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The Language Of
Medicine
10 edition
th

Davi-Ellen Chabner
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.
Chapter 7
Urinary System

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

2
Chapter Goals


Name essential organs of the urinary system and
describe their locations and functions.



Identify common pathological conditions.



Recognize how urinalysis is used and interpreted as a
diagnostic test.



Define urinary-system-related combining forms,
prefixes, and suffixes.

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

3
Chapter Goals (cont’d)


List and explain clinical procedures, laboratory tests,
and abbreviations that pertain to the urinary system.



Understand medical terms in their proper contexts,
such as medical reports and records.

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

4
Chapter 7
Lesson 7.1

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

5
Introduction


Nitrogenous wastes


Urea



Creatinine



Uric acid

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6
Introduction (cont’d)


Functions of the kidney






Filter nitrogenous wastes to form urine; about 200
quarts of blood are filtered every day to form 2 quarts
of urine
Maintain proper balance of water, electrolytes (sodium,
potassium), and acids
Release hormones:
 Renin:

enzymatic hormone important in adjusting blood
pressure

 Erythropoietin

(EPO): hormone that stimulates red blood cell
production in the bone marrow

 Calciferol:

active form of vitamin D necessary for the
absorption of calcium from the intestine



Degrade and eliminate hormones from the bloodstream
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7
Anatomy of the Major Organs
Organs of the urinary
system in a male

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8
Anatomy of the
Major Organs (cont’d)
Organs of the urinary
system in a male

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

9
Anatomy of the
Major Organs (cont’d)
Female urinary system

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

10
Anatomy of the
Major Organs (cont’d)
Female urinary system

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

11
QUICK QUIZ:

1. What is voiding?

A.

Nitrogenous waste

B.

Urination

C.

Outer section of the kidney

D.

Triangular area in the
bladder

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12
How Kidneys Produce Urine
 Blood

enters the
kidneys through
the right and left
renal arteries
 Arterioles carry
blood to the
capillaries
 Glomeruli filter
the blood

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

13
How Kidneys Produce Urine (cont’d)
 Blood

enters the
kidneys through
the right and left
renal arteries
 Arterioles carry
blood to the
capillaries
 Glomeruli filter
the blood

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

14
How Kidneys Produce Urine (cont’d)
Glomerulus and glomerular/Bowman capsule


Blood passes through
the glomeruli



Glomerular (Bowman)
capsule surrounds each
glomerulus



Renal tubule is
attached to each
Bowman capsule

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

15
How Kidneys Produce Urine (cont’d)
Glomerulus and glomerular/Bowman capsule


Blood passes through the
glomeruli



Glomerular (Bowman)
capsule surrounds each
glomerulus



Renal tubule is attached
to each Bowman capsule

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16
How Kidneys Produce Urine (cont’d)
Three steps in the
formation of urine
Glomerular

filtration
Tubular

reabsorption
Tubular

secretion

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17
How Kidneys Produce Urine (cont’d)
Three steps in the
formation of urine
Glomerular

filtration

Tubular

reabsorption

Tubular

secretion

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18
How Kidneys Produce Urine (cont’d)
 The

glomerulus and
a renal tubule
combine to form a
unit called a
nephron.

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19
How Kidneys Produce Urine (cont’d)
 The

glomerulus and
a renal tubule
combine to form a
unit called a
nephron.

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

20
QUICK QUIZ:

2.

Approximately how many nephrons are in a kidney?

A.

100,000,000

B.

10,000,000

C.

1,000,000

D.

