exam 3 & 4 - 1 pm

Upload: juhi93

Post on 02-Apr-2018

215 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/27/2019 Exam 3 & 4 - 1 pm

    1/20

    Urinary System

    Right kidney model, Blood flow:o Renal arteryo Segmental Artery (unfiltered blood)o

    Interlobar arteries

    o Arcuate artery (arcs across Medullary Pyramid) Boundary between Cortex (filtration center) and Medulla Where all the glomeruli are

    o Interlobular, or Cortical, Artery Renal pyramid:

    o Interlobular, or Cortical arteryo Afferent arterioleo Glomeruluso Efferent, or exit, arteriole

    Larger molecules retained, fluid and ions will be pushed across andinto the Proximal Convoluted tubule

    RBCs too big to pass thru filtration slits (fenestrae) Whole thing = Renal Corpuscle

    Noodles = Glomerulus Cup = Bowmans Capsule

    o Venules (filtered)o Interlobular veino Arcuate veino Interlobal vein

    Renal Corpuscle = Glomerulus & Bowmans Capsuleo Bowmans capsule

    Receives filtrate from blood Proximal convoluted tubule (collects filtrated) A lot of reabsorption Simple cuboidal cells Fuzzy lumen

    Loop of Henle (drops down into medulla & comes back up into thecortex)

    Distal convoluted tubule Reabsorption is not as intense as PCT More clear lumen (not as fuzzy as PCT)

    o Medullary rays Rays going medially into the kidney

    Nephron:o Afferent arteriole to Distal Convoluted Tubuleo Functional unit of the kidneyo Drain into the Collecting ducto Juxtaglomerular (or Juxtamedullary) Nephron

    Close to the medulla More concentrated urine

  • 7/27/2019 Exam 3 & 4 - 1 pm

    2/20

    Tend to be used at nighto Cortical Nephron

    Shorter Loop of Henle Renal papilla

    o What the Medullary pyramids drain intoo

    All drains into the calyx (portion of the kidney that first collects the urine)

    Drainage:o Collecting duct Medullary Pyramid Renal Papillao Minor Calyx Major calyx Renal Pelvis Ureter

    Hilumo Pinched point of the kidneyo Meeting pointo Where everything goes in or comes out

    Vasa rectao A.k.a. Peritubular arteries (beside the tubules)o Capillary bed within the Nephron

    Corpuscle of the kidney modelo Afferent arteriole brings the blood (LEFT)

    Juxtaglomerular cellssecrete Renino Efferent is leaving (RIGHT)

    Smaller than afferent (unfiltered)o Bowmans capsule = 3 layers:

    Podocytes = cells Part of the Bowmans capsule Acts like a filter Filters out smaller particles (water, small Amino acids) Blood cells will NOT pass through

    Bowmans space Parietal layer

    o Glomerulus Capillary bed inside Bowmans capsule

    Podocytes peeled away on one halfo Proximal Convoluted Tubule

    Lots of microvillio Loop of Henle

    Drops down to Medullao Distal Convoluted Tubule

    Does a bypass near the Glomerulus to the Bowmans Capsule *No brushborder, no microvilli Yellow vessel behind Afferent arteriole Macula Densa

    Large cuboidal cells that stain darkly Slightly more enlarged Inside the Distal Convoluted tubule Sense levels of HCl Monitor salt concentrations in blood

  • 7/27/2019 Exam 3 & 4 - 1 pm

    3/20

    Specialized Smooth muscle cellso Juxtaglomerular apparatus = Juxtaglomerular cells & Macula densao Renin-angiotensin-aldosterone system

    Liver secretes Angiotensinogen, and Renin converts it toAngiotensin I, which is converted to Angiotensin II by ACE

    Ureters Urinary bladder Urethra Urinary bladder

    o Smooth, involuntary muscleo Sphincter = Skeletal muscle

    Epithelium:o Simple Squamous

    Blood vessels Parietal layer of Bowmans Capsule

    o Simple Cuboidal Tubules

    o Transitional Epithelium Urinary Bladder (contracted = empty, distended = full)

    Umbrella-shaped Beginning portion of Urethra (Males)

    SKIPPING URETER! Prostate gland around Urethra

    T/F1. There are renal corpuscles in MedullaFALSE!

  • 7/27/2019 Exam 3 & 4 - 1 pm

    4/20

    HISTOLOGY

    Renal Cortex

    Renal corpuscle Proximal convoluted tubule more prominent Vascular pole

    o Afferent & efferent arterioles Urinary pole not visible (on opposite end) Macula densa closer to Vascular pole JG cells (juxtaglomerular cells)

    Renal Medulla

    Cross-section cut of the tubules NO renal corpuscle, Vasa recta, proximal __ Loop of Henle Collecting duct Tubule (cuboidal cells) Dont confuse Blood vessel w/ Tubule!

