Excretion Flashcards

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1
Q

what is excretion?

A

the removal of the waste products of metabolism from the body

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2
Q

describe the structure of the liver.

A

the liver is made up of liver lobules- made of cells called hepatocytes
each lobule has a central vein in the middle that connects to the hepatic vein
hepatic artery- supplies the liver with oxygenated blood from the heart so that the liver has a good supply of oxygen for respiration
hepatic vein- takes deoxygenated blood away from the liver
hepatic portal vein- brings blood from the small intestine so it’s rich in nutrients, any ingested harmful substances are filtered out and broken down straight away
bile duct- takes bile to the gallbladder to be stored
sinusoids- capillaries that connect the hepatic artery and hepatic portal vein to the central vein
kupffer cells- remove bacteria and breakdown old red blood cells
hepatocytes- produce bile and secrete it into tubes called bile canaliculi

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3
Q

what is the ornithine cycle?

A

converts excess ammonia into urea in the mitochondria of liver cells

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4
Q

what happens during deamination?

A

nitrogen containing amino groups are removed from any excess amino acid forming ammonia and organic acids
this process is called deamination
amino acids—–> ammonia + organic acids

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5
Q

what happens in the ornithine cycle?

A

the organic acids can be respired to give ATP or converted to carbohydrate and stored as glycogen.
ammonia is too toxic for mammals to excrete directly so it’s combined with Co2 in the ornithine cycle to create urea and water
ammonia + carbon dioxide—-> urea + water
the urea is released from the liver into the blood. the kidneys then filter the blood and remove urea as urine

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6
Q

What happens during detoxification?

A

the liver breaks down other harmful substances into less harmful compounds that can then be excreted from the body, these include:
alcohol- is broken down into ethanal which is then broken down into a less harmful substance called acetic acid
alcohol over long period can lead to cirrhosis of the liver (liver cells die and scar tissue blocks blood flow)
paracetamol- broken down by the liver. excess paracetamol in the blood can lead to liver and kidney failure
insulin- is broken down by the liver as an excess can cause problems with blood sugar levels

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7
Q

how is glucose stored in the body?

A

the liver converts glucose in the blood to glycogen in a process called glycogenesis.
the glycogen is then stored as granules in the liver cells until the glucose is needed for energy

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8
Q

what is the process of excretion of waste products?

A

blood enters the kidney through the renal artery and then passes through the capillaries in the cortex of the kidney
ultrafiltration- as blood passes through the capillaries, substances are sorted out of the blood and into long tubules that surround the capillaries
selective reabsorption- useful substances are reabsorbed back into the blood from the tubules in the medulla and cortex
the remaining unwanted substances pass along the tubules then along the ureter to the bladder where they are expelled as urine
blood passes out of the kidneys through the renal vein

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9
Q

what is the nephron?

A

the long tubules along with the bundle of capillaries where the blood is filtered

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10
Q

what happens during ultrafiltration in the nephron?

A

blood from the renal artery enters smaller arterioles in the cortex. Each arteriole splits into a structure called a glomerulus- a bundle of capillaries inside the Bowman’s capsule. The arteriole that takes blood into the glomerulus is called the afferent arteriole and the one that takes blood away is called the efferent arteriole.
The latter is smaller in diameter so the high pressure forces liquid and small molecules in the blood out of the capillary and into the Bowman’s capsule. The liquid and small molecules pass through the three layers to get into the Bowman’s capsule and enter the nephron tubule- the capillary endothelium, basement membrane and the epithelium of the Bowman’s capsule.
Larger molecules can’t pass through and stay in the blood. The filtrate passes along the rest of the nephron and useful substances are reabsorbed along the way; it flows through the collecting duct and passes out the kidney along the ureter

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11
Q

what happens during selective reabsorption of the nephron?

A

reabsorption of the useful substances takes place as the filtrate flows along the PCT through the loop of Henle and along the DCT, they leave the nephron and enter the capillary network wrapped around it.
epithelium of the PCT has microvilli to provide a large SA for absorption of useful materials from the filtrate by active transport and facilitated diffusion. Some urea is also reabsorbed by diffusion.
water enters the blood by osmosis because the WP of the blood is lower than that of the filtrate its is reabsorbed from the loop of Henle, DCT and the collecting duct.
the filtrate that remains is urine which passes along the ureter to the bladder

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12
Q

what is urine made of?

