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Evernote
EXCRETION
• Kidneys
• Ureters
• Urinary bladder
• Urethra
1. Structure of Kidneys
• Location: Reddish-brown, bean-shaped organs located between the last thoracic and third
lumbar vertebrae along the dorsal abdominal wall.
Dimensions:
• Length: 10-12 cm
• Width: 5-7 cm
• Thickness: 2-3 cm
• Weight: 120-170 g
Key Features:
• Hilum: A notch on the inner concave surface where the ureter, blood vessels, and nerves
enter.
• Renal Pelvis: Funnel-shaped space inside the hilum with extensions called calyces.
• Zones:
◦ Outer Cortex: Contains renal corpuscles and parts of nephrons.
◦ Inner Medulla: Divided into medullary pyramids projecting into calyces.
◦ Columns of Bertini: Cortex extensions between medullary pyramids.
2. Nephrons
• Functional units of the kidney (~1 million per kidney).
Components:
1. Glomerulus:
• A tuft of capillaries formed by the afferent arteriole (branch of renal artery).
• Begins with the Bowman’s capsule, enclosing the glomerulus. Together, they form the
malpighian body or renal corpuscle.
• Henle’s Loop:
• Descending limb (extends into medulla).
• Ascending limb.
• Distal Convoluted Tubule (DCT): Another coiled segment, connecting to the collecting duct.
Types of Nephrons:
1. Cortical Nephrons:
• Loop of Henle is short, extending slightly into the medulla.
2. Juxta Medullary Nephrons:
• Vasa Recta: A U-shaped vessel parallel to Henle’s loop, prominent in juxta medullary nephrons,
aiding in maintaining osmotic gradients.
The human excretory system efficiently filters blood, maintains water-ion balance, and eliminates
nitrogenous wastes, ensuring proper body function.
Urine Formation
Urine formation involves three primary processes:
1.glomerular filtration
2.reabsorption
3. secretion
all occurring in different parts of the nephron.
1. Glomerular Filtration
Importance:
•Maintains ionic balance.
Summary
•From 180 litres/day of filtrate, only 1.5 litres/day of urine is excreted.
•Efficient reabsorption and secretion ensure the body maintains fluid, electrolyte, and acid-base
balance while eliminating waste products.
a.Descending Limb:
•Permeable to water, but impermeable to electrolytes.
•Leads to concentration of the filtrate as water exits into the medullary interstitium.
b.Ascending Limb:
Functions:
•Performs conditional reabsorption of Na⁺ and water, regulated by hormonal signals (e.g.,
aldosterone).
•Maintains pH balance:
4. Collecting Duct
•Structure: Extends from the cortex to the medulla.
Functions:
•Reabsorbs large amounts of water, producing concentrated urine.
•Allows small amounts of urea to pass into the medullary interstitium to maintain osmolarity.
Summary
Each tubule segment has a specialized role in urine formation, ensuring:
1. Counter-Current Flow
a.Henle’s Loop:
•The filtrate flows in opposite directions in the descending and ascending limbs of Henle’s loop,
creating a counter-current.
b.Vasa Recta:
•The blood in the descending and ascending limbs of vasa recta also flows in opposite directions,
forming another counter-current.
2. Osmolarity Gradient
b.Ascending Limb:
•NaCl diffuses back into the interstitium, while water enters the vasa recta.
This exchange ensures that the osmolarity gradient in the medullary interstitium is maintained
without washing it away by the blood flow.
5. Role of Urea
•Urea contributes to the osmolarity of the medullary interstitium:
•A small amount of urea from the collecting tubule enters the thin ascending limb of Henle’s loop.
•Urea is recycled back into the medullary interstitium, further enhancing the gradient.
6. Concentration of Urine
•The hyperosmotic medullary interstitium enables water reabsorption from the collecting tubules,
resulting in the production of concentrated urine.
