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Chapter Overview
Introduction
Chapter 16 discusses the respiratory system’s anatomical structures and physiologic functioning. The body exists in
potentially hostile physical conditions, the environmental variables rarely matching the normal range of the body.
Cellular respiration and other metabolic processes also will produce by-products that may, if uncontrolled, induce an
unhealthy internal milieu. Toxic materials may enter the body and must be eliminated. Clearly, in order for life to
continue, means must exist within the body to eliminate these factors, and the urinary system is that means. Urine
formation consists of glomerular filtration, tubular reabsorption, tubular secretion, and water conservation.
Key Concepts
Here are some concepts that students should understand after reading this chapter:
• general functions of the urinary system including osmoregulation, elimination of nitrogenous wastes
endocrine functions, maintenance of pH, and voiding
• the origin and nature of nitrogenous wastes
• gross morphology, microstructure, and circulation of the kidneys
• the route of a water molecule from the bloodstream through the urinary system to the outside world
• glomerular filtration, including the role of the filtration membrane and filtration pressure
• the controlling mechanisms of glomerular filtration rate (i.e., GFR), especially the activities of the
juxtaglomerular apparatus, sympathetic nerves, and the renin–angiotensin pathway
• methods of tubular reabsorption, with special attention to active transport in the proximal convoluted tubule
and the related passive absorption of other materials
• tubular secretion of wastes and as a means to achieve pH homeostasis
• maintenance of sodium ion homeostasis by aldosterone and atrial natriuretic peptide
• water conservation, concentration of urine, and the role of antidiuretic hormone in water regulation
• countercurrent mechanisms
• the means of storage and elimination of urine
• the evaluation of the urinalysis
• fluid and electrolyte balance
• acid–base balance
• the origins of renal insufficiency and hemodialysis
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7. Have a student look into prostatitis and its effect on the urinary system.
8. Angiotensin-converting enzyme (i.e., ACE) inhibitors are a significant method of controlling hypertension. Get
some students to report on this very important class of blood pressure drugs.
Related Multimedia
Acids and Bases. Films for the Humanities and Sciences, 2004; DVD; 31 mins.
Anatomy and Physiology: The Urinary System. Insight Media, 2006; 17 mins.
Bladder Disorder: Interstitial Cystitis. Films for the Humanities and Sciences, 2003; DVD; 28 mins.
BPH: Aging and the Enlarged Prostate. Films for the Humanities and Sciences, 2000; DVD; 23 mins.
Caring for People with Renal Impairment. Films for the Humanities and Sciences, 1996; DVD; 28 mins.
Dialysis: Providing Care. Insight Media, 2007; 30 mins.
Kidneys: Don’t Die Young, Series 1. Films for the Humanities and Sciences, 2007; DVD; 30 mins.
Kidney Cancer: The Silent Destroyer. Films for the Humanities and Sciences, 2000; DVD; 28 mins.
Kidney Disease. Films for the Humanities and Sciences, 1990; DVD; 26 mins.
The Urinary Tract: Water. Films for the Humanities and Sciences, 1984; DVD; 28 mins.
Respiratory System. Films for the Humanities and Sciences, 1998; DVD; 25 mins.
The Respiratory System. Films for the Humanities and Sciences, 2009; DVD; 21 mins.
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Understanding Hemodialysis. Insight Media, 2007; 15 mins.
Work of the Kidneys. Insight Media, 1988; 23 mins.
