Urinary

Learn the roles of the kidneys, including their ability to manage blood pressure and filter for homeostasis, as well as some of the pathologies associated with the renal system.
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1. Anatomy of the Kidneys, Bladder and Urethra

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2. Development of the Urinary System

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3. The Nephron

  • Understand the role of the nephron within the kidney
  • Be aware of the anatomical segments of the nephron and each of their basic functions within the filtering process of the kidney

4. The Glomerulus – Tubular Reabsorption and Secretion

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5. Control of Plasma Volume

  • Understand the components of extracellular fluid and their effect on plasma concentrations and diffusion
  • Understand some of the mechanisms by which the kidneys help to regulate blood pressure
  • Be aware of the transporters within each section of the kidney nephron and their roles within homeostasis
  • Be aware of how these transporters can be targeted by drugs such as diuretics and how these can be used therapeutically

6. Control of Plasma Osmolarity

  • Understand how the body controls plasma osmolarity
  • Understand the role of the hypothalamus, pituitary gland and ADH in the control of plasma osmolarity
  • Understand the effect of ADH on the collecting ducts of the kidney
  • Understand the medullary counter-current mechanism for sensitively controlling the reabsorption of water
  • Understand some of the things that can go wrong with controlling plasma osmolarity

7. Control of Potassium

  • Understand potassium’s essential cellular roles: volume, pH, enzymes, excitability, cardiac function.
  • Explain internal balance: rapid shifts of K⁺ between intracellular and extracellular compartments.
  • Describe external (renal) balance: long-term potassium control via nephron reabsorption and secretion.
  • Identify factors influencing cellular K⁺ uptake: insulin, aldosterone, catecholamines, acid–base status.
  • Outline mechanisms regulating renal K⁺ secretion in distal nephron regions.
    Recognise clinical features and management strategies of hypo‑ and hyperkalaemia.

8. Micturition

  • Understand the phases of micturition (urination)
  • Understand the neural mechanisms that regulate these phases
  • Understand some of the pathophysiology that can affect micturition and why certain neurological conditions can present with urinary symptoms

9. Diuretics

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10. Glomerular Filtration Rate and the Measurement of Kidney Function

  • Understand what a Glomerular Filtratation Rate (GFR) is
  • Understand how this can be calculated for patients and its relevance
  • Understand the prupose of urinalysis
  • Be aware of urodynamic studies and what they involve

11. Hyponatraemia

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12. Urinary Incontinence

  • Define urinary incontinence and distinguish types (stress, urge, mixed).
  • Identify key risk factors contributing to urinary incontinence.
  • Understand pathophysiology behind stress and urge incontinence.
  • Describe conservative management strategies (lifestyle, pelvic floor exercises).
  • Explain when and why surgical or pharmacological treatments are appropriate.

13. Glomerular Disease

  • Define glomerular disease and differentiate nephritic versus nephrotic syndromes.
  • Recognise underlying pathophysiology of key glomerulopathies (e.g., IgA nephropathy, Goodpasture’s).
  • Describe major clinical features: haematuria, proteinuria, oedema, hypertension.
  • Explain diagnostic approach: urine tests, renal biopsy, serology and complement levels.
  • Understand basic management principles including immunosuppression and supportive care strategies.

14. Diabetic Nephropathy

  • Understand the pathophysiology of Diabetic Nephropathy
  • Understand how Diabetes can cause a nephrotic syndrome
  • Be aware of the signs and symptoms of Diabetic Nephropathy
  • Know the risk factors for developing Diabetic Nephropathy as a Diabetic

15. Acute Kidney Injury

  • Define AKI and identify prerenal, intrinsic, and postrenal categories.
  • Recognise key risk factors and early clinical indicators of AKI.
  • Use KDIGO/RIFLE criteria to diagnose and stage AKI.
  • Interpret lab findings—including serum creatinine, urine output, FeNa—for AKI assessment.
  • Apply a structured differential diagnosis and diagnostic approach (urine, imaging, biopsy).
  • Understand management principles: treat cause, fluid balance, nephrotoxins, and renal replacement therapy.

16. Chronic Kidney Disease

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17. Urinary Tract Obstruction

  • Understand the causes of urinary tract obstruction
  • Be aware of specific conditions and their pathophysiology that can cause urinary tract obstruction
  • Understand the different types of urinary retention and their presentations
  • Be aware of the complications of urinary retention and the surrounding syndromes

18. Urinary Tract Infections

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19. Prostate Pathology

  • Understand prostate zones and their relevance to disease localisation.
  • Recognise histological differences between benign prostatic hyperplasia and prostate adenocarcinoma.
  • Describe Gleason grading and its prognostic implications for prostate cancer.
  • Identify prostatic intraepithelial neoplasia (PIN) as a premalignant lesion.
  • Appreciate inflammation types like granulomatous prostatitis and their cancer mimicry.

20. Male Urological Conditions

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21. Urological Malignancy

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