\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{Cocobaby927} \pdfinfo{ /Title (anatomy-and-physiology-urinary-system.pdf) /Creator (Cheatography) /Author (Cocobaby927) /Subject (Anatomy and Physiology-Urinary System Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{A36050} \definecolor{LightBackground}{HTML}{F9F5F4} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Anatomy and Physiology-Urinary System Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{Cocobaby927} via \textcolor{DarkBackground}{\uline{cheatography.com/197024/cs/41476/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}Cocobaby927 \\ \uline{cheatography.com/cocobaby927} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Published 1st December, 2023.\\ Updated 1st December, 2023.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{multicols*}{4} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Urinary System}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701314195_Screenshot 2023-11-29 221515.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Functions of the Urinary System}} \tn % Row 0 \SetRowColor{LightBackground} Kidneys dispose of waste products in urine & Kidneys' regulatory functions include: \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} Nitrogenous wastes & Production of renin to maintain blood pressure \tn % Row Count 6 (+ 3) % Row 2 \SetRowColor{LightBackground} Toxins & Production of erythropoietin to stimulate red blood cell production \tn % Row Count 10 (+ 4) % Row 3 \SetRowColor{white} Drugs & Conversion of vitamin D to its active form \tn % Row Count 13 (+ 3) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{3.833cm}}{Excess ions} \tn % Row Count 14 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{3.833cm}}{The urinary system consists of kidneys, ureters, urinary bladder, and urethra.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Kidneys}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701314651_Screenshot 2023-11-29 222337.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{The kidneys lie against the posterior abdominal wall, underneath the 12th rib. \newline They are retroperitoneal (posterior to the parietal peritoneum). \newline • The ribs help protect the kidneys, as does a heavy cushion of fat encasing each \newline organ. \newline • Structures (such as blood vessels, the ureters, and nerves) enter and leave the \newline kidney through a slit called the hilum—located in a concave notch on the medial \newline side.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Interior of the Kidney}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701317459_Screenshot 2023-11-29 222708.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.03122 cm} x{1.00089 cm} x{1.00089 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{3.833cm}}{\bf\textcolor{white}{Interior of the Kidney}} \tn % Row 0 \SetRowColor{LightBackground} A tough, fibrous capsule surrounds each kidney. The interior consists of the renal cortex and renal medulla; the renal cortex forms the outer region and the renal medulla forms the inner region. & Rrenal columns extened from the renal cortex,and divide the interior into cone-shaped sections, renal pyramids. The base of each pyramid faces outward toward the cortex; the point of the pyramid, renal papilla,faces the hilum. The renal papilla extends into a cup called a minor calyx. & The calyx collectsV urine leaving the papilla. Two or three minor calyces join together to form a major calyx The major calyces converge to form the renal pelvis, which receives urine from the major calyces. The renal pelvis continues as the ureter, which channels urine to the urinary bladder \tn % Row Count 23 (+ 23) \hhline{>{\arrayrulecolor{DarkBackground}}---} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Blood Flow Through Kidneys}} \tn \SetRowColor{white} \mymulticolumn{1}{x{3.833cm}}{Aorta → Renal Artery → Afferent Arterioles → Glomerulus → Efferent Arterioles → Pelvic Capillaries → Renal Vein → Inferior Venal Cava → Right Atrium% Row Count 4 (+ 4) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{p{0.3433 cm} p{0.3433 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Kidney Protection}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{3.833cm}}{Three protective layers enclose the kidney} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{3.833cm}}{Fibrous capsule encloses each kidney} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{3.833cm}}{Perirenal fat capsule surrounds the kidney and cushions against blows} \tn % Row Count 4 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{3.833cm}}{Renal fascia is the most superficial layer that anchors the kidney and adrenal gland to surrounding structures} \tn % Row Count 7 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.03122 cm} x{1.00089 cm} x{1.00089 