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Chapter 29

The Urinary System

Einführung in das Harnsystem
Einführung in das Harnsystem
The urinary system, or renal system, has four main components — the kidneys, ureters, urinary bladder, and urethra. The kidneys are a pair of ...
Äußere Anatomie der Niere
Äußere Anatomie der Niere
The kidneys are located at the T12 to L3 vertebrae and partly protected by the eleventh and twelfth ribs. A kidney typically measures about 10 to 12 cm in ...
Innere Anatomie der Niere
Innere Anatomie der Niere
In the frontal section, the kidney shows the renal cortex, renal medulla, and renal pelvis. The outermost layer — the renal cortex — is ...
Blut- und Nervenversorgung der Niere
Blut- und Nervenversorgung der Niere
The segmental arteries branch out, supplying different kidney regions. These segmental arteries branch off and pass through the renal columns as ...
Nephrone
Nephrone
A nephron is the functional unit of the kidney. It comprises two main parts — the renal corpuscle and renal tubule. The renal corpuscle, where blood ...
Nieren-Körperchen
Nieren-Körperchen
The renal corpuscle comprises a cluster of capillaries known as the glomerulus and the glomerular or Bowman's capsule that encloses the glomerulus. ...
Nierentubulus und Sammelkanal
Nierentubulus und Sammelkanal
The nephron measures approximately 3 cm and consists of the proximal convoluted tubule, loop of Henle, and distal convoluted tubule. The proximal ...
Physiologie der Urinbildung
Physiologie der Urinbildung
The formation of urine involves three steps —  glomerular filtration, tubular reabsorption, and tubular secretion. Glomerular filtration occurs ...
Glomeruläre Filtration
Glomeruläre Filtration
During glomerular filtration, blood plasma is pushed through the pores of a filtration membrane. The glomerular capillaries and podocytes together form ...
Glomeruläre Filtration: Netto-Filtrationsdruck
Glomeruläre Filtration: Netto-Filtrationsdruck
Glomerular filtration depends on three main pressures: glomerular blood hydrostatic pressure or GBHP, capsular hydrostatic pressure or CHP, and blood ...
Die glomeruläre Filtrationsrate und ihre Regulierung
Die glomeruläre Filtrationsrate und ihre Regulierung
The glomerular filtration rate or GFR is the volume of filtrate formed per minute by the glomeruli. Any changes in the local blood pressure and flow can ...
Tubuläre Reabsorption und Sekretion
Tubuläre Reabsorption und Sekretion
Tubular reabsorption occurs along the length of the renal tubules and collecting ducts. This process returns water and solutes from the filtrate to the ...
Reabsorption und Sekretion im PCT
Reabsorption und Sekretion im PCT
The proximal convoluted tubules, or PCTs, reabsorb most filtered water, ions, glucose, and amino acids. Sodium ion transport is a critical process in the ...
Reabsorption und Sekretion in der Henle-Schleife
Reabsorption und Sekretion in der Henle-Schleife
The thick ascending limb of the nephron loop has Na+–K+–2Cl− symporters in the apical membranes of its cells. These symporters ...
Reabsorption und Sekretion in der DCT und im Sammelkanal
Reabsorption und Sekretion in der DCT und im Sammelkanal
The early part of the distal convoluted tube, or DCT, reabsorbs around 10 to 15% of the filtered water and 5% of the filtered sodium and chloride ions. ...
Urin: Physikalische und chemische Eigenschaften
Urin: Physikalische und chemische Eigenschaften
Urine is mostly water, which makes up around 95% of its volume. The remaining 5% consists of different solutes. Urea, a byproduct of amino acid breakdown, ...
Bildung von verdünntem Urin
Bildung von verdünntem Urin
The kidney's juxtamedullary nephrons produce dilute urine when the fluid intake is high. In the renal cortex, the osmolarity of the interstitial fluid ...
Bildung von konzentriertem Urin
Bildung von konzentriertem Urin
There is a medullary osmotic gradient of solutes in the interstitial fluid from the renal cortex through the medulla. This gradient is established and ...
Renale Clearance
Renale Clearance
The glomerular filtration rate is an effective metric for assessing kidney function. One way of measuring GFR is by calculating renal clearance. Renal ...
Harnleiter
Harnleiter
Ureters are retroperitoneal tubes on either side of the vertebral column that transport urine from each kidney to the urinary bladder. They have thick ...
Harnblase
Harnblase
The urinary bladder is a hollow, muscular sac that temporarily stores about 600 mL of urine before micturition.  It is retroperitoneally situated on ...
Der Miktionsreflex
Der Miktionsreflex
Micturition or urination primarily involves coordination between the bladder detrusor muscle and two sphincters to control bladder emptying. It is ...
Harnröhre
Harnröhre
The urethra is a tube-like structure extending from the lower end of the urinary bladder to the external opening for releasing urine out of the body. In ...
Dialyse
Dialyse
Renal failure is classified as acute when the glomerular filtration rate or GFR suddenly drops below 15 mL/min or ceases entirely. In contrast, a gradual ...
Erkrankungen des Harnsystems
Erkrankungen des Harnsystems
Urinary system disorders can arise from infections, stress, age, congenital abnormalities, and lifestyle. Urinary tract infections are typically caused by ...
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