Introduction

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Dr.

Pratik N Akhani
MBBS, MD-Physiology
 Definition:The process by which the
unwanted substances & metabolic wastes are
eliminated from the body.

 IMPORTANCE: To keep the body in healthy


condition, to maintain homeostasis.
 Kidneys: water and water soluble
waste products in form of urine
 Lungs: CO2,water vapours and
other volatile substances like
acetone
 Skin: water and salts mainly in the
form of sweat
 Gastrointestinal tract: excretes
faeces
THE RENAL SYSTEM

PRODUCES
URINE 2

TRANSPORTS
URINE
3

STORES URINE
4

URETHRA
URINE VOIDED FROM HERE
KIDNEYS lie on posterior
wall of abdomen, on either
side of the vertebral
column.
Outer membrane
Renal
artery
Renal Nephrons
Vein (2 million)
Pelvis
Cortex

Ureter Medullary
pyramids

Urine
1. Filters & removes metabolic waste products &
toxins from blood & excretes them via urine.
2. Regulates the body’s (WEPO)
Fluid status/water balance
Electrolyte balance
Acid –base balance/pH balance
Plasma osmolality
3. Produces or activates hormones that are involved
in (RED)
Erythropoiesis : Erythropoietin
Ca2+ metabolism : 1,25-DHCC
Regulation of BP : Renin-Angiotensin-Aldosterone
System
 Nephron is defined as Structural &
functional unit of kidney .

 Eachkidney consist approx. 1.2 millions of


nephrons.
Each nephron is consist of 2 parts

1) Malpighian (renal) corpuscle: Consists of


Glomerulus and Bowman’s capsule

2) Tubular Portion: Proximal convoluted tubule


Loop of Henley
Distal convoluted tubule
Collecting duct
 SHAPE -- Spheroidal

 FUNCTION---- Filtration of blood, forms first


phase of urine formation.

 LOCATED ---- CORTEX & NEAR MEDULLA.


So Nephrons CLASSIFIED as
Cortical Nephrons &
Juxtamedullary nephrons (NEAR MEDULLA)
1) GLOMERULUS (tuft of glomerulus capillaries)
2) BOWMAN’S CAPSULE (encloses glomerulus)

1) Consists of network of glomerular capillaries, connected to


afferent arteriole on one end & efferent arteriole on other
end.(purely arterial).
 Bowman’s capsule is capsular structure which encloses
glomerulus. formed by two layers :

1) The inner visceral layer covers glomerulus


capillaries.

2) the outer parietal layer

3) capsular space-continues as lumen of PCT


Continuation of bowman’s capsule. Made up of :

1) PROXIMAL CONVULUTED TUBULE (14mm)

2) LOOP OF HENLE (CONSIST OF)


 THICK DECENDING LIMB (6mm)
 THIN DECENDING LIMB (10 to 15 mm)
 HAIRPIN BEND
 THIN ASCENDING LIMB
 THICK ASCENDING LIMB (9mm)
3) DISTAL CONVULATED TUBULE (14.5 to 15mm)

4) COLLECTING DUCTS (20 to 22 mm)


SEGMENT EPITHELIUM
BOWMAN’S CAPSULE FLATTENED EPITHELIUM

PROXIMAL CONVULUTED TUBULE CUBOIDAL CELLS WITH BRUSH BORDER

THICK DECENDING LIMB CUBOIDAL CELLS WITH BRUSH BORDER

LOOP OF HENLE FLATTENED EPITHELIUM

THICK ASCENDING LIMB CUBOIDAL EPITHELIUM CELLS WITHOUT


BRUSH BORDER
DISTAL CONVULATED TUBULE CUBOIDAL EPITHELIUM CELLS WITHOUT
BRUSH BORDER
COLLECTING DUCTS CUBOIDAL EPITHELIUM CELLS WITHOUT
BRUSH BORDER
 Corticalnephrons: originate in outer 2/3 of
renal cortex

 Juxtamedullary nephrons: originate in inner 1/3


cortex

 Have long LHs


 Important in producing concentrated
urine
Features CORTICAL NEPHRON JUXTA- MEDULLARY
Comprise 85-86 % 14-15%
Glomeruli size Small Larger
Rate of filtration Slow faster
Loop of henle Short up to outer Longer
Penetrates medulla Up to tip of papilla
Blood supply Peritubular Vasa recta &
capillaries plexus peritubular
capilleries
Limb of loop of Descending thin & Both thin segments
henle ascending thick
Main Function Urine formation & Via countercurrent
Excretion of waste system concentrates
products in urine urine.
1. Multiple functions of kidney in homeostasis/
Role of kidney in maintaining homeostasis.

2. Non-excretory functions of kidney.

3. Endocrine functions of kidney.

4. Structure & function of NEPHRON.

5. Compare & Contrast: Cortical Vs JM Nephrons

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