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{3.833cm}}{\bf\textcolor{white}{Renal Tubule}} \tn % Row 0 \SetRowColor{LightBackground} Arising from Bowman's capsule is the proximal convoluted tubule. & The renal tubule straightens out and dips into the medulla before turning sharply and returning to the cortex. & The collecting duct receives drainage from the distal convoluted tubules of several different nephrons. \tn % Row Count 9 (+ 9) % Row 1 \SetRowColor{white} Thousands of microvilli that allow absorption line the inside of the proximal convoluted tubule & his entire \seqsplit{segment—which} consists of a descending limb and an ascending limb—is called the loop of Henle & The collecting duct passes through the medulla and merges with other collecting ducts before draining into a minor calyx. \tn % Row Count 19 (+ 10) % Row 2 \SetRowColor{LightBackground} & After returning to the cortex, the ascending limb coils again, forming the distal convoluted tubule. & \tn % Row Count 27 (+ 8) \hhline{>{\arrayrulecolor{DarkBackground}}---} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.03122 cm} x{1.00089 cm} x{1.00089 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{3.833cm}}{\bf\textcolor{white}{Renal Circulation – Blood Supply}} \tn % Row 0 \SetRowColor{LightBackground} One-quarter of the total blood supply of the body passes through the kidneys each minute & Renal artery provides each kidney with arterial blood supply & Renal artery divides into segmental arteries → interlobar arteries → arcuate arteries → cortical radiate arteries \tn % Row Count 10 (+ 10) % Row 1 \SetRowColor{white} & & As it enters the kidney, it divides into smaller and smaller arteries. The arteries pass through the renal columns and into the renal cortex. \tn % Row Count 21 (+ 11) % Row 2 \SetRowColor{LightBackground} & & Blood leaves the kidney through the renal vein, which empties into the inferior vena cava. \tn % Row Count 28 (+ 7) % Row 3 \SetRowColor{white} & & \seqsplit{Nephrons—the} filtration units of the \seqsplit{kidney—primarily} lie in the kidney's outer region (the cortex). Loops from the nephron dip into the inner region (the medulla). \tn % Row Count 42 (+ 14) \hhline{>{\arrayrulecolor{DarkBackground}}---} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Filtrate from Glomerulus to Urine Excretion}} \tn \SetRowColor{white} \mymulticolumn{1}{x{3.833cm}}{1. Glomerulus -{}-{}-\textgreater{} \newline % Row Count 1 (+ 1) 2. Bowman's capsule -{}-{}-\textgreater{} \newline % Row Count 2 (+ 1) 3. Proximal Convoluted Tubule -{}-{}-\textgreater{} \newline % Row Count 3 (+ 1) 4. Loop of Henle -{}-{}-\textgreater{} \newline % Row Count 4 (+ 1) 5. Distal Convoluted Tubule -{}-{}-\textgreater{} \newline % Row Count 5 (+ 1) 6. Collecting Duct -{}-{}-\textgreater{} \newline % Row Count 6 (+ 1) 7. Renal Pelvic (minor and major calyxes) -{}-{}-\textgreater{} \newline % Row Count 7 (+ 1) 8. Ureters -{}-{}-\textgreater{} \newline % Row Count 8 (+ 1) 9. Urinary Bladder -{}-{}-\textgreater{} \newline % Row Count 9 (+ 1) 10. Urethra% Row Count 10 (+ 1) } \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Renal Tubule}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701402855_Screenshot 2023-11-30 225355.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{Extends from \newline glomerular capsule and \newline ends when it empties \newline into the collecting duct \newline ▪ Subdivisions \newline • Proximal convoluted tubule \newline (PCT) \newline • Nephron loop (loop of Henle) \newline • Distal convoluted tubule \newline (DCT)} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Renal Corpuscle}} \tn % Row 0 \SetRowColor{LightBackground} Bowman's capsule (or glomerular capsule) consists of two layers of epithelial cells surrounding the glomerulus in an open-ended covering. ( & Fluid filters out of the glomerulus and collects in the space between the two layers of Bowman's capsule. \tn % Row Count 8 (+ 8) % Row 1 \SetRowColor{white} & From there, it flows into the renal tubule on the other side of the capsule. \tn % Row Count 12 (+ 4) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{3.833cm}}{The renal corpuscle consists of a glomerulus and Bowman's capsule.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Renal Corpuscle}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701402520_Screenshot 2023-11-30 224750.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{The renal corpuscle is the beginning of the nephron. (The two main components of \newline a nephron are a renal corpuscle {[}which filters blood plasma{]} and a renal tubule \newline {[}where urine is formed{]})} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Nephron}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701402307_Screenshot 2023-11-30 224413.