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61 Cards in this Set

  • Front
  • Back
What is the main function of the kidneys?
Mantain balance between solutes and water in body
What are the urine forming organs?
kidneys
What does the renal vein do?
carries blood from the kidney
what does the renal pelvis do?
collecting cavity for urine inside kidney
what does the Ureter do?
duct that channels urine from kidney to urinary bladder
what does the urinary bladder do?
smooth muscle sac that stores urine
what does the urethra do?
tube through which urine is excreted from bladder
Once urine is made in the kidney..
it is NOT altered in composition or volume
What is the nephron?
functional unit of the kidney
What are teh two regions of the kidney?
cortex (outside) and medulla (inside)
What is the glomerulus?
ball of capillaries, site of filtration of plasma that will be turned into urine
what is role of afferent arterioles?
supply blood to glomerulus
what is role of efferent arterioles?
carry still oxygenated blood from glomerulus
What is the role of the peritubular capillaries?
real capillaries, supply kidney with blood
What is the bowmans capsule?
tubular wall around glomerulus
what is the proximal tubule?
located in the cortex, contains the filtered fluid
what is the loop of henle?
descends into and ascends from the medulla
what is the juxtaglomerular apparatus?
next to the glomerulus, plays important role in regulating kidney function
what is the distal tubule?
tube that empties into the collecting duct
what is the collecting duct?
collects fluid from the nephrons
What are the two types of nephrons?
cortical and juxtamedullary
Properties of Cortical nephrons
80% of nephrons, glomeruli in outer cortex, loop of henle barely touches medulla
properties of juxtamedullary nephrons
20% of nephrons, glomeruli in inner cortex, loop of henle touches entire medulla, has vasa recta. plays role in vertical gradient
Which nephron is responsible for producing urine of varying concentrations?
Juxtamedullary
What are the 3 basic renal processes?
Glomerular filtration, tubular reabsorpion and tubular secretion
What are the 3 layers of glomerular filtration?
glomerular capillary wall, basement membrane, inner layer of bowmans capsule
properties of glomerular capillary wall
swiss cheese, extremely permeable to water
properties of basement membrane
non cellular, made of collagen and glycoproteins to prevent passage of plasma proteins
properties of bowmans capsule
posses the pedocytes, interdigitated for filtration
What are the 3 forces involved in glomerular filtration?
Glomerular capillary blood pressure, plasma-colloid osmotic pressure, bowman capsul hydrostatic pressure
What pressure is the major pressure?
glomerular capillary blood pressure, efferent tube smaller than afferent tube
What is the flow of blood in the kidney?
A arteriole, glomerular capillary, E arteriole, peritubular capillary, cortical radiate vein
Is most of plasma filtered in bowmans capsule?
no, only 20 percent and most is returned to blood in the peritubular capillaries
What is autoregulation of Glomerular filtration rate?
intrinsic regulation, ensures constant blood flow into glomerulus, myogenic and tubuloglomerular feedback
how does myogenic autoregulation work?
pressure increases, constriction
pressure decreases, dilation
how does tubuloglomerular feedback work?
increase salt equals constriction, higher GFR
decrease salt equals dilation, lowers GFR
What is role of Macula densa cells?
detect salt concentration
What determines amount that is reabsorbed?
amount needed to maintain composition and volume of internal fluid environment
What is the extrensic control?
overides autoregulatory response, detects changes by bararoreceptors
What makes up the glomerular filtrate?
plasma - plasma proteins
What is passive tubular reabsorption?
all 5 steps must be passive, moves down concentration gradient
What is active tubular reabsorption?
atleast one of the 5 steps requires energy
Does Na reabsorption vary along length of tubule?
yes, most happens in proximal tubule
Na movement from tubular lumen into tubular cells is active or passive?
always passive
RAAS pathway
kidney makes renin, converts angiotensinogen to angiotensin 1, to lungs, angiotensin 2, to adrenal cortex, aldosterone, kidney (increase blood pressure)
What does angiotensin 2 do?
vasoconstricts, stimulate thirst and ADH (vasopressin)
What opposes RAAS?
atrial natriuretic peptide
where does K secretion occur?
distal tubule
where is K reabsorbed?
proximal tubule
What is plasma clearence?
volume of blood being cleared of a given substance per minute
If a substance is filtered then not reabsorbed or secred then its plasma clearence is...
equall to GFR
If a substance is filtered then reabsorbed but not secred, then the plasma clearence is...
less than GFR
If a substance is filtered and then secreted then its plasma clearence is...
greater than GFR
Which sphincter is under voluntary control?
external sphincter
What is hypotonic urea concentration?
less than 300, too much water
What is hypertonic urea concentration?
more than 300, too little water
Characteristics of descending limb of loop of henle
highly permeable to water, not very permeable to Na
Characteristics of ascending limb of the loop of henle
Actively transports NaCl, impermeable to water
When do you want to use vasopressin?
when your body is dehydrated so you can create aquqporins and pull water back in at the collecting duct
What is acid base balance based on?
buffers, the lungs and kidneys
How does ventilation help?
breathing out removes CO2, lowers acid conc.
hyperventilation= lower acid conc.
hypoventilation= higher acid conc.