100,000

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21
How Kidneys Produce Urine
All collecting tubules lead
to the renal pelvis
Calyces or calices are
small, cup-like regions of
the renal pelvis; the term
comes from the Greek,
kalux, meaning a cup or
case surrounding a flower
bud
Illustration shows section of kidney

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

22
How Kidneys Produce Urine (cont’d)
All collecting tubules lead
to the renal pelvis
Calyces or calices are
small, cuplike regions of
the renal pelvis; the term
comes from the Greek,
kalux, meaning a cup or
case surrounding a flower
bud
Illustration shows section of kidney

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

23
How Kidneys Produce Urine (cont’d)
Process of forming
and expelling urine

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24
How Kidneys Produce Urine (cont’d)
Process of forming
and expelling urine

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25
Vocabulary



arteriole



calyx or calix

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26
Vocabulary (cont’d)
 arteriole

Small artery

 calyx

Cuplike collecting region of the renal
pelvis; the term comes from the
Greek, kalux, meaning a cup or case
surrounding a flower bud

or calix

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

27
Vocabulary (cont’d)


catheter



cortex



creatinine

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28
Vocabulary (cont’d)
 catheter

Tube for injecting or
removing fluids

 cortex

Outer region of an organ

 creatinine

Nitrogenous waste
excreted in urine

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29
Vocabulary (cont’d)


electrolyte



erythropoietin (EPO)

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30
Vocabulary (cont’d)
 electrolyte

 erythropoietin

(EPO)

Chemical element that
carries an electrical
charge when dissolved
in water.
Hormone secreted by the
kidney to stimulate
production of red blood
cells by bone marrow;
-poietin means a
substance that forms.

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

31
Vocabulary (cont’d)


filtration



glomerular
capsule



glomerulus



hilum

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32
Vocabulary (cont’d)


filtration



glomerular
capsule



hilum

Enclosing structure surrounding each
glomerulus; also called Bowman capsule

glomerulus



Process whereby some substances pass through
a filter

Tiny ball of capillaries in the kidney
Depression in the part of an organ where blood
vessels and nerves enter and leave; comes
from the Latin meaning a small thing
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

33
Vocabulary (cont’d)


kidney



meatus



medulla

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34
Vocabulary (cont’d)
 kidney

One of two bean-shaped organs that filter nitrogenous
waste from the bloodstream to form urine

Opening or canal

 meatus

Inner region of an organ; the term comes from the
Latin, medulla, meaning marrow

 medulla

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35
Vocabulary (cont’d)



nephron



nitrogenous waste

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36
Vocabulary (cont’d)
 nephron

The functional unit of the
kidney where filtration,
reabsorption, and secretion
take place
Substance containing nitrogen

 nitrogenous

waste

and excreted in urine;
examples are urea, uric acid,
and creatinine

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

37
Vocabulary (cont’d)



potassium (K+)



reabsorption



renal artery

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38
Vocabulary (cont’d)
 potassium

(K+) An electrolyte regulated
by the kidney

 reabsorption

 renal

artery

Renal tubules return
materials necessary to
the body back into the
bloodstream
Blood vessel that carries
blood to the kidney

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

39
Vocabulary (cont’d)


renal pelvis



renal tubules



renal vein

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40
Vocabulary (cont’d)
 renal

pelvis

Central collection region
in the kidney

 renal

tubules

Microscopic tubes in the
kidney where urine is
formed after filtration

 renal

vein

Blood vessel that carries
blood away from the
kidney
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41
Vocabulary (cont’d)


renin



sodium (Na+)



trigone

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42
Vocabulary (cont’d)


renin

Hormone secreted by the kidney that raises
blood pressure



sodium (Na+)

An electrolyte regulated in the blood and urine
by the kidneys; a common form of sodium is
sodium chloride (salt)



trigone

Triangular area in the urinary bladder

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

43
Vocabulary (cont’d)
 urea
 ureter

 urethra

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44
Vocabulary (cont’d)
 urea

Major nitrogenous waste
excreted in urine

 ureter

One of two tubes leading from
the kidneys to the urinary
bladder

 urethra

Tube leading from the urinary
bladder to the outside of the
body
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45
Vocabulary (cont’d)
 uric

acid

 urinary

bladder

 urination

(voiding)

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46
Vocabulary (cont’d)



uric acid

Nitrogenous waste product
excreted in the urine



urinary
bladder

Hollow, muscular sac that holds
and stores urine



urination
(voiding)

