Kidney Flashcards

1
Q

What is the urinary system consists of and function

A

Kidney, ureters, urinary bladder and urethra

Remove waste products of metabolism by urine

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2
Q

What shape is the kidney and what is it function

A

PAIRED bean shaped organ

12-cm long, 6-cm wide, and 2.5-cm thick
in adults

Excretory and endocrine function to maintain homeostasis

Situated in retroperitoneal space at level of 12th thoracic and 1-2 lumbar vertebrae

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3
Q

What does each kidney consist of and what is its major fuctional unit

A

Parenchymal organ

Cortex, medulla, calyces

nephron main unit

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4
Q

What is the outer layer of kidney, the medial border and lateral surface

A

Outer layer enclosed by connective tissue and adipose tissue

Concave Medial margin= renal hilum which is continuous woth renal sinus.Nerves enter, the ureter exits, and blood and
lymph vessels enter and exit

Concave lateral surface= covered by connective tissue capsule

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5
Q

What does renal medulla contain (inner)

A

7-18 renal pyramids- base facing cortex, apical to renal sinus

Each pyramid plus the cortical tissue at its base and extending along its sides constitutes a renal lobe.

Medullary rays formed by parallel ducts and tubules from medulla to cortex

. The tip of each pyramid, called the renal
papilla, projects into a minor calyx that collects urine formed
by tubules in one renal lobe.

Contains the tubules and the collecting ducts of the nephron

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6
Q

What does renal cortex contain (outer)

A

Situated between renal capsule and bases of the pyramids

Darker than medulla bc receives 90% of kidney blood supply

Contains the renal corpuscles and convuluted tubules of nephrons

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7
Q

What are calyces

A

Calyces gradually increase in size, starting with the minor calyces, which open into larger major calyces, which empty into the renal pelvis.

From the renal pelvis, the urine passes into the ureter.

The portion of the kidney which contains the calyces, renal pelvis, ureter and renal vessels is called the renal sinus.

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8
Q

What does nephron consist of

A

Renal corpuscle, tubules, single layer of epithelial cells on basal lamina

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9
Q

What is the renal corpuscle

Function is to filter blood

A

In cortex= glomerulus + Bowmans capsule

GLOMERULUS: capillary tuft origin afferent arterioles which merge to form efferent arterioles

BOWMANS CAPSULE: parietal layer with simple squamous and visceral layer with PODOCYTES. Urinary space os the space between these layers where primary urine enters from glomerular filtration

Has vascular pole- afferent and efferernt arteries enter/leave glomerulus

Tubular pole-urinary space continuous with PCT

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10
Q

What are the system of tubules in nephron

A

PROXIMAL TUBULES= long convoluted part in cortex, straight part enters the medulla

LOOP OF HENLE= descending and ascending portions in medulla

DISTAL TUBULES= convulted in cortex regulated by ADH and aldosterone, straight in medulla/cortex

COLLECTING DUCT= From collecting tubules. They merge into papillary ducts (at renal pyramids) Each collecting ducts and all the nephrons that drain into it forms the RENAL LOBULE

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11
Q

Difference between Cortical nephrons and Juxtamedullary

A

Cortical= Corpuscles in outer cortex and short loop of henle

Juxtamedullary= Corpuscles below renal pyramid, close to corticomedullary border and long loop of henle

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12
Q

Difference between the proximal tubules and distal tubules

A

PCT has microvilli which is why it is stained more pink with eoisin in the slides

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13
Q

How is blood filtered by renal corpuscles

A

*Through urinary space, primary urine is received

  • Glomerulus filtration barrier= basal lamina (glomerular basement membrane), fenestrated endothelium, podocytes (visceral layer)
  • podocytes have processes called pedicles. There are filtration slits between these (made of nephrins)
  • the GBM is between the endothelial and podocytes and prevent larger proteins passing through
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14
Q

What is the permeability of the components of the glomerulus filtration barrier

A

fenestrated endothelium>Basal lamina> filtration slits

The fenestrations of the capillary endothelium, which
blocks blood cells and platelets

■ The thick, combined basal laminae, or GBM, which
restricts large proteins and some organic anions

■ The filtration slit diaphragms between pedicels, which
restrict some small proteins and organic anions

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15
Q

What are the glomerular capillary tufts lined with if not covered by podocytes

A

irregularly shaped MESANGIAL CELLS

Contractile, endocytic and phagocytic activiteis

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16
Q

What is the juxtaglomerular apparatus

A

Located adjacent to glomerulus

Regulaes blood pressure
regulates glomerular blood flow and filtration rate

Macula densa, juxtaglomerular granular cells, extraglomerular mesangial cells also interstitial cells