A

urine is usually made up of water and dissolved salts, urea and other substances such as hormones and excess vitamins.
It doesn’t contain proteins or blood cells as they’re too big to be filtered out of the blood.
glucose amino acids and vitamins are actively reabsorbed back into the blood so they’re not usually found in the urine either

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13
Q

How do the kidneys regulate water potential?

A

WP of blood too low- more water is reabsorbed by osmosis into the blood from the tubules of the nephron. urine is more concentrated so less water is lost during excretion
WP of blood too high- less water is reabsorbed by osmosis into the blood from the tubules of the nephron. urine is more dilute so more water is lost during excretion
the volume of water reabsorbed is controlled by hormones

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14
Q

How does the counter-current multiplier mechanism work?

A

top of ascending limb- Na+ and Cl- ions are actively pumped out into the medulla, AL is impermeable to water so it stays inside the tubule
low WP is created in the medulla than in the descending limb so water moves out of the DL into the medulla by osmosis; this makes it more concentrated.
the water in the medulla is reabsorbed into the blood through the capillary network
bottom of ascending limb- Na+ and Cl- ions diffuse into the medulla, further lowering WP.
this causes water to move out of the collecting duct by osmosis.
water in the medulla is reabsorbed into the blood through the capillary network

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15
Q

What is the loop of Henle length different in some animals?

A

the longer an animals loop of Henle, the more water they can reabsorbed from the filtrate
when the AL is longer, more ions are actively pumped out into the medulla which creates a really low WP in the medulla
this means more water moves out of the nephron and collecting duct into the capillaries giving very concentrated urine
animals that live in areas with little water usually have long loops to save as much water as possible.

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16
Q

What are antidiuretic hormones?

A

WP of the blood is monitored by osmoreceptors in the hypothalamus
when osmoreceptors are stimulated by low WP in the blood, the hypothalamus sends nerve impulses to the posterior pituitary gland to release a hormone called antidiuretic hormone (ADH) into the blood

17
Q

What is the role of ADH?

A

ADH molecules bind to receptors on the plasma membranes of cells in the DCT and the collecting duct.
protein channels called aquaporins on are inserted into the plasma membrane
these channels allow water to pass through via osmosis making the walls of the DCT and collecting duct more permeable to water.
more water is reabsorbed from these tubules into the medulla and into the blood by osmosis
a small amount of concentrated urine is produced which means less water is lost from the body

18
Q

What happens when blood water content is too low (dehydration)?

A

water content of the blood drops so the WP drops
this is detected by osmoreceptors in the hypothalamus
the posterior pituitary gland is stimulated to release more ADH into the blood
more ADH means that the DCT and collecting duct are more permeable so more water is reabsorbed into the blood by osmosis
a small amount of highly concentrated urine is produced and less water is lost

19
Q

what happens when blood water content is too high (hydration) ?

A

water content of the blood rises so its WP rises
this is detected by the osmoreceptors in the hypothalamus
the posterior pituitary gland releases less ADH into the blood
less ADH means that the DCT and collecting duct are less permeable so less water is reabsorbed into the blood by osmosis
a large amount of dilute urine is produced and more water is lost

20
Q

what is kidney failure and how can you detect it?

A

Kidney failure is when the kidneys can’t carry out their normal functions because they don’t work properly
it can be detected by measuring the glomerular filtration rate (GFR)- this is the rate at which blood is filtered from the glomerulus into the Bowman’s capsule
lower rates indicate the kidneys aren’t working properly

21
Q

what can kidney failure be caused by?

A

kidney infections- can cause inflammation of the kidneys which can damage the cells
this interferes with filtering in the Bowman’s capsule or with reabsorption and other parts of the nephron
high blood pressure- the blood is already under high pressure but the capillaries can be damaged if the blood pressure gets too high
this means larger molecules like proteins can get through the capillary walls and into the urine

22
Q

what are problems that arise from kidney failure?