Process of expelling urine; also
called micturition

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47
Terminology: Structures,
Substances, and Urinary
Symptoms

STRUCTURES

Combining Form
cali/o, calic/o

Meaning
_________

cyst/o

_________

glomerul/o

_________

meat/o

_________

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48
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
STRUCTURES
Combining Form
cali/o, calic/o

Meaning
calyx (calix); cup-shaped

cyst/o

urinary bladder

glomerul/o

glomerulus

meat/o

meatus

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49
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)

STRUCTURES

Combining Form Terminology

cyst/o

cystitis

Meaning

________________

Bacterial infections often
cause acute or chronic
cystitis. In acute cystitis, the
bladder contains blood as a
result of mucosal hemorrhage
(see figure, Acute cystitis).
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50
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)

STRUCTURES

Combining Form

cyst/o

Terminology

Meaning

cystitis

inflammation of the urinary bladder

Bacterial infections often
cause acute or chronic
cystitis. In acute cystitis, the
bladder contains blood as a
result of mucosal hemorrhage
(see figure, Acute cystitis).
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51
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
STRUCTURES
Combining Form
nephr/o

___________

pyel/o

Meaning

___________

ren/o
trigon/o

____________
____________

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52
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
STRUCTURES
Combining Form
nephr/o

kidney

pyel/o

renal pelvis

ren/o

Meaning

kidney

trigon/o

trigone

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53
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
STRUCTURES
Combining Form

nephr/o

Terminology

Meaning

hydronephrosis

_________________

Obstruction of urine flow may be
caused by renal calculi (stones) as
shown in the figure. Notice the buildup
of excess fluid in the kidney.

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54
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
STRUCTURES
Combining Form

nephr/o

Terminology

hydronephrosis

Meaning

Condition of excess fluid
(water) in the kidney

Obstruction of urine flow may be
caused by renal calculi (stones) as
shown in the figure. Notice the buildup
of excess fluid in the kidney.

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

55
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
STRUCTURES
Combining Form

ureter/o

__________

urethr/o

__________

vesic/o

Meaning

__________

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56
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
STRUCTURES
Combining Form

Meaning

ureter/o

ureter

urethr/o

urethra

vesic/o

urinary bladder

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57
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
SUBSTANCES and SYMPTOMS
Combining Form

albumin/o
azot/o
bacteri/o
dips/o

Meaning

________
________
________
________

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58
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
SUBSTANCES and SYMPTOMS
Combining Form

Meaning

albumin/o

albumin

azot/o

nitrogen

bacteri/o

bacteria

dips/o

thirst
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59
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
SUBSTANCES and SYMPTOMS
Combining Form or Suffix

Meaning

kal/o
__________
ket/o, keton/o

__________

lith/o

__________

natr/o

__________

noct/o
olig/o

__________
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

________

60
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
SUBSTANCES and SYMPTOMS
Combining Form or Suffix

Meaning

kal/o

potassium

ket/o, keton/o

ketone bodies

lith/o

stone

natr/o

sodium

noct/o
olig/o

night
scanty
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61
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
SUBSTANCES and SYMPTOMS
Combining Form or Suffix

Meaning

-poietin

__________

py/o

__________

-tripsy

__________

ur/o

__________

-uria

__________

urin/o

__________

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62
Terminology: Structures,
Substances, and Urinary
Symptoms (cont’d)
SUBSTANCES and SYMPTOMS
Combining Form or Suffix

Meaning

-poietin

substance that forms

py/o

pus

-tripsy

to crush

ur/o

urea

-uria

urination; urine condition

urin/o

urine
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63
Urinalysis
Tests included in a urinalysis
1.

Color

2.

Appearance

3.

pH

4.

Protein

5.

Glucose

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64
Urinalysis (cont’d)
Tests included in a urinalysis
6.

Specific gravity

7.

