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44 Cards in this Set
- Front
- Back
Kidney regulates
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plasma osmolarity - volume (55% blood vol), acid-base - electrolyte balance --- maintaining body homeostasis
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nephrons = 10^6 of them
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functional unit has renal tubule (tubules - loop) and renal corpuscle (capillaries - peri-tubules)
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renal corpuscle
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ball of capillaries - glomerulus enclosed in Bowman's capsule
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Kidney anatomy
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Renal corpuscle (Glomerulus-Bowman cap) ---- Proximal convoluted tubule ------ Loop of Henle (thin -- descending - ascending - thick segment) ------- Distal con tub ------ Collecting duct (lesss absorption)
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Filtration process
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Afferent --- Glomerular filtration ---- bowman capsule --- Effferent --- tubular reabsorption --- tubular secretion ---
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Glomerula filtration
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passive process
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tubular reabsorption into peri-tubular capillaries
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move most filtrates back to blood (glc active transport in a FINITE # of ports) - leave salt water -- or else too much water in kidney --> swell like a balloon
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Tubular secrection -- from peri-tubular to Loop of henle
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rid of creatinine and ammonia
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Peritubular capillaries -- from efferent arteriole emptying into the renal veins
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reclaim reabsorbed substances
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Afferent -- glomerular capillary ---Bowman capsule -- Efferent arteriole
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efferent diameter is smaller than afferent diameter (slow our out put having more time for filtration at peri-tubules arterioles) --> act 1 demonstrates how efferent radius affects filtration
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Glomerular filtration rate
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index of kidney function - 80-140 mL/min --> 180 L daily
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Caffeine consumption increase urine formation
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by increase HR - BP --------- dilate afferent arteiole
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In desert - dehydrating --- benefiting by
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constrict afferent - dilate efferent (maintain BP reduce filtration) IF constrict the Efferent ----> urine volume will INcrease -- squeeze out
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If decrease Efferent diameter -------- urine out put willll
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increase -- squeeze out
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Starling forces -- hydrostatic and osmotic pressure gradients ---- 125 mL/min
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drive the protein free fluid (that stay between capillary and Bowman capsule) -- has salts - organic molecules - act 2 modifies the pressure at afferent arterioles
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____________ % of blood is filtrated in glomerular capillaries
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20% permeablility i
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Urinary valves closed is analogous to _________
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tumor obstructing the renal tubulu
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Fluid movement between tubule lumen and interstitial spaces depending on
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total NaCl and urea concentration
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Antidiuretic hormone (ADH) increases water permeability
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of the collecting duct ---> help conserve WATER in desert -- and concentrate the urine ________________ ONLY water ok no glc
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Reabsorption movement of water and solutes
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tubule lumen --- interstitial space -- back to peri-tubules capillaries
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The maximum solute concentrate is
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the amounts in the interstitial space (so it can be excreted again in collecting duct -- wo ADH)
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Solute conc (organic) in proximal tubule (where peri-tubule capiill) is the same as in blood because ___________
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water and solute filter into Bowman capsule (in lumen = capillaries)
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If solute conc (gradient) in interstitial space increases, then urine vol will _____________ and urine conc. will _______
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decrease (water follow salt) ------------------- increase (less water in urine)
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ONE more time ----------- > ADH will help conserve ________ and reabsorb __________ at ____________
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water ----------- collecting duct
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Tubule fluid OSMolarity will be greatest at ____________
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bottom of the loop of Henle (too tiny tube ---- solute will be reabsorbed into INTERstitial space at the proximal tubule and peri-tubule capillaries)
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Tubule fluid VOLume will be greatest at ____________
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proximal convoluted tubule
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if Blood loss = dehydration in desert , then afferent will ____________ and efferent will ______________
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constrict (reduce input) --------- dilate (not squeezing)
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We want Glomerulus Filtration Rate (Glo P) constant ------------ if Low BP, Afferent Dilation will ____________
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increase the GFR and GLu Pressure -- ALMOST
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We want Glomerulus Filtration Rate (Glo P) constant ------------ if Low BP (70 vs 90), EFFerent Dilation will ____________
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increase the GFR and GLu Pressure -- MARGINALLY
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We want Glomerulus Filtration Rate (Glo P) constant ------------ if Low BP, Afferent Dilation and EFFerent Dilation will ___________
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come back to almost normal
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BP decrease --- GFR will
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decrease (GFR)
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When BP increase, Afferent radius decrease ------------ GFR will
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be the same
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When BP increase, Efferent radius decrease ------------ GFR will
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increase
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Glc is absorbed in __________ number of port and via ____ ___ transport (wit Na) in APICAL membrane (lumen of tubule) ----- in proximal tubules
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finite (or else diabetes) ------------- secondary active outside tubule
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Glc is absorbed in __________ number of port and via ____ ___ transport (wit Na) in BasalLATEral membrane (toward to blood) --- in proximal tubules
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finite (or else diabetes) - --------------------- facilitated into blood
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The transport maximum is __________ reach in this experiement
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not --------------- because there is no GLc in the urine
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Glc transport gates locate at ____________`
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proximal tubules
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Aldosterone (Adrenal cortex) -- renin angiotensin system - same function with ADH
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when LOW BP --- signal by Angiotensin 2 and it acts on DISTAl tubules to REabsorb Na and secrete K out and some MORE at Collecting ducts-------------- water follow Na ----------- in addition of ADH to get more WATER at collecting duct
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When low BP ----> Renin is released and _______ doing cleaving and converting and stimulating (Aldosterone) to do the job
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cleave Angiotensinnogen into Angiotension 1 ----so that ------------ Endothelial cells convert Ang 1 to Angiotentensin 2 --------then Angio 2 stimulate Adrenal cortex secrete Aldosterone that --- tells Distal tub to get Na BACK -- water follow ---> inc Blood vol -- BP
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ADH from Hypothalamus and stored in Posterior pituitary gland ----- detect by _____
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body fluid osmolarity -- Pressure and Vol of cardiovascular system
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Urine conc and vol affects by 3
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solute conc in interstitial space-- ADH - Aldosterone (Renin)
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ADH -------------- Aldosterone --------- Renin
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Made in Hypothalamus (store in Pos Pituitary) ------- Adrenal cortex (then spread all over the body) --------- Renin granular of juxglo in kidney
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Aldosteron - ADH
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NaCl in and more K out ---------- H20 (make K relatively high)
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Tubules vol is greatest at
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proximal tubules ------ solute reabsorpt leave water
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