Glomerular Function Flashcards

1
Q

Describe the renal blood flow

A
  1. Renal artery
  2. Segmental arteries
  3. Interlobar arteries
  4. Arcuate arteries
  5. Interlobular arteries
  6. Afferent arterioles
  7. Glomerular capillaries
  8. Efferent arterioles
  9. Peritubular capillaries
  10. Interlobular veins
  11. Arcuate veins
  12. Interlobar veins
  13. Renal vein
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2
Q

What are the factors determining GFR?

A
  1. Balance of hydrostatic and colloid osmotic forces acting across the capillary membrane
  2. The capillary filtration coefficient (Kf)
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3
Q

What is Kf?

A
  • GFR/NFP

- Determined by the product of permeability and surface area of the capillaries for filtration

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4
Q

What are the membrane layers of the glomerular capillary?

A
  1. endothelium of the capillary
  2. basement membrane
  3. layer of podocytes
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5
Q

What are the layers of Bowman’s capsule?

A
  • Inner visceral layer

- Outer parietal layer

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6
Q

Define nephron

A

Structural and functional unit of kidney

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7
Q

What is juxtaglomerular apparatus?

A

A specialized organ situated near the glomerulus of each nephron

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8
Q

What is the normal urinary output?

A

1 to 1.5L/day

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9
Q

What is the role of renin in the body?

A
  • Converts inactive angiotensinogen into Angiotensin I

- Angiotensin I is converted to Angiotensin II by the converting enzyme

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10
Q

What are the factors which stimulate secretion of renin?

A
  • Decreased arterial blood pressure
  • Reduction in ECF volume
  • Increased sympathetic activity
  • Decreased load of sodium and chloride in macula densa
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11
Q

What are the normal values of GFR?

A

125 mL/minute or 180 L/day

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12
Q

Define glomerular filtration rate

A

The total amount of filtrate formed in the nephrons of both the kidneys per unit time

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13
Q

What is the normal filtration fraction?

A

15 - 20%

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14
Q

Name the pressures, which determine the GFR

A
  • Glomerular capillary pressure (60 mmHg)
  • Colloidal osmotic pressure in the glomeruli (25 mmHg)
  • Hydrostatic pressure in the Bowman’s capsule (15 mmHg)
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15
Q

Name the processes involved in urine formation

A
  1. Glomerular filtration
  2. Tubular reabsorption
  3. Tubular secretion of excretion
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16
Q

What is macula densa?

A
  • part of the DCT near the afferent arteriole, which is formed by tightly packed cuboidal epithelial cells