Ketone bodies

8.

Sediment

9.

Phenylketonuria

10.

Bilirubin

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65
QUICK QUIZ:
3.

In a urinalysis, what does the test of specific gravity
reflect?
A. The chemical nature of urine
B. The presence of albumin
C. Blood in the urine
D. The amount of wastes, minerals, and solids in the
urine

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66
Chapter 7
Lesson 7.2

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67
Pathologic Conditions
Kidney


Glomerulonephritis



Interstitial nephritis



Nephrolithiasis



Nephrotic syndrome



Polycystic kidneys (PKD)

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68
Pathologic Conditions
Kidney


Polycystic
kidney
disease

(PKD)

PKD—The kidneys contain masses of cysts. Typically
polycystic kidneys weigh 20 times more than their
usual weight.

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69
Pathologic Conditions
(cont’d)
Kidney


Pyelonephritis



Renal cell carcinoma



Renal failure



Renal hypertension



Wilms tumor

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70
Pathologic Conditions (cont'd)
Kidney


Renal cell
carcinoma

(Hypernephroma)
Cancerous tumor
of the kidney
in adulthood

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71
Pathologic Conditions
(cont’d)
Urinary bladder


Bladder cancer

Associated conditions


Diabetes insipidus (DI)



Diabetes mellitus (DM)

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72
QUICK QUIZ:
4.

A term that means frequent (voluntary) urination at night
is:

A.

anuria

B.

nocturia

C.

diuresis

D.

hematuria

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73
Laboratory Tests and
Clinical Procedures
Laboratory tests


Blood urea nitrogen (BUN)



Creatinine clearance test

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74
Laboratory Tests and
Clinical Procedures (cont’d)
Clinical procedures

X-ray Studies


CT urography



Kidneys, ureters, and bladder (KUB)



Renal angiography



Retrograde pyelogram (RP)



Voiding cystourethrogram (VCUG)

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75
Laboratory Tests and
Clinical Procedures (cont’d)


CT-Computed tomography

The scan with contrast shows a benign
cyst on the kidney.

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76
Laboratory Tests and
Clinical Procedures (cont’d)
Voiding cystourethrogram


(VCUG)showing a normal female urethra.
The bladder is filled with contrast material,
followed by x-ray imaging.

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77
Laboratory Tests and
Clinical Procedures (cont’d)
Clinical procedures

Ultrasound examination


Ultrasonography: imaging urinary tract structures using high
frequency sound waves

Radioactive studies


Radioisotope scan: image of kidney after injecting a
radioisotope into the bloodstream

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78
Laboratory Tests and
Clinical Procedures (cont’d)
Clinical procedures
Magnetic imaging


Magnetic resonance imaging (MRI) urography:
A changing magnetic field produces images of an organ and
surrounding structures in three planes of the body

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79
Laboratory Tests and
Clinical Procedures (cont’d)
Other clinical procedures


Cystoscopy



Dialysis



Lithotripsy



Renal angioplasty



Renal biopsy



Renal transplantation



Urinary catheterization

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80
Laboratory Tests and
Clinical Procedures (cont’d)
Cytoscopy—direct visual examination of
urinary bladder with an endoscope

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81
Laboratory Tests and
Clinical Procedures (cont’d)
Hemodialysis (HD)

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82
Laboratory Tests and
Clinical Procedures (cont’d)
Continuous ambulatory peritoneal dialysis (CAPD)

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83
Abbreviations











ADH
AKI
ARF
BILI
BUN
Ccr
CAPD
Cath
CCPD
CKD

_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________

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84
Abbreviations (cont’d)











ADH
ARF
AKI
BILI
BUN
Ccr
CAPD
Cath
CCPD
CKD

Antidiuretic hormone
Acute renal failure
Acute renal injury
Bilirubin
Blood urea nitrogen
Creatinine clearance
Continuous ambulatory peritoneal dialysis
Catheter; catheterization
Continuous cycling peritoneal dialysis
Chronic kidney disease