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.03122 cm} x{1.00089 cm} x{1.00089 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{3.833cm}}{\bf\textcolor{white}{Nephron}} \tn % Row 0 \SetRowColor{LightBackground} Nephrons are the filtration units of the kidney & Afferent Arterioles - arise from smaller arteries in the cortex; each afferent arteriole supplies blood to one nephron & Blood leaves the glomerulus through an efferent arteriole \tn % Row Count 10 (+ 10) % Row 1 \SetRowColor{white} Nephrons need a constant flow of blood. (More than 20\% of the blood pumped by the heart each minute goes to the kidneys.) & Earise from smaller arteries in the cortex; each afferent arteriole supplies blood to one nephron, glomerulus & The efferent arteriole leads to a network of capillaries around the renal tubules, peritubular capillaries \tn % Row Count 20 (+ 10) % Row 2 \SetRowColor{LightBackground} & & These capillaries pick up water and solutes reabsorbed by the renal tubules. \tn % Row Count 26 (+ 6) % Row 3 \SetRowColor{white} & & Blood flows from the peritubular capillaries into larger and larger veins that eventually feed into the renal vein \tn % Row Count 35 (+ 9) \hhline{>{\arrayrulecolor{DarkBackground}}---} \SetRowColor{LightBackground} \mymulticolumn{3}{x{3.833cm}}{▪ Structural and functional units of the kidneys \newline ▪ Each kidney contains over a million nephrons \newline ▪ Each nephron consists of two main \newline structures \newline • Renal corpuscle \newline • Renal tubule} \tn \hhline{>{\arrayrulecolor{DarkBackground}}---} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Renal Circulation – Venous}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{Venous blood flow} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{3.833cm}}{Cortical radiate veins → arcuate veins → interlobar veins → renal vein} \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{Renal vein returns blood to the inferior vena cava} \tn % Row Count 4 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Renal Circulation – Blood Supply}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701401717_Screenshot 2023-11-30 223429.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{\seqsplit{Renin-Angiotensin-Aldosterone} System}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701403506_Screenshot 2023-11-30 230433.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.03122 cm} x{1.00089 cm} x{1.00089 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{3.833cm}}{\bf\textcolor{white}{Urine Formation}} \tn % Row 0 \SetRowColor{LightBackground} Glomerular filtration & Tubular reabsorption & Tubular secretion \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} Blood flows into the glomerulus through the afferent arteriole and leaves through the efferent arterioles & After filtrate leaves the glomerulus, it enters the renal tubules, where additional chemicals are removed from the filtrate and returned to the blood & Chemicals are added to the filtrate \tn % Row Count 14 (+ 12) % Row 2 \SetRowColor{LightBackground} The walls of glomerular capillaries are dotted with pores; water and small solutes (such as electrolytes, glucose, amino acids, vitamins, and nitrogenous wastes) filter out of the blood and into Bowman's capsule. & Sodium, water, glucose, amino acids, chloride, potassium, and bicarbonate moves by active transport out of the proximal convoluted tubule and into the bloodstream of the peritubular capillaries & Wastes such as ammonia (NH3 ) and uric acid, as well as drugs (such as aspirin and penicillin), are secreted out of the blood and into the tubules. \tn % Row Count 31 (+ 17) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{3.833cm}{x{1.03122 cm} x{1.00089 cm} x{1.00089 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{3.833cm}}{\bf\textcolor{white}{Urine Formation (cont)}} \tn % Row 3 \SetRowColor{LightBackground} . Blood cells and most plasma proteins are too large to pass through the pores. The fluid that filters into Bowman's capsule flows into the renal tubules. & About half of the nitrogenous waste urea is also reabsorbed. & Tubular secretion of hydrogen ions also occurs, helping to regulate the body's pH. \tn % Row Count 12 (+ 12) % Row 4 \SetRowColor{white} & Sodium and chloride are actively pumped out of the ascending limb of the loop of Henle into interstitial fluid. & Water diffuses out of the descending limb of the loop of Henle, further \seqsplit{concentrating} the filtrate \tn % Row Count 21 (+ 9) % Row 5 \SetRowColor{LightBackground} & The distal convoluted tubule and collecting ducts reabsorb variable amounts of water and salts. & \tn % Row Count 29 (+ 8) % Row 6 \SetRowColor{white} & The distal convoluted tubule and collecting ducts reabsorb variable amounts of water and salts. & \tn % Row Count 37 (+ 8) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{3.833cm}{x{1.03122 cm} x{1.00089 cm} x{1.00089 