intro lecture Flashcards

1
Q

4 main functions of renal system

A
  • BP control
  • Vit D activation
  • toxin removal
  • RBC production
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2
Q

inner portion of the kidney; goal is to be hyperosmotic

A

meulla

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3
Q

collection of capillaries which leak filtrate into bowman’s space

A

glomerulus

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4
Q

primary site of reabsorption & H+ secretion

A

PCT

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5
Q

sets up concentration gradient for medulla; water passively passes from descending part

A

loop of henle

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6
Q

where ion exchange happens & where JG apparatus is

A

DCT

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7
Q

secondary urine concentration; where ADH acts

A

collecting duct

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8
Q

primary function of the JG complex

A
  • maintain blood flow despite MAP changes
    via Na sensation & BP regulation
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9
Q

what part of the JG apparatus senses sodium?

A

macula densa– sends info back to JG cells

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10
Q

site of synthesis, storage and release of renin

A

JG cells of arterioles

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11
Q

3 mechanisms that cause release of renin

A
  • decreased sodium sensed by macula densa
  • decreased perfusion pressure to kidneys
  • sympathetic nerve activation
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12
Q

4 things angiotensin II does

A
  • arteriole vasoconstriction (raise BP)
  • stimulates ADH secretion (stimulate thirst and raise BP)
  • enhace NaCl reabsorption in proximial tubules
  • stimulates aldostrone secretion
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13
Q

2 things aldosterone does

A
  • hold Na to increase BP (kick out K+)
  • increase salt appetite & thirst
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14
Q

where do Renin inhibitors work (ends in – kiren)

A

stops angiotensinogen activation into angiotensin I

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15
Q

where do ARBs work?

A

at adrenal cortex to stop aldosterone release

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16
Q

ADH/vasopressin is secreted from post pit in response to what two things

A

high Na– to trigger water retention at DCT and collecting duct
low BP

17
Q

2 general EFFECTS of ADH secretion

A

increases water reabsorption
causes vasoconstriction

18
Q

what 2 things inhibits ADH release

A

low Na and high BP

19
Q

3 general causes of prerenal kidney failure

A
  • decreased ECF
  • decreased renal blood flow
  • altered intrarenal hemodynamics
20
Q

2 conditions that can cause decreased ECF resulting in prerenal failure

A

GI losses
hemorrhage

21
Q

2 conditions that can cause decreased renal blood flow causing prerenal failure

A

heart failure
renal artery stenosis

22
Q

5 things that cause altered intrarenal hemodynamics, in turn causing prerenal failure

A
  • medications
  • sepsis
  • hypercalcemia
  • cirrhosis/hepatorenal syndrome
  • abdominal compartment syndrome
23
Q

4 general meds that cause altered intrarenal hemodynamics

A

NSAIDs/COX-2 inhibitors
calcineurin inhibitors
ACE-i
A-II receptor blockers

24
Q

2 general causes of postrenal kidney failure

A
  • anatomic obstruction: bladder outlet or uretral issues
  • tubular obstruction– crystals, drugs, proteins (myeloma cast nephropathy)
25
Q

2 general causes of intrarenal kidney failure

A
  • tubulointerstital disorders– tubular injury or interstitial nephritis
  • glomerular disorders– glomerulonephritis, thrombotic microangiopathies, atheroembolic disease
26
Q

what 2 drugs can cause tubular obstruction

A

indinavir
MTX