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Regulates:
Blood Flow Thru the Renal Artery ---> segmental artery ---> interlobar artery ---> arculate
Kidney artery ---> interlobular artery ---> afferent arteriole ---> glomerulus
Continued: (filtration of the plasma occurs here) ---> efferent arteriole --->
peritubular capillaries ---> vasa recta ---> interlobular veins --->
arcuate veins ---> interlobar veins ---> renal vein ---> inferior vena
cava
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Ureter Muscular tube which carries urine from renal pelvis to urinary
bladder.
At entrance to bladder a valve prevents backflow of urine from
the bladder to the ureter and kidney.
Actively moves urine by peristaltic contractions.
Urethra tube which carries urine from the urinary bladder to the outside of the
body
Micturiton urination
A. As the bladder fills, stretch receptors are stimulated causing
discomfort.
B. When you decide to urinate, sacral parasympathetic fibers
stimulate the following:
1) detrusor muscle to contract.
2) the internal urethral sphincter relaxes
C. External urethral sphincter is a skeletal muscle and therefore
is under voluntary conscious control. When it is relaxed,
urination occurs.
URINE FORMATION
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convoluted tubule).
b. the macula densa signals smooth muscle in afferent
arteriole to relax.
c. dilation of afferent arteriole occurs.
d. increased blood flow into glomerulus.
e. increased GFR results.
Tubular Reabsorption there are many substances that are present in the glomerular filtrate
but are either absent or in a much lower concentration in the urine;
therefore they must have been reabsorbed into the blood.
With normal blood glucose levels, usually all the filtered glucose
is reabsorbed.
Clinical Application:
Tubular Secretion is occurring when a substance that is not present in glomerular filtrate,
but is found in the urine. This is a process in which substances are
transported from the plasma of the peritubular capillaries into the
renal tubules.
2. If the blood has too much water (hypotonic) then the opposite
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occurs:
1. ADH secretion decreases
2. distal convoluted tubules and collecting ducts are
impermeable to water
3. there is an increased volume of hypotonic urine
4. excess water is urinated, blood volume decreases.
Urine Composition: varies greatly with temperature, humidity, diet, activity, water
consumption.
Renal control of pH: A. In proximal convoluted tubules, the response the decreased pH
is as follows:
1. CO2 diffuses from peritubular capillaries into the cells of the
proximal convoluted tubule
2. CO2 + H2O carbonic anhydrase > H2CO3 H+ + HCO3-
3. H+ is secreted, HCO3- diffuses into blood
4. blood pH will increase toward normal.
Evaluation of Kidney A. Blood urea nitrogen (BUN) – in renal disease, BUN rises
Function: sharply because the kidneys are not effectively excreting it in
the urine.
MALE
REPRODUCTIVE
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SYSTEM:
ORGANS: Testes, scrotum, seminal vesicles, prostate, bulbourethral (Cowper’s)
glands, penis
Testes 1. tunica albuginea – white fibrous capsule that sends septa inward to
divide the testes into lobules. Each lobule contains 1-3 highly
coiled seminiferous tubules.
4. interstitial cells (of Leydig) – these cells that are located in groups
between the seminiferous tubules. There function is to produce
testosterone in response to ICSH.
6. efferent ductules – tubes that transport sperm from the rete testis
to the epididymis.
Functions:
maturation of the sperm.
sperm also develop motility here.
Ducts that carry sperm from the epididymis out of the body.
8. ductus (vas) deferens – muscular tube that carries sperm from the
epididymis to the ejaculatory duct. A section of the ductus
deferens is severed during a vasectomy.
9. ejaculatory duct – a tube that is formed by the union of the duct of
the seminal vesicle and the ampulla of the ductus deferens. This
enters the urethra within the prostate gland.
10. urethra – a common tube that receives urine from the bladder or
seminal fluid from the ductus deferens and transports them out of
the body.
Pathway of sperm seminiferous tubules (within the testes) rete testis efferent
through the male duct ductules epididymis ductus (vas) deferens ejaculatory duct
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The testes descend from the pelvic cavity into the scrotum through the
inguinal canal. After the testes have descended into the scrotum, the
inguinal canal contains the spermatic cord. If the inguinal canal
opening (inguinal ring) is weakened or too large, part of the intestine
can pass into the canal and even into the scrotum. This condition is
called an inguinal hernia.
Spermatic Cord 1. ductus (vas) deferens – conveys sperm from epididymis to the
contains: ejaculatory duct.
2. testicular artery and vein (pampiniform plexus)
3. lymphatic vessels
4. testicular nerve
5. cremaster muscle – extension of the internal oblique muscle.
Elevates testes when it is cold, relaxes and lowers testes when it is
warm. Important in temperature regulation which is critical for
the normal production of sperm.
Seminal Vesicles Its secretions constitute about 60% of the semen. This secretion is
basic (alkaline) to help neutralize the acidic pH of the urethra and the
female reproductive system. This secretion contains fructose, the
energy source for sperm motility.
The ductus deferens unites with the duct of the seminal vesicle to form
the ejaculatory duct.
Prostate Surrounds the urethra at the base of the urinary bladder. Secretes an
alkaline solution that contains prostaglandins.
Structure:
Composed of three columns of erectile tissue that are surrounded
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SPERMATOZOA:
Structure of a Sperm: 1. acrosome – located on the tip of the sperm head. It contains
enzymes for digesting the wall of the ovum.
