Lecture 16a - Adrenal gland “m' ‘1' 1r Erase mm at the...

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Unformatted text preview: Adrenal gland “m' ‘1' 1r Erase mm at the Idem. Renal tr. Kidney Ame-rim surface et' right kidney Fibrous calmle ureter {cut and peeled back] Medial border Abduminal Pseas majnr rn Renal alter}r Renal ue'm Renal pelvis . Rectum um” Pele": ureter I. Ad I gland and tabulated Bladder kidney [Ill Infant. Fibrms capsule mm Miner catyces a. Heglenal anatomy of the urinary system. The kidneys. embedded in let. lie in e retreperitdneal peeilien {behind the eeriteneum. euteide the ebdentinal cavity}. juet anterior to muscles of the [Interim abddminal well. Medulla [pyramidsl Renal dines Renal papilla Mater calyces Renal pelvis Renal enlumn Medullarr rays It Ureter W filylt kldrrey sectioned In several plane, exposing parenelwma and renal pelvis. {it Eleevla‘. matte El Mahlrnee: Hetlaer‘s Ementlat HIet::u:.~II."t-e|-.Ir ‘ www.5tudentceneult.cem 1" Terminal brunettes at the left renal artery. trite-Huber amt-fies Arc-late mam-s 1' Pattern el blend vessels tn the nerenehrme. afferent glomerular arteriole Erma.“ Corticat glumertrtus glomerular arterie-te Ant-grim interim segmental artery Fibmtls capsu IE tnlenicn‘ reamemal art-2w “Aim-Iran Renal curler: w! (E: Elsevter. mall-e Eh Mahlrnev: Hettaa‘s Eseentlal Hlflifllflgf ‘ www.5tuda1tmnwit.:em (—5. 1!! were g - I" I _'f~ flSJlEEIJE fitter;s-rgttefim‘ii a: :.'_-- :"TI' Fi-"Z—‘T‘ *r-I .. It. went " j-i-“ifl’t " - 5m? " {D Etl-l'iiffiIL-til.'|tlt.!fih[i’t1{u flat Jet-filly at; @5131; vi‘ei;1p’.?it'F - is: :; 33317353. H ||.-||"-| I -. F. I. l- I'll II: I,'._!:l;l_ “fife _' EDt‘trttfl I late: 2% I'iEi-I't'i'tlilfi 1. ii? utifl'lt- j” ? MW} e alJtl H” '[l-xfl%ggyr€i renew E glint/L '”"—’“'“‘“' g w 11' H h fists?“ Hen he's leap "i Col lecting duct Interlubar artery and 'I'Eilt in perircnnl Fat of renal sinus Fibrous capsulehwn ____E_ _ I .- .m, ....-—- . _ I Proximal eonvo u tubule ‘1 “W flflflhmfl- Distal |uxtamedu||aw convoluted I Renal renal corpuscle tubule Dastal convoluted tubule cortex Proximal convoluted HEME’S' '00P tubu|e DESEE'l'l-{ling limb { Ascending limb Collecting tubule --------_.---_____--.l- L:_____t92a_ - - ~ ------- Descending limb Renal tmal Jighianl eorsuscle- glomerular Renal _ E It : meduua ascending - {Bowman st capsule Wltl'l giomerulus ipyramit‘ll limb - Mime-m and efferent glomerular arterioles Proximal segment - { Proximal convolution Thick segment of descending limb Openings Thm logarithm Henle‘s of papillary {Dista segment Innp {tum Thick segment of ascending limb Distal convolution Maeula (lens-a - Collecting tubules Cribriiorm area of renal papilla {El Elsevler. Dualle Bl Mahirneu: Nether“: Emential Hliologtr L www.5tuoerttconsult.com If sis h Light micrograph [LII] of perlol' the l-ridlwnr shaving the eerie: and niemllla. The outer eaosuie is very min. A dark sodas cmtresls with s oeie. Striated inner medulla. Fx. Half. I. Lllottlie outer nertollherenal oorteimhe capsule is denee fibrous eon oeetiee tiseee. Spherical rehel oorouselee [arrows]! are Inlersoersed wiih a tortuous network of eloeeh.r packed. convoluted renal iuholes. seen in transverse. eolime. and lmrghudioal views. Most in the eorlioal perendiirrna are proximal and distal tubules. 