  • 7/27/2019 Exam 3 & 4 - 1 pm

    5/20

    Kidney, Entire

    Cortexo Renal corpuscleso Urinary Poleo

    Vascular Pole (redder layer)

    o Simple Squamous cells (Parietal layer of Bowmans capsule)o Bowmans capsuleo Glomerulus

    Medullao Slight shift in topography?o More wavyo Longitudinal section thru tubuleso Tubules and peritubular vessels

    Simple cuboidal cells (round nuclei) belonging to tubules Blood going thru vessels

    oMedullary ray (looks like a ray, even if pointing in the cortex)

    Renal pyramido Renal papillao Minor calyx

    Kidney, Injected

    Cortex, 2o Interlobular vesselso Arcuate vessels

  • 7/27/2019 Exam 3 & 4 - 1 pm

    6/20

    Contracted Bladder

    Transitional epithelium Umbrella/dome shaped cell Empty bladder

    Distended Bladder

    Cytoplasmic projections outside the epithelium? Fill bladder

  • 7/27/2019 Exam 3 & 4 - 1 pm

    7/20

    Male Reproductive System

    Testes = site of Spermatogenesiso 96oC = best temperature for spermatogenesiso Scrotum lowers and raises testes to maintain this optimal temperatureo

    Seminiferous tubules

    Where Spermatogenesis begins Initiated but not completed Tubes inside testes Shunted out to Rete testes

    o Rete testes Net within the testes

    o Ductus eferentiso Epididymis

    Final state of maturation Tails start to move

    oVas deferens, or Ductus deferens Eventually goes out thru the spermatochord and out

    o Seminiferous tubules Rete testes Ductus eferentis Epididymiso Divided into lobes:

    Tunica albuginea Separates testes into separate lobes (white layer

    Tunica vaginalis Outer coating of the testes Serous membrane Derived from peritoneum, forms during descent of testes

    o Cremaster muscle Lowers and raises testes Most of it is in spermatochord Skeletal muscle

    Scrotumo Support for testeso Testicular arteryo Spermatic duct = blood vessels, vas deferens, and cremaster muscles

    (helps in raising and lowering testes)

    Epididymiso Structure on top of the testes

    Urethrao Prosthetic urethra (thru prostate)o Membranous Urethra (short portion after Prostate)o Penile Urethra (remaining amount)

    *EPITHELIAL VARIES! Transitional Simple columnar Simple cuboidal?

    Corpora Spongiosum & Cavernosumo Sinusoids that fill with blood to make it rigido Spungiosum

  • 7/27/2019 Exam 3 & 4 - 1 pm

    8/20

    Surrounding urethra Less rigid (could cut off urethra) Surrounds urethra

    o Cavernosum Two

    Can store more blood, and can become more rigido Each coated with tunica albuginea

    Glans Peniso Very tipo Corpus Spungiosum

    Bulbourethral glando Right below prostate

    Seminal vesicleso Behind urinary bladdero Secrete semen to help with delivery of sperm into Female Reproductive

    System

    o A.k.a. Cowpers Glando Pg. 364, bottom left figure, back of urinary bladder Urethra

    o Prostatic = Transitional epitheliumo Membranous = Pseudostratified columnaro Penile (Pseudostratified columnar)

    Distal portion of Peniso Stratified squamouso No section for that

    Epididymiso Mature spermo Goes up thru vas deferenso Supplied by fluids from seminal vesicles

    Glandso Seminal vesicle secretions

    60-70% ejaculate Y Yellowish, flavence Fructose gives energy

    o Prostate gland Secretions from prostate gland (larger gland)clear & alkaline Fibrinolysin enzymes secreted from prostate gland liquefy semen

    o Bulbourethral gland Least amount of secretion Provides lubrication (for urethra)

    Epitheliumo Transitional

    Prostatic Urethra Bladder

    o Pseudostratified columnar

  • 7/27/2019 Exam 3 & 4 - 1 pm

    9/20

    Membranous Urethra Penile urethra Seminal vesicle Ductus deferens

    o Seminiferous epithelium

    Testeso Tall columnar

    Epididymis

    Testiso Structure

    Tunica albugineathickened posteriorly with fibrous septa Testicular lobules

    Seminiferous tubules

    o Produce sperm Leydig cellinterstitial cell

    o produce testosterone Loose CT

    Seminiferous epithelium Spermatogenesis

    Spermatogonia at the periphery (most immature) As they finish mitosis, they become primary spermatocytes After the 1st meiotic division, it becomes a secondary

    spermatocyte

    o Primary & secondary look the same Then they become spermatids following meiosis II

    (elongated shape)

    o Earlyo Late = more narrow

    Different developmental stages Spermiogenesis

    Epididymis, vas deferens, urethra Maturation of sperm cells Spermatid Spermatozoa

  • 7/27/2019 Exam 3 & 4 - 1 pm

    10/20

    HISTOLOGY

    Mature Rat Testes

    Leydig cells between tubules (triangular shaped cells) Once you reach puberty, hypothalamus sends signals to pituitary FSH & LHsecretion

    o FSH = development of layers of seminiferous tubuleso LH = leydig cells secrete testosterone (2ndary characteristics of males

    deeper voice, hair growth, etc.)