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85
Abbreviations (cont’d)


CL-

_____________________



CrCl

_____________________



CRF

_____________________



C&S

_____________________



Cysto

_____________________



eGFR

_____________________



ESRD

_____________________



ESWL

_____________________



HCO3- _____________________



HD

_____________________



IC

_____________________

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86
Abbreviations (cont’d)


CL-

Chloride, a kidney excretion



CrCl

Creatinine clearance



CRF

Chronic renal failure



C&S

Culture and sensitivity testing



Cysto



eGFR

Estimated glomerular filtration rate




ESRD
ESWL

End-stage renal disease
Extracorporeal shockwave lithrotripsy



HCO3- Bicarbonate, an electrolyte conserved by the kidney



HD
IC



Cystoscopic examination

Hemodialysis
Interstitial cystitis, chronic inflammation of the bladder wall
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87
Abbreviations (cont’d)












IVP
K+
KUB
Na+
PD
pH
PKU
sp gr
UA
UTI
VCUG

__________________
__________________
__________________
__________________
__________________
__________________
__________________
__________________
__________________
__________________
__________________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

88
Abbreviations (cont’d)


IVP

Intravenous pyelogram



K+

Potassium, an electrolyte



KUB

Kidney ureter and bladder



Na+

Sodium, an electrolyte



PD

Peritoneal dialysis



pH

Potential hydrogen; degree of acidity or alkalinity



PKU

Phenylketonuria



sp gr

Specific gravity



UA

Urinalysis



UTI

Urinary tract infection



VCUG

Voiding cystourethrogram
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

89
QUICK QUIZ:
5.

The abbreviation RP is associated with which of the
following?

A. Fluid is injected into the peritoneal
cavity and then drained out.
B. Contrast is injected into the urinary
bladder and ureters, and x-rays are
taken of the urinary tract.
C. Nitrogenous wastes are removed from
the patient’s blood.
D. An electrolyte is secreted by renal
tubules.
Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

90
Review Sheet
Combining forms
albumino/o ____________
angi/o

____________

azot/o

____________

bacteri/o

____________

cali/o, calic/o

____________

cyst/o

____________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

91
Review Sheet (cont’d)
Combining forms
albumino/o albumin (protein)
angi/o

vessel (blood)