'ilerir litlle intervening oonneethre tissue is seen. rex. Her. «I LII at a deepatparl nithe renal cortex. Here. close to the oortioomedullarir junelion. oolorn es of straight tubules—modellers! rays—radiate out from the medulla. They alternate with asees ol oortieal oarenohyma. called oortieal labyrinths. that oonteio renal oemosoles {more} are Mediated tubules. i'dx. Her. 1" Histology et a renal ccrpuscle. gammy“ mmnbmne m- mpillflw Easement membrane B ' - - Parietal ithelium Own-'3‘" 5 Enduthelium I E? 1 _ _ napalm Afierem aneriflle J'uxtagiuntemlar Iir’isrcleml Epltl‘lEtlUl‘l‘l lpodcrq-tesl- cells . fine-nth - Fertestmlerl enrlptlielrum muscle If Mesangial Dislsllfiggfflum _ .- . - .. _ ~ __ and tell a. Llrl simwirigunsrinarr select a renal ' " ' -- - ' " ' _ corpuech. Here. Bowman‘s space {-1 cf the steeple dense __ . _ r ' - ccrpuscle is cenfluent with the lumen pf a prenimal ' tubule. li'Uinr. H315. [I‘lerent arteriole I LII cite renal muscle and itslwtaotomerular sample: {JR}. The parietal layer of Bcwmsn's capsule {m}. a simple squamcus epithelium, mrrmnds Ecwman’s space it}. The alterent artericle terms a tuft pl glcrnerular capillaries in the CUIWSL‘IE. Erythrocytes {Flfllll are In lite Iumina at these capillaries. Penal tubules in the area are sectioned transversely. chliquellr. and lmgihsrlinalty. Part pf anclher corpuscle is seen {upper left]. sires. use El Elsevler. Waite Bi trial-limes: Nether“: Ewentlal Wiping-r ‘ www.meentcensuitmem 1* finammflumflm. fiammvllt IIIHIIINJHI' i" AHHILMMI I'IIIIII'IIIIt‘Iip’I] H'” It'llt'E-Il'illi'iflrh “Ilium-1H h. [It Ill‘LlE-I ul' t'rIIJuI | WI ial (I‘ll | |J11‘Ii|l.| ur'u'apIILInIm I'i'llil'i‘lk I’rirrl:rr'_r pn 321-“ | illralirrn \lil wi1h diaphragm ML'FJHHLII (THE: P- HIm-ruuluflnn mm Huron nHumpll [MEI-ill] uf ma WI asundfi 3 [1|an my; lhis three-{Emmlsiunat payper :Ff raneatlaiefl enmtnehum was taken [mm mmin me lumfln. which is no: main; mam: m mmmnm mummy. Mam rmmd imafitralms nr enmthum talks cause the Siam-like appeararne. 1D.flflCh-: Kim-Hes}- or Dr. M J. Ham-mm _ I -"H.l-- I- :- 'i Ell Elsevia‘. Dvalle El. Nahirney: Matters Essential Himalcrmur — www.5‘tudmtmnsult.cnm ..____.____ I 1. .I Parietal lay -' _ ,I - ; - n P '-' ' ‘ ubu '1 EH all a renal We at mmnlflmfim. Eehueen milletal and 'EiSIIEIEl layers a! Bowman's camule is Bun-man's same. which in file cumains glnmerulai fiitlate. anps nf gtirrflnla capillaries [tam ale nitififl In mdnrrytm oi the vim-1rd him. Prusimal am dislai tubules SlIIrINi'lfl lhI: mmuezle. 111E magma dens; 01 ihc JG Danni-31 is aim seen. 1Mx. Feneslrae Capillary lumen 1 pm Basement membrane 1. El mm the Inlrinate renal lillrafim bm'ier h Ihe renal muscle. The endnthelium [ii a glnmmuai capillary them La we” allenuamd and has mam Immhhe. h finigi nnrmlm: {GEL scammed mimmflliia [all]. hislamie I.'|l magi: enmile reliculurrr {HER}. and a EriSS-leisilig nmh uf cymeielal Hemmm BEGUM me Cylifillflfiillfli the We [3| trip}. its WEEK-£3533 end as WWW Ihe hascrreni merrbrane. l'u'ierrbranifi [am] span lilaraiiun sails bah-ween mums. 30mm. FM'flfflt HM image-i; {a Elmia‘. maiie Bi hiahimey: Netter‘s Essential mining? L www.5tudmtmnmlt.cnm 1 End Ila-tofu raml mudmmmMEWmd mam DEI. mam-fie. Marimba Emma mm H. wmx. m Walls of ma Malian narrlar. We nmmmpmm (Palm-13h anew-“k nl Mam “lam-ants [Him mmm. TM hm MUM Em marina-m mg Wand mmmautarrmus} mllum Inf a gkflmhr HEW-IT. magma formlng mflrhaflun alrts mmm palm-$31: WWII-Hi mum-es [5H1 53.01191. {Eu Elsevler. mule EL Hahlrnev: Hatters Essential HIsl:a:.