•Human kidneys can concentrate urine up to four times more than the osmolarity of the initial
filtrate.
Summary
The counter-current mechanism in the nephron and vasa recta, along with the osmolarity gradient
maintained by NaCl and urea, allows efficient water reabsorption and the production of highly
concentrated urine. This mechanism is crucial for water conservation in terrestrial animals.
Micturition
Micturition is the process of urine excretion, involving the urinary bladder, nervous system, and
urethral sphincters.
1. Urine Formation and Storage:
• Stretch receptors in the bladder walls are activated as the bladder fills with urine.
• These receptors send signals to the CNS, which triggers the following responses:
• Contraction of bladder smooth muscles.
• Relaxation of the urethral sphincter, allowing urine to flow out.
3. Urine Characteristics:
4. Clinical Relevance:
• Urinalysis is a diagnostic tool for detecting metabolic disorders or kidney malfunctions.
• Hypothalamus
• Juxta Glomerular Apparatus (JGA)
• Heart
These mechanisms ensure proper:
• Blood pressure
• Fluid balance
• Glomerular filtration rate (GFR)
1. Role of ADH (Antidiuretic Hormone or Vasopressin)
• Stimulus:
◦ Activated by osmoreceptors due to:
Decreased blood volume
Loss of body fluids or changes in ionic concentration
• Source:
◦ Released from the neurohypophysis (posterior pituitary)
• Function:
◦ Facilitates water reabsorption in the distal tubule and collecting duct
◦ Prevents excessive water loss (anti-diuresis)
• Feedback:
◦ Increased body fluid volume turns off osmoreceptors, reducing ADH release
• Additional Effects:
◦ ADH causes blood vessel constriction, raising blood pressure, which enhances glomerular
blood flow and GFR
2. Renin-Angiotensin Mechanism (Regulated by JGA)
• Trigger:
◦ Activated when there is a fall in:
Glomerular blood flow
Blood pressure
GFR
• Process:
◦ JG cells release renin
◦ Renin converts angiotensinogen (in the blood) to angiotensin I, which is further converted
to angiotensin II
◦ Angiotensin II:
A vasoconstrictor that increases glomerular blood pressure and GFR
Stimulates the adrenal cortex to release aldosterone
◦ Aldosterone:
Promotes Na+ and water reabsorption from the distal tubule
Raises blood pressure and restores GFR
3. Atrial Natriuretic Factor (ANF)
• Stimulus:
◦ Released by the atria of the heart when blood flow to the atria increases (indicating high
blood volume)
• Function:
◦ Causes vasodilation (dilation of blood vessels)
◦ Reduces blood pressure
◦ Acts as a check on the renin-angiotensin mechanism by opposing its effects
Summary
1. Lungs:
• Remove large amounts of carbon dioxide (CO₂) (~200 mL/min).
b. Cholesterol.
c. Degraded steroid hormones, vitamins, and drugs.
• Sweat Glands:
• Produce sweat, a watery fluid containing:NaCl, urea, and lactic acid.
4. Saliva:
• Small amounts of nitrogenous wastes are eliminated through saliva.
Hemodialysis:
• Blood is drained from an artery and passed through a dialyzing unit (artificial kidney).
• The dialyzing fluid (similar to plasma but without nitrogenous wastes) facilitates the removal
of urea and other wastes via a cellophane membrane.
• The purified blood is returned to the body through a vein after adding anti-heparin.
• A life-saving procedure for uremic patients.
2. Kidney Transplantation:
• The ultimate treatment for acute renal failure.
• A functioning kidney from a donor (preferably a close relative) is transplanted to minimize
immune rejection.
• Advances in medical technology have significantly improved the success rate of kidney
transplants.
Summary
• Uremia and acute renal failure are life-threatening conditions that may require hemodialysis or
kidney transplantation.
• Renal calculi and glomerulonephritis are also significant disorders affecting kidney function,
often requiring medical intervention.