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{3.833cm}}{\bf\textcolor{white}{Urine Formation (cont)}} \tn % Row 7 \SetRowColor{LightBackground} & Specialized cells play a role in acid-base balance, reabsorbing potassium and secreting hydrogen into the tubule. & \tn % Row Count 9 (+ 9) % Row 8 \SetRowColor{white} & Several different hormones 23 Tubular Reabsorption and Secretion View animation on "Urine formation" Copyright ©2020 F.A. Davis Company Chapter 19: Urinary System 23 help regulate reabsorption by the cells in the distal convoluted tubule. & \tn % Row Count 28 (+ 19) % Row 9 \SetRowColor{LightBackground} & The collecting duct reabsorbs water and concentrates the filtrate, resulting in urine. & \tn % Row Count 35 (+ 7) \hhline{>{\arrayrulecolor{DarkBackground}}---} \SetRowColor{LightBackground} \mymulticolumn{3}{x{3.833cm}}{Urine formation involves three processes: \newline 1. Glomerular filtration \newline 2. Tubular reabsorption \newline 3. Tubular secretion} \tn \hhline{>{\arrayrulecolor{DarkBackground}}---} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Formation of Urine}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701405148_Screenshot 2023-11-30 233152.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Basic Stages of Urine Formation}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701405217_Screenshot 2023-11-30 233316.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{1. Glomerular Filtration: \newline Creates a plasma-like filtrate of the blood. \newline 2. Tubular Reabsorption: \newline Removes useful solutes from the tubular \newline fluid, returning them to the blood \newline 3. Tubular Secretion: \newline Removes additional waste from the blood, \newline adds them to the tubular fluid \newline 4. Water Conservation: \newline Removes water from the urine and returns \newline it to the blood; concentrates waste} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Urine Composition}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{Color – the color is generally yellow but varies in degree and clarity} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{3.833cm}}{Odor – freshly voided urine should have no particular order unless affected by certain ingredients. Urine that has sat smells of ammonia} \tn % Row Count 5 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{pH – pH is generally acidic but can range from 4.5-8.0} \tn % Row Count 7 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{3.833cm}}{Volume – 0.75L – 2L/24 hours} \tn % Row Count 8 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{Specific Gravity – 1.003 – 1.032} \tn % Row Count 9 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Composition of Urine}} \tn % Row 0 \SetRowColor{LightBackground} Consists of 95\% water; 5\% dissolved substances & Reveals information about health of kidneys and other organs \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{3.833cm}}{The dissolved substances include nitrogenous wastes—such as urea, uric acid, ammonia, and creatinine—as well as other solutes, such as sodium, potassium, and sulfates.} \tn % Row Count 7 (+ 4) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.61351 cm} x{1.81949 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Solutes in Urine}} \tn % Row 0 \SetRowColor{LightBackground} Solutes normally found in urine & Solutes NOT normally found in urine \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} Sodium and potassium ions & Glucose \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} Urea, uric acid, creatinine & Blood proteins \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} Ammonia & Red blood cells \tn % Row Count 7 (+ 1) % Row 4 \SetRowColor{LightBackground} Bicarbonate ions & Hemoglobin \tn % Row Count 8 (+ 1) % Row 5 \SetRowColor{white} & WBCs (pus) \tn % Row Count 9 (+ 1) % Row 6 \SetRowColor{LightBackground} & Bile \tn % Row Count 10 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Hormones That Affect the Urinary System}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701411061_Screenshot 2023-12-01 011018.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{• Aldosterone, ANP, and PTH all act on the renal tubules; ADH acts primarily on the \newline collecting duct. \newline • The adrenal cortex secretes aldosterone when blood levels of Na+ decline or \newline concentration of K+ \newline increases. \newline • The atria of the heart secretes ANP when blood pressure rises; this inhibits the \newline secretion of aldosterone and ADH. \newline • The posterior pituitary gland secretes ADH. \newline • The parathyroid glands secrete PTH in response to low calcium levels.} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Urinary System}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701411343_Screenshot 2023-12-01 011426.