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19 Cards in this Set

  • Front
  • Back
Name the layers of the Glomrular filtration membrane.
1. Endothelium of a fenestrated capillary
2. Basement membrane
3.Membrane of bowman's capsule
What is the membrane of bowman's capsule composed of?
wall of podocytes
What are the openings between the cells in the wall of podocytes?
filtration slits
Where does the fluid pass from the bloodstream to the renal tubule?
through filtration membrane
What things pass through the filtration membrane?
water, glucose, Na+, K+, Cl-
What happens to the large particles in the filtration membrane? What are they?
They get stuck and are ingulfed by podocytes.

They are cells & protiens
What is the GFR (glomerular filtration rate)?
125ml/min
What are the factors that affect GFR?
-blood pressure
==>pressure up GFR up
==>pressure down GFR down
-structural characteristic of filtration membrane
==> can tear
==> can clog
What are the two controls that regulate glomerular filtration Rate?
1. intrinsic- acts locally w/in kidney
2. Extrinsic -uses neural & hormonal regulation
What is myogenic mechanism?
when vascular smooth muscle resist changes to diameter
What are the two intrinsic controls for regulation of GFR
-Myogenic mechanism
-Tubuloglomerular feedback mechanism
What does myogenic mechanism compensate for?
changes in systemic blood pressure
What do the tubuloglomerular feedback mechanism ?
-uses the macula densa cells
-use tubular osmolarity to adjust GFR
What do the the Macula densa cells do when GFR is to high?
release vasoconstrictors(adenosine)
-which decreases GFR by limiting blood flow
What do the the Macula densa cells do when GFR is to low?
NOT releasing adenosine we get dilation
What are the two extrinsic controls
-sympathetic controls
-Renin-angiotensin pathway
What are GFR extrinsic controls most effective at ?
pressure extremes
-below 80 torr systolic
-above 180 torr systolic
During sympathetic input how is GFR effected and why?
GFR decreases
-during periods of stress blood is sent to vial organs & SHUNTED AWAY FROM KINDNEYS
How does Rennin-angiotensin pathways affect GFR?
GFR increases due to Granular cells release of rennin.

acts as vasoconstrictor
induce aldosterone & ADH release