1- Introduction to Normal Function of the Renal and Hepatic System Flashcards

1
Q

What are the general functions of the renal system

A

Produce and Expel Urine

Regulate the volume and composition of the extracellular fluid

Production of hormones

Gluconeogenesis

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2
Q

How do the kidneys regulate the volume and composition of extracellular fluid?

A

Control pH
Control blood volume and blood pressure
Control osmolality
Controls ion balance

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3
Q

What hormones do the kidneys produce

A

Renin
Erythropoietin
1,25-dihydroxyvitamin D

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4
Q

What are ureters

A

25cm long tubes with thick muscular walls which are able to contract, contain valves to prevent the backflor of urine.

Connects kidneys to bladder

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5
Q

What are the detrusor muscles

A

Muscle that controls the bladder, when relaxed it stores urine, when it contracts urine is expelled

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6
Q

What is the function of urethra

A

a tube that removes fluid from the bladder out of the body

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7
Q

What is the urethral sphincter

A

Seals the urethra, external sphincter is striated muscle- voluntary control

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8
Q

What innervates the process of Micturition

A

Innervated by both sympathetic and parasympathetic nervous systems.

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9
Q

Where is the hepatic system located.

A

Located under the diaphragm within the rib cage in the upper right quadrant of the abdomen.

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10
Q

What binds the liiver

A

Fibrous connectiv§e tissue called glissons capsule

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11
Q

What does dual vascular supply of the liver mean.

A

The hepatic artery brings nutrient poor oxygen-rich blood to the liver

The hepatic portal vein brings nutrient-rich oxygen-poor blood to the liver.

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12
Q

Describe the vascular supply of the liver

A

Liver is highly vascularised
Blood flows through a low pressure channel called a sinusoid
Liver can adjust blood flow to suit demand

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13
Q

What endocrine substances does the liver release and what do they do.

A

Insulin-like growth factor- regulates cell growth and development.

Angiotensinogen- Vasoconstriction and release of aldosterone which innervates increased sodium absorption

Thrombopoietin- Stimulates megakaryocytes to produce platelets

Hepcidin- inhibits intestinal iron absorption and iron release by macrophages.

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14
Q

What is the exocrine function of the liver

A

Bile is the exocrine secretion of the liver.

Composed of- bile salts (cholesterol derivative), Phospholipids, Bile pigments, electrolytes.

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15
Q

What does the liver do to carbs

A

Glycogenesis
Glycogenolysis
Gluconeogenesis

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16
Q

What does the liver do to fats

A

Oxidises triglycerides
Synthesis of lipoproteins, fatty acids, triglycerides

17
Q

What does the liver do to proteins

A

Synthesis of non essential amino acids
Deamination and transformation of amino acids
Synthesis of urea from ammonia
Synthesis of clotting factors

18
Q

What is stored in the liver

A

Glycogen
Iron
Fat soluble vitamins A D B E K

19
Q

What is excreted from the liver

A

Waste products from red blood cells via bile
Cholesterol hormones and drugs