    In the field of view:o Blood vessel (artery)o Leydig cell (size of lumen of blood vessel)o Tail-like structure of the sperm cell in the middle of the cross section of a

    Seminiferous tubule

    o Sertoli cell (almost whole area of Seminiferous epithelium) Apical side has basement membrane & leydig cells A.k.a. sustentacular cells or Nurse cells

    Once cells are free (no lumen around them), then theyre spermatozoa Sertoli cells

    o Lighter area, lighter nucleus, near the peripheriesSpermatogonia Spermatocytes Spermatids

    Immature testeswaiting for FSH & LH secretion

  • 7/27/2019 Exam 3 & 4 - 1 pm

    11/20

    HISTOLOGY

    Epididymis

    Tall columnar cells with stereocilia FALSESpermatocytes, spermatogonia, spermatids TRUESpermatozoa (for vas deferens and on) Well defined apical border

  • 7/27/2019 Exam 3 & 4 - 1 pm

    12/20

    Ductus Deferens

    Large muscular componento 3 layers

    Star-shaped lumen

  • 7/27/2019 Exam 3 & 4 - 1 pm

    13/20

    Urethra

    Prostatico Transitional

    Penileo Pseudostratified columnar

  • 7/27/2019 Exam 3 & 4 - 1 pm

    14/20

    Prostate

    Tubuloalveolar glandso Citric acido

    Fibrinolysin? (hydrolytic enzymes)

    o Clear secretions Fibromuscular stroma Older prostates

    o Corpora amalycea Inside tubuloalveolar glands Round concentric circles (like a tree bark) Prostatic calcifications that have deposited and accumulated over

    the years

  • 7/27/2019 Exam 3 & 4 - 1 pm

    15/20

    Seminal Vesicles

    Structure just above Prostate gland, below Urinary bladder Yellow secretions

    o Flavence (yellowish structure)o Fructose

    60-70% ejaculate

  • 7/27/2019 Exam 3 & 4 - 1 pm

    16/20

    Penile Urethra

    Corpus cavernosumo Larger sinusoids than in corpus spongiosum

    Fascia (surrounds corpus cavernosum)o Connective Tissue

    Corpus spongiosumo Opening at the top = Urethra

    Urethra with pseudostratified columnar Blood-filled sinusoids that aid in erection

  • 7/27/2019 Exam 3 & 4 - 1 pm

    17/20

    Female Reproductive System

    Primordial follicleo Contains primary oocyte

    Primary follicleo Theca External layer

    Mostly connective tissueo Granulosa

    Cuboidal cellso Primary Oocyte (middle)

    Secondary Follicleo Primary oocyte (still locked in metaphase I of meiosis; hasnt completed it

    yet)

    o Start seeing the antrum forming Antrum = cavity Quite a few start to form; merge into one large space Space in the follicle that initially appear in the Granulosa and

    coalesces Filled with liquor folliculi

    o Multiple layers of granulosa Can also happen in primary Not secondary until antrum is visible

    o *FORMATION OF ANTRUM DEFINES SECONDARY FOLLICLE!o 1 2 Theca layers

    Theca interna & Theca externa Theca interna = secretes estrogen

    Theca externa = connective tissue Outer layer of stromal cells and connective tissue

    Graafian follicleo Still secondary follicle, but specialized

    Ovulatory follicleo Ovulation has occurred, and egg is on its way outo Cumulus masso Corona Radiatao Bits of cumulus mass, or granulosa, stick to the oocyte prior to fertilizationo Meiosis I is complete; Meiosis II has begun

    Metaphase I is complete, Metaphase II has begun Atritic

    o At the point of ovulation, all of the other follicles are broken downo Not as organized; beginning to break aparto Eventually merges into backgroundo Ovary absorbs it into the tissue

    Corpora Hemorrhagica Corpora lutea

  • 7/27/2019 Exam 3 & 4 - 1 pm

    18/20

    o All the granulosa changes and starts to release Progesterone (prevents anyfollicular development at this point)

    o If fertilization takes place, this will be maintained for 2 weeks, until theuterus can take over for progesterone production

    Fertilization takes place in the Fallopian Tubeo

    Fimbriae

    Finger-like projection Lots of cilia Pull/guide egg to uterus

    Uteruso Endometrium

    Nutritive Supports egg, and eventually fetus/zygote Most sloughs off during menses, and regrows

    o Myometrium NEVER sloughs off!

    Helps during delivery Gets a lot larger Contracts Smooth muscle Oxytocin contracts uterus

    Once fertilization takes place, a lot of mucus is released, and it forms a mucusplug to prevent other sperm from coming in

    o Fertilized egg gets engulfed by endometriumo Endometrium provides nutritiono Corpus luteum makes Progesterone for 14 dayso No fertilization = Corpus luteum Albigens

    Round ligamento Connect to the inner wall of the abdomeno Comes off the uteruso More support for the uterus

    Ovary ligaments Suspensory ligaments Broad ligament

  • 7/27/2019 Exam 3 & 4 - 1 pm

    19/20

    HISTOLOGY

    Ovary

    In the field of view

    o OogoniaFALSE!

  • 7/27/2019 Exam 3 & 4 - 1 pm

    20/20

    HISTOLOGY

    Fallopian Tube

    Ciliated simple columnar epithelium Non-ciliated Peg cellso Secrete nutrient for gametes