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Chapter_017.rtf
Chapter_018.rtf
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Chapter_017.rtf
17-3
Audio Chapter Summaries
Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.
Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.
Patton: Structure & Function of the Body, 17th Edition
Chapter 17: Nutrition & Metabolism
Audio Chapter Summaries
Welcome to the audio review for Chapter 17: Nutrition & Metabolism.
Let’s start with a few definitions.
Nutrition is the food, vitamins, and minerals that are ingested and assimilated into the body.
Assimilation is the process of getting nutrient molecules into the cells of the body and chemically preparing them for use in the chemical reactions of the body.
Metabolism is the process of using nutrient molecules as energy sources and as building blocks for our own molecules.
Catabolism is the breaking down of nutrient molecules, releasing their stored energy; oxygen is used in catabolism.
Anabolism is the process that builds nutrient molecules into complex substances.
Nutrients are food components digested and absorbed by the body.
Macronutrients are nutrients needed in large daily quantities; these are carbohydrates, fats, and proteins.
Micronutrients are nutrients needed in tiny daily quantities; these are the vitamins and minerals.
Next, we’ll review some of the metabolic functions of the liver.
The liver secretes bile, which breaks down large fat globules.
It helps maintain normal blood glucose level.
The liver helps metabolize carbohydrates, fats, and proteins; it synthesizes several kinds of protein compounds.
It removes toxins from the blood and stores useful substances.
Now we’ll review the macronutrients: carbohydrates, lipids, and proteins.
Carbohydrates exist in several forms including monosaccharides, disaccharides, and polysaccharides. The monosaccharide glucose is the preferred energy nutrient of the body.
Proteins are primarily anabolized and secondarily catabolized.
The use of amines from protein in the glucose pathway for energy is called gluconeogenesis.
Essential amino acids are those that must be in the diet because the body cannot make them.
There are three series of chemical reactions in glucose metabolism: glycolysis, the citric acid (or Krebs) cycle, and the electron transport system.
Glycolysis changes glucose to pyruvic acid; it is anaerobic in that it uses no oxygen. Glycolysis occurs in cytoplasm and yields a small amount of energy, generating two adenosine triphosphate (ATP) molecules.
The citric acid cycle changes pyruvic acid to carbon dioxide; it is aerobic because it requires oxygen. The citric acid cycle occurs in mitochondria and yields a large amount of energy (mostly as high-energy electrons).
The electron transport system, also located in mitochondria, transfers energy from high-energy electrons (from the citric acid cycle) to ATP molecules.
The mitochondrial part of the pathway (the citric acid cycle and electron transport system) is aerobic and generates up to 30 ATP molecules per original glucose molecule.
Carbohydrates are primarily catabolized for energy.
ATP is the molecule in which energy obtained from the breakdown of nutrients is stored; it serves as a direct source of energy for cellular work.
Glucose that is not needed immediately for making ATP is stored as glycogen (a long chain of glucose subunits) in liver and muscle cells.
Glycogenesis is the anabolic process of joining glucose molecules together in a chain to form glycogen (to store glucose for later use).
Glycogenolysis is the catabolic process of breaking apart glycogen chains, releasing individual glucose molecules for use in making ATP.
Blood glucose (commonly, but imprecisely called blood sugar) normally stays between about 80 and 110 mg per 100 mL of blood during fasting; insulin accelerates the movement of glucose out of the blood into cells, thereby decreasing blood glucose and increasing glucose catabolism.
Triglycerides (or fats) are the most abundant lipid in our diet.
- Like carbohydrates, lipids are energy molecules. Before being used for energy, fats are broken down into fatty acids and glycerol.
- Lipids are catabolized to yield energy and anabolized to form adipose tissue.
Proteins are primarily anabolized and secondarily catabolized. Only small amounts of proteins are catabolized for energy.
The use of amines from protein in the glucose pathway for energy is called gluconeogenesis.
Essential amino acids are those that must be in the diet because the body cannot make them.
