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Physiology of Urine Formation

  • Urine formation is a complex process that involves several steps to filter blood, remove waste products, and maintain the body's fluid and electrolyte balance.

  • The primary site of urine formation is the nephron, which is the functional unit of the kidney.

  • There are three main steps in urine formation: glomerular filtration, tubular reabsorption, and tubular secretion.

Steps in Urine Formation

1) Glomerular filtration

  • Location: Glomerulus

  • Process: Blood is filtered, and water, electrolytes, and small molecules (e.g., glucose, urea) are forced into the Bowman’s capsule, forming the glomerular filtrate.

2) Tubular reabsorption

  • Location: Renal tubules (PCT, Loop of Henle, DCT)

  • Process: Essential substances and water are reabsorbed back into the bloodstream.

  • Details:

    • PCT: Reabsorbs most water, glucose, amino acids, and ions.

    • Loop of Henle: Water reabsorbed in descending limb, sodium, and chloride in ascending limb.

    • DCT: Reabsorbs additional ions and water, regulated by hormones like aldosterone and ADH.

3) Tubular secretion

  • Location: PCT and DCT

  • Process: Waste products and excess ions are actively transported from the blood into the renal tubule to become part of the urine.

4) Urine concentration and volume adjustment

  • Location: Collecting ducts

  • Process: Final concentration and volume of urine are adjusted under the influence of ADH, determining how much water is reabsorbed.

5) Urine transport and elimination

  • Pathway: Urine moves from the collecting ducts → renal calyces → renal pelvis → ureter → urinary bladder → urethra, where it is eliminated during urination.

Physiology of Urine formation
Physiology of Urine formation

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