azot/o

urea; nitrogen

bacteri/o

bacteria

cali/o, calic/o

calyx (calix); cup-shaped

cyst/o

urinary bladder

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

92
Review Sheet (cont’d)
Combining forms
dips/o

____________

glomerul/o ____________
glycos/o

____________

hydr/o

____________

isch/o

____________

kal/o

____________

ket/o; keton/o

____________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

93
Review Sheet (cont’d)
Combining forms

dips/o

thirst

glomerul/o glomerulus
glycos/o

sugar

hydr/o

water

isch/o

to hold back; back

kal/o

potassium

ket/o; keton/o

ketones; acetones

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

94
Review Sheet (cont’d)
Combining forms
lith/o

____________

meat/o

____________

natr/o

____________

necr/o

____________

nephr/o

____________

noct/o

____________

ogli/o

____________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

95
Review Sheet (cont’d)
Combining forms
lith/o

stone

meat/o

meatus

natr/o

sodium

necr/o

death

nephr/o

kidney

noct/o

night

ogli/o

scanty

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

96
Review Sheet (cont’d)
Combining forms
py/o
pyel/o
ren/o
trigon/o
ur/o

__________
__________
__________
__________
__________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

97
Review Sheet (cont’d)
Combining forms
py/o

pus

pyel/o

renal pelvis

ren/o

kidney

trigon/o
ur/o

trigone
urine; urinary tract

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

98
Review Sheet (cont’d)
Combining forms
ureter/o

____________

urethr/o

____________

urin/o

____________

vesic/o

____________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

99
Review Sheet (cont’d)
Combining forms

ureter/o

ureter

urethr/o

urethra

urin/o

urine

vesic/o

urinary bladder

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

100
Review Sheet
Suffixes
-ectasis

______________

-ectomy

______________

-emia

______________

-esis

______________

-gram

______________

-lithiasis

______________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

101
Review Sheet (cont’d)
Suffixes

-ectasis

stretching; dilation

-ectomy

removal; excision

-emia

blood condition

-esis

condition

-gram

record

-lithiasis

condition of stones

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

102
Review Sheet (cont’d)
Suffixes

-lithotomy

____________________

-lysis

______________

-megaly

______________

-ole
-osis
-pathy

______________
______________
______________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

103
Review Sheet (cont’d)
Suffixes

-lithotomy

incision for removal of a stone

-lysis

breakdown

-megaly

enlargement

-ole

little; small

-osis

condition

-pathy

disease

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

104
Review Sheet (cont’d)
Suffixes
-plasty

_________________

-poietin

_______________

-ptosis

_______________

-rrhea
-sclerosis
-stomy

_______________
_______________

___________________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

105
Review Sheet (cont’d)
Suffixes
-plasty

surgical repair

-poietin

substance that forms

-ptosis

droop; sag

-rrhea
-sclerosis
-stomy

flow; discharge
hardening
new opening (to form a mouth)

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

106
Review Sheet (cont’d)
Suffixes
-tomy

_____________

-tripsy

___________

-uria

___________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

107
Review Sheet (cont’d)
Suffixes
-tomy

process of cutting

-tripsy

to crush

-uria

urination

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

108
Review Sheet
Prefixes
a-, an-

_____________

anti- _____________
dia- _____________
dys-

_____________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

109
Review Sheet (cont’d)
Prefixes
a-, an- not; without
anti-

again

dia-

complete

dys-

bad; painful

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

110
Review Sheet (cont’d)
Prefixes
en-

__________

peri-

__________

poly-

__________

retro-

__________

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

111
Review Sheet (cont’d)
Prefixes
en-

in; within

peri-

surrounding

poly-

many, much

retro-

behind; back

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

112
QUICK QUIZ:
6.

The combining form dips/o means:

A.

stone

B.

scanty

C.

thirst

D.

water

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

113
QUICK QUIZ: (cont’d)
7.

Which combining form means pus?

A.

pyel/o

B.

lith/o

C.

ogli/o

D.

py/o

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

114
QUICK QUIZ: (cont’d)
8. The combining form isch/o means:

A.

scanty

B.

to hold back; back

C.

night

D.

trigon

Copyright © 2014, 2011, 2007 by Saunders, an imprint of Elsevier Inc.

