Final Lecture Test Flashcards
What is the renal capsule?
fibrous connective tissue that surrounds each kidney..
What is the perirenal fat?
Fat that engulfs the renal capsulse and acts as a cushion.
What is the renal fascia?
a thin layer of loose connective tissue that anchors the kidneys and surrounding adipose to the abdominal wall.
What is the hilum of the kidneys?
This is where the renal artery and nerves enter and renal vein and ureters exit kidneys.
Opens into the renal sinus (cavity filled with fat and loose connective tissue)
What is the cortex of the kidney?
outer area of kidneys, contains renal columns that are part of cortical tissue running to medulla.
What is the medulla?
This is the inner area of the kidneys that surrounds the renal sinus.
Also contains the renal pyramids whose base is the boundary between cortex and medulla and the apex (renal papilla) points towards the sinus.
What are the calyces?
Minor: papillae extend into minor calyx.
Major:converge to form pelvis.
What is the renal pelvis?
an enlarged chamber formed by the major calyces.
What are the ureters?
These are the tubes that exit the hilum and got o the urinary bladder.
What are the funtions of the kidney?
–ultrafiltration of blood (pressure driven proccess, plasma is filtered)
–Regulation of:
Blood volume (blood pressure and osmolality)
Concentration of blood solutes (Na,Cl,K,Ca,HPO)
Acid-base balance (excrete H, absorb HCO)
–Excretion of waste (urea, creatinine, uric acid, drugs) LESS THAT 1% OF FILTERED, IS EXCRETED
–Production of hormones:
Erythropoietin - RBS synthesis
Activation of Vitamin D - from calcidiol to calcitriol by hydroxylation
Renin - Regulation of blood pressure
What is the functional unit of the kidney?
The nephrons.
What structures make up the nephron?
Renal corpuscle Proximal tubule loop of henle (descending and ascending limb) distal tubule 1 million in each kidney
Is the collecting duct part of the nephron?
NO
What are the two types of nephrons?
Cortical: These have loops of henle that don’t extend deep into the medulla (80-85%) NO VASA RECTA, JUST PERITUBULAR ARTERIOLES
Juxtamedullary: Have nephrons that extend deep into the medulla (15-20%) HAVE VASA RECTA
Are the kidneys the only source of erythropoietin?
No, it is just has the most, therefore if someone was in kidney failure they could still make RBCs
Which nephron has vasa recta?
Juxtamedullary
What is the difference between the parietal and the visceral layers of the bowmans capsule?
The visceral layer is the cells directly on top of the capillaries (glomerulus), these are called podocytes. They are not very close to the parietal layer.
The parietal layer is the outside layer of the capsule.
What structures form the filtration membrane?
Podocyte cell processes
Basement membrane
Capillary endothelium
What structures form the juxtaglomerular apparatus?
Juxtaglomerular cells RING OF SPECIALIZED SMOOTH MUSCLE (produce and secrete renin)
Macula Densa
What cells secrete renin?
Juxtaglomerular cells.
What determines the glomerular capillary pressure?
The afferent arteriole has a larger diameter than a efferent arteriole.
This creates a pressure.
Where in the nephron is most of the filtered water and solutes reabsorbed?
Proximal convoluted tubule WATER FOLLOWS
Are both limbs of the loop of henle similar in structure?
They are different in terms of structure.
Which limb of the loop of henle is not permeable to water?
Ascending limb, therefore the descending vasa recta do not have aquaporin channels.
Are the limbs of the loop of henle similar in terms of function?
The descending limb is permeable to water and allows reabsorption of water PASSIVELY
The ascending limb allows for solutes to be reabsorber and doesn’t have any water channels.
Which 3 hormones act on the distal tubules and the collecting ducts?
ADH - Increases water reabsorpbtion making urine more concentrated.
Aldosterone - Na+ reasbsorbed, water follows by osmosis, making urine more concentrated.
Atrial natriuretic hormone - Na+ reabsorbtion and ADH are inhibited, making urine more dilute