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{The ureters and urethra serve as passageways for conducting urine away from the \newline kidneys and out of the body while the bladder stores urine until it can be \newline eliminated. \newline The ureters connect the renal pelvis of each kidney with the bladder} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Ureters}} \tn % Row 0 \SetRowColor{LightBackground} Attaching the kidney to the urinary bladder & Peristalsis aids gravity in urine transport \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{3.833cm}}{Continuous with the renal pelvis} \tn % Row Count 4 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{3.833cm}}{Enter the posterior aspect of the urinary bladder} \tn % Row Count 5 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{3.833cm}}{Run behind the peritoneum} \tn % Row Count 6 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Urinary Bladder}} \tn % Row 0 \SetRowColor{LightBackground} Smooth, collapsible, muscular sac situated posterior to the pubic symphysis & \seqsplit{Trigone—triangular} region of the urinary bladder base based on three openings \tn % Row Count 4 (+ 4) % Row 1 \SetRowColor{white} Mucous transitional epithelium lines the bladder. When the bladder relaxes, this layer forms folds, rugae. As urine fills the bladder, the rugae flatten and the epithelium thins, allowing the bladder to expand. & Two openings from the ureters (ureteral orifices) \tn % Row Count 15 (+ 11) % Row 2 \SetRowColor{LightBackground} & One opening to the urethra (internal urethral orifice) \tn % Row Count 18 (+ 3) % Row 3 \SetRowColor{white} & At the point where the urethra leaves the bladder is a ring of smooth muscle that forms the internal urethral sphincter. This sphincter contracts involuntarily to retain urine in the bladder. \tn % Row Count 28 (+ 10) % Row 4 \SetRowColor{LightBackground} & External urinary sphincter exists where the urethra passes through the pelvic floor; this sphincter consists of skeletal muscle and is, therefore, under voluntary control. \tn % Row Count 37 (+ 9) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Urinary Bladder (cont)}} \tn % Row 5 \SetRowColor{LightBackground} & The urethra is a small tube that conveys urine away from the bladder and out of the body; it opens to the outside of the body at the external urinary meatus. \tn % Row Count 8 (+ 8) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{3.833cm}}{▪ In males, the prostate \newline surrounds the neck of the \newline urinary bladder} \tn \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Urinary Bladder}} \tn % Row 0 \SetRowColor{LightBackground} Smooth, collapsible, muscular sac situated posterior to the pubic symphysis & \seqsplit{Trigone—triangular} region of the urinary bladder base based on three openings \tn % Row Count 4 (+ 4) % Row 1 \SetRowColor{white} Mucous transitional epithelium lines the bladder. When the bladder relaxes, this layer forms folds, rugae. As urine fills the bladder, the rugae flatten and the epithelium thins, allowing the bladder to expand. & Two openings from the ureters (ureteral orifices) \tn % Row Count 15 (+ 11) % Row 2 \SetRowColor{LightBackground} & One opening to the urethra (internal urethral orifice) \tn % Row Count 18 (+ 3) % Row 3 \SetRowColor{white} & At the point where the urethra leaves the bladder is a ring of smooth muscle that forms the internal urethral sphincter. This sphincter contracts involuntarily to retain urine in the bladder. \tn % Row Count 28 (+ 10) % Row 4 \SetRowColor{LightBackground} & External urinary sphincter exists where the urethra passes through the pelvic floor; this sphincter consists of skeletal muscle and is, therefore, under voluntary control. \tn % Row Count 37 (+ 9) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{3.833cm}{x{1.7165 cm} x{1.7165 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{Urinary Bladder (cont)}} \tn % Row 5 \SetRowColor{LightBackground} & The urethra is a small tube that conveys urine away from the bladder and out of the body; it opens to the outside of the body at the external urinary meatus. \tn % Row Count 8 (+ 8) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{3.833cm}}{▪ In males, the prostate \newline surrounds the neck of the \newline urinary bladder} \tn \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{3.833cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{3.833cm}}{\bf\textcolor{white}{Urethra}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{3.833cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/cocobaby927_1701412876_Screenshot 2023-12-01 014036.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \SetRowColor{LightBackground} \mymulticolumn{1}{x{3.833cm}}{Thin-walled tube that carries urine from the urinary bladder to the outside of the body by peristalsis} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} % That's all folks \end{multicols*} \end{document}