Final Exam Lecture 4 Flashcards
If no Impediment to filtration, the tip of Bowman’s capsule should have the same fluid composition as what?
What was filtered from the Glomerular Capillaries
What organ is the long term BP and pH regulator?
*Short Term pH regulator
Kidney
*Lungs
If your HCT is low, what will the Kidneys release in order to increase RBC production?
EPO
How do the kidneys regulate pH?
Produce Bicarb and rid excess protons
What is an example of nitrogenous compounds in DM2?
Urea
What hormone does the kidney use to regulate osmolarity?
ADH
In order from Large to small, list the Renal Arteries
Renal Artery - Segmental Artery - Interlobar Arteries - Arcuate Arteries - Interlobular Arteries
In order from in to out, list the Renal Veins
Interlobular veins - Arcuate veins - Interlobar Veins - Segmental Veins - Renal Vein
What is the functional unit of the kidney
Nephron
How many nephrons do we have?
*Per each kidney?
2 million
* 1 million each
90-95% of Nephrons are which kind?
*Where do their capillaries dip into?
*Superficial or Deep
Cortical Nephrons [Superficial]
*Outer medulla
5-10% of Nephrons are which kind?
*What are their capillaries called
*Superficial or Deep
Inner Medullary Nephrons
*Vasa Recta
*Deep
In the Vasa Recta, are there more ascending or descending portions?
*Why
More ascending than descending
*b/c it slows blood velocity, which keeps solutes from being washed out in the deep inner medullary interstitium
If ascending vasa recta blood flow is increased, what would happen to inner medullary osmolarity?
It would be decreased, as you are washing out all of the solutes
Which part of the kidney/nephrons is most sensitive to hypotension/ischemia?
Inner medullary Nephrons
Kidney is inferior to which 2 structures per lecture?
Diaphragm and Mesenteric Arteries
The R Kidney touches which organs: Superior to Inferior
*Which Quadrant
Liver, Colon
*RUQ
The L Kidney touches which organs: Superior to Inferior
*Which Quadrant
Stomach, spleen, pancreas, colon
*LUQ
If a Pt has a kidney stone, where is pressure elevated?
Upstream from the stone, up the ureter as no place for urine to leave
What does the prostate wrap around
*What happens in Prostate Cx
The urethra
*Increase constriction, so trouble emptying bladder
Who was the famous chemist who had Prostate Cx and took Vitamin C
Lynus Paulene
Where is the Pudendal Nerve Located
*Functions
S2, S3, S4
*Erection, bowel, bladder
What are the 3 segments of the Loop of Henle
DThL, AThL, TAL
Where is the Macula Densa Located
*Function
TAL
*Speedometer to tell the kidney how much to filter and help control GFR
Where are JG cells located?
Afferent and Efferent Arterioles
What do JG cells release?
Renin
If you have low Renal Blood Flow, how do the JG cells react?
Release Renin = Angiotensin 2
*Constrict Efferent Arteriole to increase Glomerular Capillary Pressure and GFR
If you have high Renal Blood Flow, how do the JG cells react?
Slow Release Renin = Less Angiotensin 2
*Dilate Efferent Arteriole to decrease Glomerular Capillary Pressure and GFR
What is CL
Qty of Plasma cleared of a substance per unit of time
Increased Renal CL means what
Clearing high amounts of a compound
Decreased Renal CL means what
Clearing low amounts of a compound
- Arcuate Arteries and Veins
- Interlobar Arteries and Veins
- Renal Artery
- Renal Vein
- Segmental Arteries
- Interlobular Arteries and Veins
- Proximal Convoluted Tubule
- AA and EA
- Straight Proximal Tubule
- Descending Thin Limb
- Ascending Thin Limb
- Ascending Thick Limb
- Glomerulus
- Bowman’s Capsule
- Macula Densa
- Distal Convoluted Tubule
- Proximal Tubule
- Podocytes
- AA
- EA
- Bowman’s Capsule
- Slit Pores
- Fenestrations
- Endothelium
- Basement Membrane
- Epithelium
- R Suprarenal Gland
- L Suprarenal Gland
- Hepatic Surface
- Colic Surface
- Gastric Surface
- Splenic Surface
- Pancreatic Surface
- Colic Surface
- R kidney
- L kidney
- Suprarenal Glands
- Mesenteric Arteries
- Abdominal Aorta
- Ureters
- Interlobar Artery
- Segmental Artery
- L Renal Artery
- Interlobular Artery
- Arcuate Artery
- Segmental Artery
- L Kidney
- Cortex
- Outer Medulla
- Inner Medulla
- Interlobular Artery
- Arcuate Artery
- Efferent Arteriole
- DVR
- AVR