Micronutrients include vitamins and minerals.
Vitamins are organic molecules that are needed in small amounts for healthy metabolism.
Minerals are inorganic molecules found naturally in the earth, required by the body for normal function.
Regulatory centers in the hypothalamus play a primary role in controlling food intake.
An appetite center produces the feelings of hunger.
A satiety center produces feelings of satisfaction.
Food intake regulation results from a balance between the hypothalamic control centers.
Many diverse factors influence the hypothalamic control centers.
Basal metabolic rate is the rate of metabolism when a person is lying down but awake and not digesting food and when the environment is comfortably warm.
Total metabolic rate is the total amount of energy, expressed in calories, used by the body per day.
The hypothalamus regulates the homeostasis of body temperature (thermoregulation) through a variety of processes.
Skin can cool the body by losing heat from the blood in four ways: radiation, conduction, convection, and evaporation.
Radiation is the flow of heat waves from the blood and skin.
Conduction is the transfer of heat energy to the skin and then to the cooler external environment.
Convection is the transfer of heat energy to cooler air that is continually flowing away from the skin.
Evaporation is the escape of heat from blood and skin by water (sweat) vaporization.
Other mechanisms can generate heat to maintain homeostasis when necessary.
This concludes the audio review of Chapter 17.
Chapter_018.rtf
18-3
Audio Chapter Summaries
Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.
Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.
Patton: Structure & Function of the Body, 17th Edition
Chapter 18: Urinary System
Audio Chapter Summaries
Welcome to the audio review for Chapter 18: Urinary System.
This review begins with the anatomy of the kidneys.
The kidneys are located under the back muscles, behind the parietal peritoneum, just above the waistline; the right kidney usually a little lower than the left.
A kidney resembles a lima bean that is 11 cm by 7 cm by 3 cm
The hilum is the medial indentation where vessels, nerves, and a ureter connect to the kidney.
The capsule is the fibrous outer wall.
The internal anatomy of the kidney includes these structures:
The cortex is the outer layer of kidney substance.
The medulla is the inner portion of the kidney.
Pyramids are triangular divisions of the medulla.
A papilla is the narrow, innermost end of a pyramid.
The kidney pelvis is the expansion of the upper end of the ureter; it lies inside the kidney.
Calyces are divisions of the renal pelvis.
A nephron is the functional unit of the kidneys.
The interior of each kidney is composed of more than 1 million (yes, really!) 1 million microscopic nephron units.
The unique shape of the nephron is well suited to its function.
Its principal components are renal corpuscle and renal tubule.
The renal corpuscle contains a glomerular capsule, the cup-shaped top of the nephron, and a glomerulus, a network of blood capillaries surrounded by a glomerular capsule.
The renal tubule has four parts: the proximal convoluted tubule, the nephron loop, the distal convoluted tubule, and the collecting duct.
The proximal convoluted tubule is the first segment of the renal tubule.
The nephron loop (also called a Henle loop) is an extension of the proximal tubule; it consists of a descending limb, a loop, and an ascending limb.
The distal convoluted tubule is an extension of the ascending limb of nephron loop.
The collecting duct is a straight extension of the distal tubule.
Nephrons are mainly located in the cortex of the kidney, and so are called cortical nephrons; they account for 85% of the total. Juxtamedullary nephrons have an important role in concentrating urine; they are located near the junction between the cortex and medullary layers.
Kidney functions include:
Excretion of toxins and nitrogenous wastes;
Regulation of the levels of many chemicals in blood;
Maintenance of water balance;
Helping regulate blood pressure and volume; and
Regulation of red blood cell production by secreting erythropoietin.
Millions of nephrons balance blood and flush the excess and wastes as urine in a process that includes three steps: filtration, reabsorption, and secretion.
Filtration goes on continually in renal corpuscles.
Glomerular blood pressure causes water and dissolved substances to filter out of glomeruli into the glomerular capsule.
The normal glomerular filtration rate is 125 mL/min.