Related Software
Anatomy & Physiology Revealed 3.0. McGraw-Hill, 2011. Module 13: Urinary System
http://anatomy.mcgraw-hill.com/v3/
How Cranberry Juice Prevents Urinary Tract Infections. You Tube. Accessed March 26, 2013.
http://www.youtube.com/watch?v=u11DfF6fuCM&feature=related
Micturition Mechanism. RnCeus. Accessed March 26, 2013. http://www.rnceus.com/uro/image%20folder/mict.swf
Physiology Interactive Laboratory Simulator 4.0 (PhILS). McGraw-Hill, 2012. Laboratory #42–Anti-Diuretic
Hormone http://phils4.mcgraw-hill.com/
The Mammalian Kidney. Sadava, et al. Life: The Science of Biology 9th Edition, 2010.
http://www.sumanasinc.com/webcontent/animations/content/kidney.html
Urine Formation. Del Mar Learning. Accessed March 26, 2013.
http://www.delmarlearning.com/companions/content/1401837182/Animations/Urine%20Formation.swf
Related Readings
Askari, F. K. and W. M. McDonnell. “Antisense-Oligonucleotide Therapy.” New England J. Med. 334 (1996):
316−318.
Blaivias, J. G. et al. Atlas of Urodynamics. 2nd ed. New York: Wiley, 2007.
Dahm, P. and R. Dmochowski. Evidence-Based Urology. New York: Wiley, 2010.
Dawson, C. and H. N. Whitfield. ABC of Urology. 2nd ed. New York: Wiley, 2006.
Eaton, D. C. et al. Vander’s Renal Physiology. Dubuque, IA: McGraw-Hill Medical, 2009.
Fackelman, K. A. “The Neglected Sex Gland.” Sci. News. 142 (1992): 94−95.
Graff, L. A Handbook of Routine Urinalysis. Baltimore: Lippincott Williams & Wilkins, 1983.
Guyton, A. C. “Blood Pressure Control: Special Role of the Kidneys and Body Fluids.” Science 252 (1991):
1813−1816.
Guyton, A. C. and J. E. Hall. Textbook of Medical Physiology. 12th ed. Philadelphia: Saunders, 2011.
Harding, C. K. and A. C. Thorpe. “The Surgical Treatment of Female Stress Urinary Incontinence.” Indian J. Urol.
26 (2010): 257–262.
Levinsky, N. G. “Quality and Equity in Dialysis and Renal Transplantation.” New Eng. J. Med. 341 (1999):
1691–1693.
Manz, F. “Hydration and Disease.” J. Am. Coll. Nutr. 25 (5 suppl.) (2007): 535s–541s.
Tanagho, E. A. and J. W. McAninch. Smith’s General Urology 17th ed. Dubuque, IA: McGraw-Hill, 2008.
Wein, A. J. et al. Campbell-Walsh Urology. 9th ed. Philadelphia: Saunders, 2006.
Young, W. F. “Primary Aldosteronism: Renaissance of a Syndrome.” Clin. Endocrinol. 66 (2007):607–618.
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Testing Your Comprehension Answers
1. Mammals that live in freshwater do not need to conserve as much water as animals that live in a terrestrial
environment, especially a desert environment. The length of the nephron loops is a major determinant of how
much urine can be concentrated; the longer the nephron loop the more concentrated the urine can become.
Thus, it is not necessary for an aquatic freshwater mammal to have long nephron loops. Since the urine is not
being concentrated, urine will be hypotonic.
2. When the urinary bladder fills, it expands superiorly; intraluminal bladder pressure therefore increases in a
superior direction. Two problems would occur if the ureters entered the bladder from above. One problem is
that the intraluminal pressure would be so high at the superior aspect of the bladder, that urine could not
effectively enter the bladder from the lower pressured ureters. A second problem is that the high intraluminal
bladder pressure could cause urine in the bladder to reflux back into the ureters. This reflux of bladder urine
could lead to possible kidney infections and/or fluid buildup in the kidneys (hydronephrosis).
3. Diarrhea can cause excessive fluid and electrolyte loss. The major cation loss in diarrhea is potassium. Low
potassium (hypokalemia) can cause cardiac arrhythmias resulting in cardiac arrest; this can result in death.
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Another random document with
no related content on Scribd:
And when thou shalt bee counted but a sot,
The noble wights which liude and dyde in worthy fame,
In heauen and earth shall finde an euerlasting name.
11.
12.
