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Lecture notes

Lecture notes Contexts of Care (SHN169)

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Lecture notes of 12 pages for the course Contexts of Care at SWAN (Renal Systems)










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Uploaded on
April 24, 2024
Number of pages
12
Written in
2020/2021
Type
Lecture notes
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N/a
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All classes

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SHN169 – The Renal System


The Renal System

Objectives of this session
 Urinary system – anatomy and gross function
 Kidney – gross structure, anatomy and primary functions
 Nephron – anatomy and physiology
o The functional units of the kidney
 Urine facts and composition
 Recap: osmosis and diffusion
o Key to urine formation and dialysis
 Urine formation – filtration, reabsorption, secretion
 Dialysis
o Artificial filtration of the blood
 Hormonal control of renal system – antidiuretic hormone (ADH), aldosterone and
atrial natriuretic hormone (ANH)
 Urine analysis in detecting various pathologies

Urinary system
 Anatomy




 Gross Function
o Kidneys (the renal system)
 Produce urine (filtration, reabsorption, secretion)
o Ureter
 Ureter (one per kidney) carry urine away from the kidneys and to the
urinary bladder
o Urinary bladder
 The urinary bladder is a muscular, elastic sac which stores urine
arriving via each ureter


1

, SHN169 – The Renal System


o Urethra
 A duct which allows urine to leave the bladder (and body itself) via
the process of urination.

Kidney – Anatomy
 Two kidneys
 Located either side of vertebral column
 Average kidney measures 11 x 7 x 3 cm
 Left kidney often slightly larger than the right
 Right kidney usually slightly lower than the left – Thought to be due to positioning of
the liver
 Kidneys surrounded in layer of fat for support (and protection
 The Kidney:
o Organs of urinary system
 Kidney, ureter, bladder, urethra




o Arteries carrying oxygenated blood away from the heart and to other organs
o Veins take deoxygenated blood away from organs
o Arteries and veins split and divide into smaller ones as they go into the kidney
(due to the size of the kidney)
 E.g. segmental arteries/segmental vein
o Hilum
 Indentation – entry of renal artery and nerves, exit of renal vein and
ureter
o Renal pelvis
 The enlarged portion of the ureter as it leaves the kidney. Also the
point of mergence for the major calyces
o Cortex
 Outer layer of kidney
o Medulla
 Inner part of kidney

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