A

waste products that the kidneys would normally remove begin to build up in the blood- too much urea in the blood causes a weight loss and vomiting
fluid starts to accumulate in the tissues because the kidneys can’t remove excess water from the blood, causing parts of the body to swell
the balance of electrolytes (ions) in the blood becomes unbalanced- the blood may become too acidic and the imbalance of calcium and phosphate can lead to brittle bones
salt build-up build-up may cause more water retention
long-term kidney failure causes anaemia- a lack of haemoglobin in the blood
If these problems can’t be controlled, it can eventually lead to death

23
Q

what happens during haemodialysis to treat kidney failure?

A

the patient’s blood is passed through a dialysis machine- the blood flows on one side of a partially permeable membrane and dialysis fluid flows on the other side.
the blood and dialysis fluid flows in opposite directions in order to maintain a steep concentration gradient & increase the rate of diffusion
waste products and excess water and ions diffuse across the membrane into the dialysis fluid, removing them from the blood.
blood cells and larger molecules like proteins are prevented from leaving the blood

24
Q

what are one of the problems with haemodialysis?

A

patients feel increasingly unwell between haemodialysis sessions because waste products and fluid start to build up in the blood
also each session takes 3 to 5 hours and patients need two or three sessions a week usually in hospital- quite expensive and it’s pretty inconvenient for the patient

25
Q

what happens during peritoneal dialysis to treat kidney failure?

A

before patient can have peritoneal dialysis for the first time, an operation is needed to insert a tube that goes from the outside of the patient’s body into the abdominal cavity
the abdominal cavity is lined with a membrane called the peritoneum
dialysis fluid is put through the tube into the abdominal cavity
it remains in the body whilst waste products from the patient’s blood diffuse out of the capillaries and across the peritoneum into the dialysis fluid
after several hours,the fluid inside the body is drained out and a fresh lot of dialysis fluid is put in
the fluids is left until the next exchange

26
Q

what are pros and cons of peritoneal dialysis?

A

it can be carried out by the patient at home: this either involves around 4 exchanges a day or it can be carried out by machine overnight
the main downside compared to haemodialysis is that there’s risk of infection around the tube and the patient does not have any dialysis free days

27
Q

What is a kidney transplant?

A

new kidney implanted into patients body replacing damaged one
the new kidney has to be from a person with the same blood and tissue type
often donated from a living relative as people can survive with only one kidney
they can also come from other people who recently died (organ donors)

28
Q

what are the pros and cons of kidney transplants?

A

kidney transplants have a lot of pros over dialysis:
cheaper than keeping them on dialysis for a long time
more convenient for a person than having regular dialysis sessions
patient don’t have the problem of feeling unwell between dialysis sessions
there’s also cons to have a kidney transplant:
patient will have to undergo a major operation which is risky
also risk of immune system rejecting the transplant- the patient has to take drugs to suppress it

29
Q

how do you test for pregnancy?

A

a stick is used with an application area that contains monoclonal antibodies for hCG bound to a coloured bead (blue). monoclonal antibodies are all identical to each other
when urine is applied to the application area any hCG will bind to the antibodies on the beads the urine moves up the test, carrying the beads with it
the test strip has antibodies to hCG stuck in place (immobilised)
if there is a hCG present, the test strip turns blue because it immobilised antibodies bind to any hCG attached to the blue beads concentrating the blue beads in that area
if no hCG is present, the beads will pass through the test area without binding to anything and so it won’t go blue

30
Q

what are anabolic steroids?

A

they are drugs that build-up muscle tissue e.g. testosterone
some athletes are banned from taking anabolic steroids to stop the misuse of steroids that can have dangerous side effects causing liver damage
it’s considered unfair for some athletes to use steroids
taking steroids can have positive effects on performance as it increases strength and power due to the build up of muscle tissue

31
Q

how do you test for steroids in urine?

A

urine tested for steroids in gas chromatography
the urine sample is vaporised and passed through a column containing a polymer
different substances move through the column at different speeds so substances in the urine sample separate out
once the substances have separated out, a mass spectrometer converts them into ions and separates them depending on their mass and charge
the results are analysed by a computer and by comparing them with the results of known substances it’s possible to tell which substances were in the urine sample

32
Q

how do you test for recreational drugs in urine?

A

starts with test strips that contain antibodies that the drug being tested for will bind to
urine is applied to the test strip and if a certain amount of the drug is present a colour change will occur, indicating a positive result
if this first test shows a positive result, a sample for urine is usually sent for further testing to confirm which drugs have been used
the second test uses gas chromatography and mass spectrometry