(continuation) Urinary System - Urine Formation I: Glomerular Filtration Flashcards
the fluid in the capsular space
Glomerular filtrate
fluid from the proximal convoluted tubule through the distal convoluted tub
Tubular fluid
fluid that enters the collecting duct
Urine
a special case of the capillary fluid exchange process in which water and some solutes in the blood plasma pass from the capillaries of the glomerulus into the capsular space of the nephron
Glomerular filtration
three barriers through which fluid passes
Filtration membrane
70 to 90 nm filtration pores exclude blood cells
Fenestrated endothelium of glomerular capillaries
Proteoglycan gel, negative charge, excludes molecules greater than 8 nm
Basement membrane
wrap around the capillaries to form a barrier layer with 30 nm filtration slits
Podocyte cell extensions (pedicels)
presence of protein in urine
Proteinuria (albuminuria)
presence of blood in the urine
Hematuria
Blood hydrostatic pressure (BHP)
- Much higher in glomerular capillaries (60 mm Hg
compared to 10 to 15 in most other capillaries) - Because afferent arteriole is larger than efferent arteriole
- Larger inlet and smaller outlet
in capsular space, 18 mm Hg due to high filtration rate and continual accumulation of fluid in the capsule
Hydrostatic pressure
the amount of filtrate formed per minute by the two kidneys combined
Glomerular filtration rate (GFR)
GFR control is achieved by three homeostatic mechanisms:
- Renal autoregulation
- Sympathetic control
- Hormonal control
the ability of the nephrons to adjust their own blood flow and GFR without external (nervous or hormonal) control
Renal autoregulation
Two methods of autoregulation:
- myogenic mechanism
- tubuloglomerular feedback