Anatomy Flashcards
Spinal area of kidneys
Beween T11-L3 at CVA
3 outside layers of kidney
RF - Renal fascia
AC - Adipose Capsule
RC - Renal Capsule
Internal kidney structural pathway
C-CMP-CP
Cortex, column, medulla, papillae, calyces, pelvis
Afferent arteries go which way?
Approach
Efferent arteris go which way?
Exit
BF in
Aorta, Renal artery, Seg arteries
Inter-Lobar, Arcuate, Inter-lobular
Aff - glom
BF out
Eff Peritubular caps and/or vasa recta inter-lobular, arcuate, inter-lobar Seg veins, Renal vein IVC
Innervation of - aff/eff
Superior mesenteric ganglion
Innervation of - BF, filtration, urine formation
Sympathetic fibers
Kidney Fx’s (B-HIP-GOV)
BP, Excretion Hormones, Ions, pH, GLU, Osmo, Volume,
Important Ions of kidney reg
Na, Cl
K, PO4
Ca
What decreases ADH release in an effort to control blood volume?
L-atria distention
What stimulates ADH to increase volume?
Increase plasma oncotic pressure
Exercise
RAAS pathway?
Renin Ang-gen (Liver) ANG I (Lung/Kidney) ACE > ANG II (more vol/bp) Aldosterone (adrenal cortex) - H20/Na retention. (k excreted)
Normal Osmo
300mol/L
Hormone produced by kidney?
- Calcitrol (Active Vit-D) - Ca/PO4 reg
2. EPO
What glucose producing process is performed at the kidney?
Gluconeogensis
By-product of Amino acids and nucleic acid?
AA - ammonia and urea
Nucleic Acid - Uric acid
Glom filtration membrane is composed of?
GBS
G- Glom Endoth-fenestrations (No cells)
B- Basal Lamina (No Lrg proteins)
S- Slit membrane (Pedicles) (No med)
Fluid in capsular space is called?
Glomerular filtrate
What percentage of fluid enters the capsular space?
20 percent
How much blood flow is processed through?
1-1.2L/min
GFR per day?
140-180L/D
3 main pressures of G. Filtration?
GBHP- Glom bld hydrostatic - 55mmHg (Promotes)
CHP- Capsular Hydrostatic - 15mmHg (Opposes)
BCOP- Bld Colloid osmotic - 30mmHg (Opposes)
Total normal net filtration pressure of
10mmHg in
How much fluid does the tubules reabsorb?
90 percent
What area does secretion occur in the tubules?
DCT
PCT purpose and quan of reabsorbtion?
80 percent
Active/passive absorption
LOH of purpose?
H2O/Salt conservation
Net volume of Urine per day produced?
1-1.5L
Bladder normal size?
700-800ml
3 wall layers of the bladder?
Mucosa - Rugae, transitional EPI’s
Muscularis - Detrusor Mus (3 layers, In, Mid (circ), Out)
Serosa or adventia (posterior/inferior along ureters)