CORPUSCLES1- RENAL CORPUSCLES

2- PROXIMAL CONVOLUTED TUBULES2- PROXIMAL CONVOLUTED TUBULES

3- DISTAL CONVOLUTED TUBULES3- DISTAL CONVOLUTED TUBULES

CORTEX:CORTEX:

- longer than DCT and thus more numerous- longer than DCT and thus more numerous

- stain slightly darker and have a larger diameter than DCT- stain slightly darker and have a larger diameter than DCT

- cells are larger and have an irregular luminal surface due to the presence of a “brush border” and glycocalyx

- cells are larger and have an irregular luminal surface due to the presence of a “brush border” and glycocalyx

- shorter than PCT and thus less prevalent- shorter than PCT and thus less prevalent

- stain slightly lighter and have a smaller diameter than PCT- stain slightly lighter and have a smaller diameter than PCT

- cells are smaller and cuboidal, thus more nuclei are apparent in a cross section of a DCT- cells are smaller and cuboidal, thus more nuclei are apparent in a cross section of a DCT

- luminal surface is more uniform since it lacks a brush border- luminal surface is more uniform since it lacks a brush border

Page 15: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

CORTICAL LABYRINTHCORTICAL LABYRINTH

1- RENAL CORPUSCLES1- RENAL CORPUSCLES

2- PROXIMAL CONVOLUTED TUBULES2- PROXIMAL CONVOLUTED TUBULES

3- DISTAL CONVOLUTED TUBULES3- DISTAL CONVOLUTED TUBULES

CORTEX:CORTEX:

RENAL CORPUSCLERENAL CORPUSCLE

glomerulusglomerulus

Bowman’s capsuleBowman’s capsule

PCTPCT

DCTDCT

Page 16: URINARY SYSTEM: II

URINARY SYSTEM

CORTICAL LABYRINTHCORTICAL LABYRINTH

1- RENAL CORPUSCLES1- RENAL CORPUSCLES

2- PROXIMAL CONVOLUTED TUBULES2- PROXIMAL CONVOLUTED TUBULES

3- DISTAL CONVOLUTED TUBULES3- DISTAL CONVOLUTED TUBULES

CORTEX:CORTEX:

- 80-90% of H2O and NaCl in glomerular filtrate is reabsorbed in addition to most organic materials: (glucose, proteins, amino acids, etc.)

- 80-90% of H2O and NaCl in glomerular filtrate is reabsorbed in addition to most organic materials: (glucose, proteins, amino acids, etc.)

- further resorption of H2O in presence of ADH- further resorption of H2O in presence of ADH

- sodium resorption in response to aldosterone- sodium resorption in response to aldosterone

- calcium resorption in response to PTH- calcium resorption in response to PTH

Page 17: URINARY SYSTEM: II

KIDNEY SILVER METHENAMINEKIDNEY SILVER METHENAMINE

URINARY POLE

URINARY POLE

glomerulusglomerulus

VASCULAR POLE

VASCULAR POLE

DCTDCT

PCTPCT

Page 18: URINARY SYSTEM: II

KIDNEY SILVER METHENAMINEKIDNEY SILVER METHENAMINE

DCTDCT

PCTPCT

DCTDCT

Page 19: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

DCTDCT

PCTPCT

PCTPCT

PCTPCTPCTPCT

DCTDCT

PCTPCT

Page 20: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

DCTDCT

PCTPCT

PCTPCT

PCTPCT

PCTPCT

DCTDCT

PCTPCT

DCTDCT

glomerulusglomerulus

Page 21: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

DCTDCT

PCTPCTPCTPCT

DCTDCT

DCTDCT

glomerulusglomerulus

AAAA

EAEA

peritubular capillary plexus

peritubular capillary plexus

Page 22: URINARY SYSTEM: II

KIDNEY SILVER METHENAMINEKIDNEY SILVER METHENAMINE

MEDULLARY RAYMEDULLARY RAY

1- S

TRAIG

HT PO

RTIONS

OF PR

OXIMAL

TUBULE

(THIC

K DES

CENDIN

G)

2- S

TRAIG

HT PO

RTIONS

OF DIS

TAL

TUBULE

(THIC

K ASC

ENDIN

G)

3- C

OLLEC

TING D

UCTS

Page 23: URINARY SYSTEM: II

URINARY SYSTEM

MEDULLARY RAY

1- STRAIGHT PORTIONS OF PROXIMAL TUBULE (THICK DESCENDING)

2- STRAIGHT PORTIONS OF DISTAL TUBULE (THICK ASCENDING)

3- COLLECTING DUCTS

CORTEX:

- cells are cuboidal in cortex and become progressively more columnar in the medulla and papilla

- cells are cuboidal in cortex and become progressively more columnar in the medulla and papilla

