Excretion in Humans Flashcards

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1
Q

What is anabolism?

A

Chemical reactions where simple substances are built up into more complex ones

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2
Q

What is catabolism?

A

Chemical reactions in which complex substances are broken down into simpler ones

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3
Q

What is metabolism?

A

The sum of all chemical reactions in the body

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4
Q

When is water formed during metabolism?

A
  1. Cellular respiration
  2. Condensation reactions
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5
Q

When are salts produced during metabolism?

A

Reactions between acids and bases (eg. stomach to intestines)

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6
Q

What are the 3 main types of nitrogenous wastes?

A
  1. Urea
  2. Uric acid
  3. Creatinine
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7
Q

Why is excretion necessary?

A

To ensure that metabolic wastes and toxic substances do not accumulate to a level that becomes harmful to our body.

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8
Q

Describe the structure of the kidneys

A
  • Two main regions, renal cortex (outer( and renal medulla (inner)
  • In the renal medulla there are renal pyramids
  • In the kidney there are also numerous nephrons, spanning between the medulla and the cortex
  • There are two blood vessels to the kidney, the renal artery and vein
  • The kidney also connects to the ureter that is a tube leading to the bladder
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9
Q

Describe the structure of a nephron

A
  1. Bowman’s capsule: Cup like structure, found in outer region of kidney
  2. Glomerulus: A knot of blood capiliaries in the Bowman’s capsule
  3. Afferent arteriole: Small branch of the renal artery that carries blood into the glomerulus
  4. Efferent arteriole: Transports blood away from the glomerulus
  5. Proximal convoluted tubule: Convoluted tubule that straightens out into the medulla
  6. Loop of Henle: U shaped portion that extends deeper into the medulla and back into the cortex
  7. Distal convoluted tubule: Tubule that enters into the medulla again and becomes convoluted again
  8. Collecting duct: Several nephrons open and empty their contents into the collecting duct which connects to the ureter
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10
Q

What are the two processes of urine formation?

A
  1. Ultrafiltration
  2. Selective reabsorption
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11
Q

Describe the process of ultrafiltration

A
  1. High blood pressure in the glomerulus: afferent arteriole wider than efferent arteriole, creates high blood pressure known as hydrostatic pressure–> forces blood plasma out of glomerulus and into Bowman’s capsule
  2. Selectively permeable membrane of the basement membrane that wraps around the glomerulus only allows small molecules like water, glucose, amino acids, urea and others to pass through.
  3. These form the glomerular filtrate that enter the Bowman’s capsule while larger particles remain in the glomerulus and pass into the efferent arteriole
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12
Q

Describe the process of selective reabsorption

A
  1. The recovery of essential substances from glomerular filtrate
  2. In the proximal convoluted tubule, all glucose and amino acids, most water and mineral salts are reabsorbed via diffusion, osmosis and active transport into the surrounding blood capiliaries and transported out of the kidney through the renal vein (80% of filtrate reabsorbed here)
  3. In the loop of Henle some water is reabsorbed
  4. In the distal convoluted tubule some salts and water is reabsorbed
  5. In the collecting duct, some water is reabsorbed
  6. Substances that remain in the tubule (urea, uric acid, creatinine, excess water) will then be excreted as urine
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13
Q

What substances can be found in healthy urine?

A

Urea, uric acid, creatinine, excess water and mineral salts

Absolutely no glucose, proteins,

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14
Q

Define

Osmoregulation

A

The control of water potential and solute concentration in the body to maintain a relatively constant water potential in the body

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15
Q

How does osmoregulation take place in the body?

A

Low water potential in body
1. Osmoreceptors in the hypothalamus monitor the water potential of the blood
2. Antidiuretic hormones (ADH) is produced in the hypothalamus and released by the pituitary gland (below the hypothalamus)
3. ADH increases water reabsorption by increasing the permeability of kidney tubules to water in 2 regions: distal convoluted tubule and collecting duct

Vice versa for high water potential

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16
Q

What are some causes of kidney failure?

4 causes

A
  1. Medical conditions (high blood pressure, diabetes etc)
  2. Heavy alcohol consumption
  3. Bacterial infection
  4. Major surgery or injury to the kidneys
17
Q

What are some symptoms of kidney failure?

2 symptoms

A
  1. Decreased urine output
  2. Fluid retention, causing swelling in legs, ankles or feet
18
Q

What treatment options are there for kidney failure?

A
  1. Kidney transplant
  2. Dialysis
19
Q

What is the function of dialysis and how does it work?

A

A dialysis machine mimics the function of the kidneys. It cleans the patient’s blood from metabolic waste products and toxins

  1. Blood is drawn from a vein and pumped through a dialysis machine
  2. Dialysate is pumped into the machine as well
  3. The tubing wall -that the blood is within- is partially permeable, allowing small molecules (such as the waste products) to diffuse out of the tubing and into the dialysate while large molecules remain
  4. The dialysate with the waste products is drained out of the machine and filtered blood is returned to the vein in the patient’s arm.
20
Q

What are some features of a dialysis machine?

4 features

A
  1. Same concentration of essential substances in dialysate and blood; no net movement of essential substances
  2. Absence of metabolic waste products in dialysate; creates a steep concentration gradient for waste products to diffuse out of the blood
  3. Tubing of dialysis machine is long, narrow and coiled; increase SA:V ratio, rate of exchange of substances
  4. Countercurrent flow in dialysis machine; direction of blood flow opposite to flow of dialysate; creates a larger portion of machine with a steeper concentration gradient
20
Q

How does solute concentration affect blood pressure?

A
  1. If there is a high solute concentration; there will be a low water potential, hence water will diffuse in by osmosis and increase the volume of blood, increasing blood pressure
  2. If there is a low solute concentration, there will be a high water potential, hence water will diffuse out by osmosis and decrease the volume and fluidity of blood, decreasing blood pressure and efficiency of flow
20
Q

What causes kidney stones?

A
  • Chemicals are found in high concentration in urine, may form crystals.
  • These crystals can grow into larger stones and make their way through the urinary tract
  • If they get stuck, it can cause pain
20
Q

What are symptoms of kidney stones?

4 symptoms

A
  1. Feeling of intense need to urinate
  2. Urinating more often
  3. Burning feeling during urination
  4. Urine that is dark or red due to blood
20
Q

What are some treatments for kidney stones?

3 treatments

A
  1. Wait for it to pass
  2. Surgery
  3. Shock wave lithotripsy
21
Q

How does high blood pressure cause kidney failure to occur?

A

With high blood pressure, the amount of pressure exerted by the afferent arteriole is very high onto the capiliaries of the glomerulus. The capiliaries cannot withstand so much pressure and rupture, disrupting blood flow into the nephron.