115

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Med termch7

Hinweis der Redaktion

  1. Why is nitrogenous waste excreted from the body in a soluble rather than gaseous form? By what medium does urea travel to the kidneys?
  2. The kidneys also adjust the amount of water and electrolytes for proper muscle and nerve function. Are there other important functions performed by the kidneys?
  3. Have students name the organs of the urinary system labeled 1-4 in the figure. What is the size and weight of a normal kidney? What function is performed by the ureters? What function is performed by the urinary bladder? What function is performed by the urethra?
  4. Have students name the organs of the urinary system labeled 1-4 in the figure. What is the size and weight of a normal kidney? What function is performed by the ureters? What function is performed by the urinary bladder? What function is performed by the urethra?
  5. How does the female urinary system differ from the male urinary system? What is the trigone? What function does it perform? What is micturition?
  6. How does the female urinary system differ from the male urinary system? What is the trigone? What function does it perform? What is micturition?
  7. The correct answer is B: urination.
  8. The renal artery branches into smaller arteries, arterioles, and glomeruli located throughout the cortex of the kidneys. What is a glomerulus? There are approximately one million glomeruli in the cortex of each kidney. How does the kidney regulate blood pressure? Why is maintenance of proper blood pressure important to the kidneys’ function?
  9. The renal artery branches into smaller arteries, arterioles, and glomeruli located throughout the cortex of the kidneys. What is a glomerulus? There are approximately one million glomeruli in the cortex of each kidney. How does the kidney regulate blood pressure? Why is maintenance of proper blood pressure important to the kidneys’ function?
  10. What functions do the glomerulus, Bowman capsule, and renal tubule perform in the production of urine? Why don’t proteins and blood cells usually appear in the urine? What is the process of reabsorption? What is secretion? What substances make up urine? (Note: These substances become toxic if allowed to accumulate.)
  11. What functions do the glomerulus, Bowman capsule, and renal tubule perform in the production of urine? Why don’t proteins and blood cells usually appear in the urine? What is the process of reabsorption? What is secretion? What substances make up urine? (Note: These substances become toxic if allowed to accumulate.)
  12. What functions are performed in each of the three steps in the formation of urine? The combination of a glomerulus and a renal tubule is called a nephron. There are more than one million nephrons in a kidney.
  13. What functions are performed in each of the three steps in the formation of urine? The combination of a glomerulus and a renal tubule is called a nephron. There are more than one million nephrons in a kidney.
  14. The correct answer is C: one million.
  15. Notice how secretion and reabsorption are functions of the same organs. Cup-like regions in the renal pelvis are called calyces or calices. Where do all connecting tubules lead? The renal pelvis narrows to form the ureter. To which organ does the ureter lead?
  16. Notice how secretion and reabsorption are functions of the same organs. Cup-like regions in the renal pelvis are called calyces or calices. Where do all connecting tubules lead? The renal pelvis narrows to form the ureter. To which organ does the ureter lead?
  17. How is urine flow from the bladder to the urethra controlled? What triggers the need to urinate? Urine finally exits the body through the urinary meatus.
  18. How is urine flow from the bladder to the urethra controlled? What triggers the need to urinate? Urine finally exits the body through the urinary meatus.
  19. How do each of these terms play a role in the urinary system? Which organs are involved in filtering urine?
  20. How do each of these terms play a role in the urinary system? Which organs are involved in filtering urine?
  21. How do each of these terms play a role in the urinary system? Which organs are involved in filtering urine?
  22. How do each of these terms play a role in the urinary system? Which organs are involved in filtering urine?
  23. How do each of these terms play a role in the urinary system? Which organs are involved in filtering urine?
  24. How do each of these terms play a role in the urinary system? Which organs are involved in filtering urine?
  25. How do each of these terms play a role in the urinary system? Which organs are involved in filtering urine?
  26. How do each of these terms play a role in the urinary system? Which organs are involved in filtering urine?
  27. What path does waste take through the urinary system?
  28. What path does waste take through the urinary system?
  29. What path does waste take through the urinary system?
  30. What path does waste take through the urinary system?
  31. What path does waste take through the urinary system?
  32. What path does waste take through the urinary system?
  33. What path does waste take through the urinary system?
  34. What path does waste take through the urinary system?
  35. What is another term for urination? What is renin? Where is it formed? Where is the trigone located?
  36. What is another term for urination? What is renin? Where is it formed? Where is the trigone located?
  37. What is another term for urination?