- cells stain very lightly with well-defined boundaries

- cells stain very lightly with well-defined boundaries

- transport urine from nephron to excretory ducts and aids in further H2O resorption in the presence of ADH

- transport urine from nephron to excretory ducts and aids in further H2O resorption in the presence of ADH

KIDNEY H&EKIDNEY H&E

CDCD

CDCDTDTD

Page 24: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

COLUMNAR COLLECTING DUCTS NEAR RENAL PAPILLACOLUMNAR COLLECTING DUCTS NEAR RENAL PAPILLA

Page 25: URINARY SYSTEM: II

URINARY SYSTEM

THE NEPHRON & COLLECTING DUCTS

OUTER ZONE

INNER ZONE

MEDULLA:

1- STRAIGHT PORTIONS OF PROXIMAL TUBULE (THICK DESCENDING)

2- STRAIGHT PORTIONS OF DISTAL TUBULE (THICK ASCENDING)

4- COLLECTING DUCTS

3- THIN SEGMENTS OF LOOP OF HENLE (DESCENDING & ASCENDING)

2- COLLECTING DUCTS

1- THIN SEGMENTS OF LOOP OF HENLE (DESCENDING & ASCENDING)

Page 26: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

TDTD

CDCD

CDCDTATA

TLTL

OUTER MEDULLAOUTER MEDULLA

Page 27: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

TLTLTLTL

TATA

TATA

OUTER MEDULLAOUTER MEDULLA

VASA RECTAVASA

RECTA

Page 28: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

INNER MEDULLAINNER MEDULLA

CDCD

TLTL

CDCD

CDCD

CDCD

TLTL

TLTL

Page 29: URINARY SYSTEM: II

URINARY SYSTEM

JUXTAGLOMERULAR APPARATUSMACULA DENSA + JUXTAGLOMERULAR (JG) CELLSREGULATE BLOOD FLOW THROUGH GLOMERULUS

MACULA DENSA

JG CELLS

- cells located in the DCT in close contact with the glomerulus and the afferent and efferent arterioles

- specialized smooth muscle cells in the wall of the afferent arteriole which contain and secrete RENIN to regulate blood flow through the glomerulus

ANGIOTENSINGOGEN (PLASMA PROTEIN) ANGIOTENSIN I ANGIOTENSIN II

ALDOSTERONE SECRETION

VASOCONSTR

RENIN

Page 30: URINARY SYSTEM: II

URINARY SYSTEM

JUXTAGLOMERULAR APPARATUSMACULA DENSA + JUXTAGLOMERULAR (JG) CELLSREGULATE BLOOD FLOW THROUGH GLOMERULUS

BARORECEPTOR THEORY

MACULA DENSA THEORY

- assumes JG cells function as stretch receptors (high blood pressure would inhibit release of renin)

ANGIOTENSINGOGEN (PLASMA PROTEIN) ANGIOTENSIN I ANGIOTENSIN II

ALDOSTERONE SECRETION

VASOCONSTR

RENIN

- assumes the secretion of renin is regulated by the composition of the fluid in the DCT / afferent arteriole (low sodium would increase the release of renin)

Page 31: URINARY SYSTEM: II

URINARY SYSTEM

JUXTAGLOMERULAR APPARATUSMACULA DENSA + JUXTAGLOMERULAR (JG) CELLSREGULATE BLOOD FLOW THROUGH GLOMERULUS

ANGIOTENSINGOGEN (PLASMA PROTEIN) ANGIOTENSIN I ANGIOTENSIN II

ALDOSTERONE SECRETION

VASOCONSTR

RENIN

Page 32: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

MACULA DENSA

MACULA DENSA

Page 33: URINARY SYSTEM: II

KIDNEY H&EKIDNEY H&E

JG CELLSJG CELLS

AAAA

RENIN GRANULES

Page 34: URINARY SYSTEM: II

URINARY SYSTEM

KIDNEY

CALYCES/ URETER

BLADDER

URETHRA

1- mucosa lined with transitional epithelium2- usually lacking submucosa

3- muscularis best developed in ureters (2-3 layers) and bladder (3 layers)

Page 35: URINARY SYSTEM: II

URETER H&EURETER H&E

MUCOSAMUCOSA LAMINA PROPRIALAMINA PROPRIA MUSCULARISMUSCULARIS

1: IL1: IL 2: OC2: OC

ADVADV

Page 36: URINARY SYSTEM: II

URINARY SYSTEM

URETER

Page 37: URINARY SYSTEM: II

URINARY SYSTEM

URETER

Page 38: URINARY SYSTEM: II

URINARY SYSTEM

BLADDER

Page 39: URINARY SYSTEM: II

URINARY SYSTEM

BLADDER

transitional epithelium