~h:1-§npr - www.5tuda1tmnwlt.cnm I. Mammalian Sill 0190mm: In I mulm mkme Mam Irlmdlglaictmrc Elmer surfaced gluTHrruln: WINE-W Halls. Emma-r13 spam is: Emernal 1n 1m Mates am in life emails ngEnJlar 1iltrate.42'[I}x..njm-a‘flc ? Fm,- I- SEIII fl Mourns :1 Wm mam. Primary [1'3 mu mum: [arr-Hi} WW9 DT'L‘CESSES ratereguuu' Shaw. was. and manch [mars mn mama infiummim 'r‘EIIiZIx (firm-my .h'fl' Hr .i mam] Ell Elmier. mane El. Nahirney: Matters Essentiai Himalcrmur — www.5tudentmnsultcnm «I 1' companion Lila at parts of the renal eortmc The plastic section [Leth moors proximal [PET] and distal {Elm corriroluted tmules around a renal corpuscle. Proximal tubules have prominent bnish borders {BB} am many clear 1.resicles in apical cytoplasm. Distal tubules Iaclr a hmsh harder and have smaller. more closelyI packed cells than do proximal tubules. An allerent arteriole LM} is at the vascular pole of the corpuacle. close to the macula densa of a distal whole it}. The paratlin Ltd [Below] shows sareral proximal tubules and part of a distal tubule near a renal corpuscle. Proximal tubules stain deeply and bare cells that are larger and more elongated than those of distal tubules. Less numerous distal tubules have pale cells. Haslic sections usually provide better resolution than oomentional paraffin sections. Left area. Totuidine blue. plastic section: [El Elsa-ulnar. matte Er hiahlrneu: Hatter“: Essentlai l-ilsba[crater — wwwatudentcpnsuttxpm T Proximal tubule. Basement Micmvi‘lli Cell margins 1' niihl tum. membrane [bmahbortlenl 'ntertligitaling Elon em membrane Nucleus -. I I . L- ' - - ~— - - I. I I' flgl Bah” mfommfi lnlercellular iunclinn HF Basal iniuldings with mitochondria w,de I Micl'flullli Internallulal JUnotIon 1| EMolpartsolpmltlmalfltllslalomwomm Mulls. Proximal tubule cells are usually- more met in size and in content of organelles ano sm‘aee specializations than distal tubule cells. an elaborate apical tl-I'LESI'I border protrudes lnlo the lumen {.3 of the orosimal tubule: distaltubule eels last: a blush border. Mitod'londria llllli] and Iysoeorrles [lyjl are larger and more numerous In the proslmal tubule, ano lateral sell Efll’dfif‘fi are 'rndistlrlot in both. Cells ol‘ both tubules have round eufltromatlo nuolel. dollar-t. Lumen of distal tubule El Elsevler. mane El l-lahlrnev: Hettel‘s Esaentlel I-llsl:1:.~ll:rl;r.lr ‘ www.5tudentmnwlmom '- dyfii‘i“? i-f’. ' _. D_1prqmma - 5* luhuligivll 7i: 'H' In El IJ’HIIB Hal III a nmdmal MMH-WI'I'E" mmslmnlem unlmn]: mifl'flhun. Each DE“ Inga smurfin aflrmrnafit: rudeus Emmi-13M; mic-mm fined um mgmlmm mm mm mm! nl mam mam machined mmmlh mm: the Imflflml emu m3}. mus mam-=35 HI. and my Mamie mmm‘a [Ii] are mam mm mmhrzm II'IZIEI'fiES In thaw aspen a! 1hr: ml min). INHer lunmms [ninja]: Ii: 3pm mamnas 9! WE nails. “Mn I- MHMwmfldihwwfmdamm 1min". Minn-111113 [Ilium [immacmiclesum 1m mam mm mm an; Show 22mm may am. a: J. nun-1mm ...
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This note was uploaded on 01/04/2012 for the course ANT 511 taught by Professor Thomas during the Spring '10 term at Philadelphia College of Osteopathic Medicine.

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Lecture 16a - Adrenal gland “m' ‘1' 1r Erase mm at the...

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