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44 Cards in this Set

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