2. head – contains 23 chromosomes (DNA).
3. midpiece/body – contains numerous mitochondria.
4. tail – a flagella, needed for sperm motility which is critical for the
sperm to move through the female reproductive system.
SUMMARY OF MALE
REPRODUCTIVE
ORGANS AND THEIR
FUNCTIONS:
Organ Function
Testes production of sperm, testosterone
Vas deferens muscular tube which transports sperm to ejaculatory duct during
ejaculation
Ejaculatory Duct tube formed by the junction of vas deferens and seminal vesicle,
transports semen into the urethra
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Prostate Gland At base of urinary bladder and surrounds urethra. Secretes alkaline
fluid.
Bulbourethral Gland secrete alkaline mucus for minor lubrication, neutralize acidic pH or
urethra and female reproductive system
Seminal Fluid alkaline pH, fructose to supply energy for sperm, volume 2-6 ml, 120
million sperm/ml
External Organs:
Scrotum Sac that holds the testes; controls temperature of testes. Contains
cremaster muscle which can elevate/descent the testes.
Penis conveys sperm and urine through the urethra; contains erectile tissue
which allows it to be inserted into the vagina during intercourse to
deposit semen.
Actions of testosterone:
1. stimulates spermatogenesis
2. suppresses secretion of GnRH
3. development of the male secondary sex characteristics:
growth of body hair: axillary, pubic, facial
enlarged larynx and thickened vocal cords – deeper
voice
muscular development – tremendous increases in
physical strength
bone development
4. production of RBC’s increased hematocrit
5. increased secretion of growth hormone
6. increases libido
FEMALE
REPRODUCTIVE
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SYSTEM:
ORGANS OF THE FEMALE ovary, uterine (Fallopian) tubes, uterus, vagina, vulva, accessory glands
REPRODUCTIVE SYSTEM:
1. functions:
a. produce ova (eggs)
b. produce female sex hormones – estrogen and progesterone
2. structure:
a. tunica albuginea – connective tissue capsule of the ovary
b. cortex – outer region of the ovary where the primordial
follicles are located and the ova develop.
c. medulla – central region of the ovary where the blood vessels
are located.
d. ligaments
ovarian ligament holds ovary to the uterus
suspensory ligament attaches ovary to the pelvic wall
e. blood supply: ovarian artery and vein
Uterus thick, muscular organ that is connected to the oviducts superiorly and
to the vagina inferiorly
1. Functions:
a. provides a location for the growth of the embryo and fetus
b. provides nutrition for the embryo/fetus
c. muscular contractions expel the fetus during birth
2. Structure of the Uterus: (size: height = 7 cm)
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Clinical application:
The Pap smear looks at the squamous cells of the external
surface of the cervix to detect precancerous or malignant
changes indicating cervical cancer.
e. lumen within the uterus is triangular: the opening of the
oviducts superiorly, the internal os inferiorly.
Vagina 1. Functions:
a. discharge of menstrual fluid during menstruation
b. receives penis and semen during intercourse
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2. Structure:
a. adventitia – outer connective tissue layer that attaches the
vagina to surrounding structures
b. muscularis – middle layer
c. mucosa – epithelium is stratified squamous non-keratinized –
this protects the underlying tissues.
Accessory Glands greater vestibular (Bartholin) glands – located on either side of the
vaginal orifice with a short duct that opens into the vagina. Keeps the
vulva moist and provides most of the lubrication for intercourse. The
male bulbourethral glands only provide a minimal lubrication.
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Clinical Application:
Breast cancer will occur in approximately 1 of 9 women in the
United States.
Summary of the
Female Reproductive
System Organs:
Organs: Functions:
Labia Minora protects structures in the vestibule and the openings of the vagina and
urethra
Clitoris (corpora erectile tissue that acts as sensory organ during sexual arousal and
cavernosa) intercourse
Female Reproductive A. Oogenesis – the process of meiosis in the ovary that results in the
Cycles: formation of a single ovum.
B. Menstrual Cycle
GnRH is released from hypothalamus
GnRH stimulates anterior pituitary to release FSH and LH
FSH stimulates ovary to produce a mature follicle containing
a single ovum
LH promotes the production and release of estrogen that
stimulates the development of the stratum functionalis of the
endometrium of the uterus.
as the follicle develops in response to FSH, follicular cells
secrete increasing amounts of estrogen which causes an
increase in thickness of the endometrium, preparing it for
possible implantation of the developing embryo.
at about the 14th day of the cycle, there is a rapid rise in
estrogen secretion.
this creates a positive feedback that causes the hypothalamus
to release more GnRH.
the increased GnRH stimulates the anterior pituitary releases a
very large amount of LH (LH surge) and FSH.
the LH surge causes a further increase in estrogen secretion.
the LH surge causes the mature follicle to swell with follicular
fluid and rupture, releasing the ovum – ovulation.
the remnants of the ruptured follicle becomes a temporary
endocrine structure called a corpus luteum that secretes
larger quantities of estrogen and progesterone during the 2nd
half of the menstrual cycle.
blood progesterone levels rise most sharply.
progesterone increases the vascular and glandular nature of
the endometrium. It also stimulates endometrium to store
glycogen and fats which will provide nutrition for the embryo.
Terminology: a Zygote is formed when one sperm and one ovum join nuclei.
the offspring is called an embryo until the end of the 8th week.
after week 8 until birth, the conceptus is called a fetus.