  38. Using the given combining forms, can you form and define other terms not listed in the slide?
  39. Using the given combining forms, can you form and define other terms not listed in the slide?
  40. Define the term cystitis. Using the given combining forms, can you form and define other terms not listed in the slide?
  41. Using the given combining forms, can you form and define other terms not listed in the slide?
  42. Using the given combining forms, can you form and define other terms not listed in the slide?
  43. Using the given combining forms, can you form and define other terms not listed in the slide?
  44. Define the term hydronephrosis. Using the given combining forms, can you form and define other terms not listed in the slide?
  45. Using the given combining forms, can you form and define other terms not listed in the slide?
  46. Using the given combining forms, can you form and define other terms not listed in the slide?
  47. Using the given combining forms, can you form and define other terms not listed in the slide?
  48. Using the given combining forms, can you form and define other terms not listed in the slide?
  49. Using the given combining forms, can you form and define other terms not listed in the slide?
  50. Using the given combining forms, can you form and define other terms not listed in the slide?
  51. Using the given combining forms, can you form and define other terms not listed in the slide?
  52. Using the given combining forms, can you form and define other terms not listed in the slide?
  53. Colorless urine = large amount of water in the urine. Smoky-red or brown = presence of blood in the urine. Normal pH is 6.5 (slightly acidic). Protein test looks for albumin, which indicates a leak in the glomerular membrane. Glucose presence signals possibility of diabetes.
  54. Specific gravity reflects the amount of wastes and minerals. Ketone bodies appear when the body breaks down fat. Sediment are abnormal particles. Phenylketonuria indicates a lack of enzyme, especially in infants. PKU test measures this. Bilirubin results from a hemoglobin breakdown.
  55. The correct answer is D. Specific gravity compares the density of urine with that of water.
  56. Glomerulonephritis is the inflammation of the glomeruli within the kidney due to infection; it can lead to hypertension and renal failure if untreated. What is interstitial nephritis? What procedure might a physician recommend for a patient with nephrolithiasis? Nephrotic syndrome is a collection of symptoms caused by excessive protein loss in urine. Polycystic kidneys are a hereditary condition characterized by a progressive growth of cysts. There are two types of hereditary PKD. One type is usually asymptomatic until middle age and then is marked by maturia, urinary tract infections, and nephrolithiasis. The other type of PKD occurs in infants or children and results in renal failure.
  57. Polycystic kidneys are a hereditary condition characterized by a progressive growth of cysts.
  58. Pyelonephritis is the inflammation of the lining of the renal pelvis and renal parenchyma. Renal cell carcinoma is adult cancer of the kidney—2% of all adult cancers. What occurs during renal failure? How does renal hypertension differ from essential hypertension? Wilms tumor is a malignant tumor of the kidney occurring in childhood and is an example of an eponym.
  59. What risk factors are associated with bladder cancer? Diabetes insipidus: Antidiuretic hormone is not secreted adequately or the kidney is resistant to its effect. Diabetes mellitus: Insulin is not secreted adequately or not used properly in the body. How does each of these conditions affect the kidneys?
  60. The correct answer is B: nocturia.
  61. Which procedure tests for uremia? Which test measures the rate at which creatinine is cleared from the blood? What is azotemia? What role do the kidneys play in BUN levels?
  62. How do these x-rays differ? Which tests require contrast material? Why is it important to measure the size of the kidneys (KUB)? Which tests require urinary catheterization? Why would someone have RP instead of IVP?
  63. What is hydronephrosis? What might cause the kidney to be enlarged? What can be diagnosed in the urinary system using sound waves?
  64. How is an MRI of the kidney performed?
  65. Cystoscopy allows for visual examination through a hollow metal tube. What is the difference between hemodialysis and peritoneal dialysis? What procedure might be required to remove kidney stones? Describe the process of catheterization.
  66. How is a cytoscopy performed?
  67. CAPD can be performed continuously by the patient without artificial support. What other peritoneal dialysis procedures may be performed?
  68. Which abbreviations stand for disorders? Which are measurements? Which are procedures?
  69. Which abbreviations stand for disorders? Which are measurements? Which are procedures?
  70. Which items are pathologies? Which are treatments?
  71. Which items are pathologies? Which are treatments?
  72. Ask students to identify the category of metabolite, treatment, condition, or test.
  73. Ask students to identify the category of metabolite, treatment, condition, or test.
  74. The correct answer is B; this is the abbreviation for retrograde pyelogram. Incorrect answer A is CAPD—continuous ambulatory periotoneal dialysis. Incorrect answer C is HD—hemodialysis. Incorrect answer D is K+ potassium.
  75. The correct answer is C: thirst.
  76. The correct answer is D: py/o.
  77. The correct answer is B: to hold back.