Reabsorption is the second function of the nephron.
Reabsorption moves substances out of renal tubules and into the blood in the peritubular capillaries.
Water, nutrients, and ions are reabsorbed.
Water is reabsorbed by osmosis from the proximal tubules.
Countercurrent mechanisms in the nephron loop and surrounding peritubular capillaries concentrate sodium and chloride to make the renal medulla hypertonic, which helps concentrate urine, discussed later.
All glucose is reabsorbed along with sodium, assuming that there are enough sodium-glucose transporters to accommodate all the glucose.
The transport maximum is the largest amount of a substance that can be reabsorbed at one time. This amount is determined by the number of available transporters of the substance, and it determines the renal threshold, the amount of substance above which the kidney removes the substance from the blood.
Secretion is the third function of the nephron.
Secretion is movement of substances into urine in the distal and collecting ducts from the blood in peritubular capillaries.
Hydrogen ions, potassium ions, and certain drugs are secreted by active transport.
Ammonia is secreted by diffusion.
Urine volume is controlled by several mechanisms.
Antidiuretic hormone (abbreviated ADH) is secreted by the posterior pituitary; it promotes water reabsorption by collecting ducts; and thus reduces urine volume.
A hypertonic (or salty) medulla helps ADH concentrate urine and thus conserve the body’s water.
Secretion of aldosterone by the adrenal gland is triggered by the renin-angiotensin-aldosterone system process; it promotes sodium and water reabsorption in the nephron, and thus reduces urine volume.
Atrial natriuretic hormone, one of the peptide hormones secreted by atrial cells in the heart, promotes loss of sodium and water into kidney tubules; it increases urine volume.
Abnormalities of urine volume include anuria, oliguria, and polyuria.
Anuria is the absence of urine.
Oliguria is a scanty amount of urine.
Polyuria is an unusually large amount of urine.
Urine is eliminated through the ureters to the bladder and then out the urethra.
The ureters drain urine from the renal pelvis to the urinary bladder.
They are narrow, long tubes with an expanded upper end (the renal pelvis located inside the kidney). They are lined with mucous membrane.
The bladder stores urine before voiding, and functions in voiding or urination.
The bladder is an elastic muscular organ, capable of great expansion.
It is lined with mucous membrane arranged in rugae, similar to the stomach mucosa.
Cystitis is a bladder infection.
The urethra is a narrow tube that connects the urinary bladder to the exterior.
The urethra is lined with mucous membrane.
The opening of the urethra to the exterior is called the urinary meatus.
The urethra functions in passage of urine from the bladder to the exterior of the body.
It also serves in males as passage for male reproductive fluid (semen) from the body.
Micturition is the passage of urine from the body. It is also called urination or voiding.
The urethra has two regulatory sphincters: internal and external.
The internal urethral sphincter is involuntary.
The external urethral sphincter is voluntary. The bladder wall permits storage of urine with little increase in pressure.
The emptying reflex is initiated by the stretch reflex in the bladder wall.
Next the bladder wall contracts, the internal sphincter relaxes, the external sphincter relaxes, and urination occurs.
Be sure to review the disorders of urination.
Enuresis is involuntary urination.
Urinary retention is when urine is produced but not voided.
In urinary suppression no urine is produced, but the bladder is normal.
A neurogenic bladder describes periodic but unpredictable voiding; it is related to paralysis or abnormal function of the bladder.
There are several types of urinary incontinence (or enuresis).
Urge incontinence is associated with smooth muscle overactivity in the bladder wall.
Stress incontinence is associated with weakened pelvic floor muscles.
Overflow incontinence is associated with urinary retention and an overdistended bladder.
Reflex incontinence occurs in the absence of any sensory warning or awareness; it is common following a stroke or spinal cord injury.
Nocturnal enuresis is nighttime bed wetting.
Urinalysis is examination of the physical, chemical, and microscopic characteristics of urine. It may help determine the presence and nature of a pathological condition.
This concludes the audio review of Chapter 18.
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