The famous king so dead, his son, but nyne months olde,
Henry the sixt of England was proclaymed king:
And then the Frenchmen wexte more stoute and bolde,
His youth occasion gaue them to conspire the thing,
Which might them all from due subjection bring?
On which the councell calde a parliament,
Of French that might the treasons high preuent.
13.
14.
15.
16.
17.
18.
19.
20.
21.
It was my charge that time to keepe a bulwarke bace,
Where Bretons came along to enter by a streit:
’Twas in a bottome lowe, a pond was by the place,
By which they needes must passe vp to a posterne gate:
I meant to make them fishe the poole without a bayt,
Protesting ere they there should get the wall
Wee would as English dye, or gieue our foes the fall.
22.
23.
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In all which poynts that noble duke his grace did passe,
I meane the regent good, for chuseing, vseing men,
By nature framde thereto, hee wonders[1876] scilfull was,
And frendly vsed all, instructing now and then
Not only captaynes stout, that were his countrey men,
But also sondry souldiers as occasion came,
And taught them how to warres themselues to frame.
41.
43.
For why this noble prince, when wee had needed moste
To set the states of Fraunce and England in a stay,
That feared was of foes in euery forayne coaste,
To soone, alas, this duke was taken hence away:
In Fraunce hee dyde: helasse, lament his losse wee may,
That regent regall, rule of publique right:
Loe, howe my hurtes afreshe beweepe this wanted
wight.”
44.
45.
“I haue,” quoth he, “not fortune’s flatterie to accuse,
Nor fate, nor destenie, nor any fancie fainde:
I haue no cause t’affirme that these coulde ought misuse
This noble prince, whose life and acts such fame and
honour gaynde,
But our deserts, our sinnes, and our offences staynde
This noble ile, and vs, our sinnes, I say,
Offending God, hee tooke this prince away.
46.
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Hee should bee of such countenaunce and wit,
As should giue witnes to the histories hee writes,
Hee should bee able well his reasons so to knit,
As should continue well the matter hee resytes:
Hee should not prayse, disprayse, for fauour or dispytes,
But should so place each thing in order due,
As myght approue the stories to bee true.
59.
But this may haps the time may seeke at length redresse,
And then such stories nowe and noble acts as dye,
May come agayne to lighte (at least defaced lesse)
Yf from the Britaynes first antiquities they try:
In greate defects yf they the trueth supply:
Then shall the readers fuller stories finde,
And haue wherby to recreate the minde.
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64.
65.
But in Nouember next, when it was sharpe and colde,
And dayly froste had dryde and parched hard the
grounde,
Wee were in hope agayne to get of Pontoise holde,
Which erste the townesmen sold for gayne of many a
pound:
The snow fell fast, lay thick, and couered well the ground,
And ditches were so harde about the towne before,
That on the ise by euery syde wee safely might get
ore.
66.
67.
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70.
But when king Charles had heard how Pontoise men had
sped,
His army strayght assembled hee therefore agayne,
Wherewith to win this towne afresh th’assaute hee led,
Hee pyners set to trenche and vnder mine amayne,
Made bastiles for defence, yet all this toyle was vayne,
For battery of our walles hee spent his pouder still,
Made freshly Frenche assaults, but did no ill.
71.
The Frenche king fled, for haste he left his store behinde:
When hee was once assurde the duke of Yorke drue
nere,
Hee durst not stay to bide the time or place assinde
To fight our regent with, but fled away for feare:
By these assayes you see what men in Fraunce they
were,
Discouragde oft, slayne, put to flight, and fall:
By sight, force, fight, and names, of nombers small.
73.
74.
75.
But then the Frenche king, calling vnto mynde his losse,
His charges in the seige, his bastiles trenches made,
How erste wee did them thence, sans bag and bagage
tosse,
Eke how from seige hee durste not staye the store to
lade,
And how their fortunes ofte, in fighte went retrograde,
How neighboures ill to Paris, wee of Pontoise were:
Hee cast asyde his Frenche and faynteing feare.
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