Kidney Flashcards

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1
Q

cortex of the kidney

A
  • outer layer
  • filters the blood
  • dense capillary network- carries blood from renal artery to nephrons
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2
Q

medulla of kidney

A
  • lighter
  • contains tubules of the nephrons
  • forms the pyramids + collecting duct of the kidney
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3
Q

pelvis

A
  • central chamber

- urine collects before passing out down the ureter

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4
Q

bowman’s capsule

A
  • cup-shaped structure
  • contains glomerulus (tangle of capillaries)
  • more blood goes into glomerulus than leaves bc of ultrafiltration.
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5
Q

Proximal convoluted tubule

A
  • first, coiled region of the tubule after the bowman’s capsule
  • in cortex
  • substances needed by body are reabsorbed
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6
Q

Loop of Henle

A
  • long loop of tubule
  • creates region with high solute conc in TF in medulla.
  • the descending loop runs down from cortex through the medulla to bend at the bottom of the loop
  • ascending limb travels back up through the medulla to the cortex.
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7
Q

distal convoluted tubule

A
  • second twisted tubule
  • fine tuning of water balance
  • permeability of the walls to water sensitive to ADH in the blood
  • ion balance and blood pH regulation .
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8
Q

collecting duct

A
  • urine passes down the CD through the medulla to the pelvis.
  • more fine tuning of water balance (sensitive to ADH)
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9
Q

describe ultrafiltration

A
  • removal of nitrogenous waste
  • osmoregulation in the blood
  • glomerulus is supplied with blood from the wide afferent arteriole from the renal artery
  • blood leaves through the narrower efferent arteriole
  • high pressure in capillaries of glomerulus.
  • blood is forced out of capillary wall
  • fluid passes through basement membrane
  • most of fluid can pass through
  • blood cells and proteins with an RAM bigger than 69000 cannot pass due to their size.
  • podocytes (wall of BC) act as an additional filter
  • have extensions : pedicels.
  • pedicels wrap around capillaries forming slits
  • slits ensure any large cells, platelets or plasma proteins that made it past the epithelial cells/BM don’t get into the tubule
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10
Q

what is the glomerular filtration rate

A

volume of blood filtered through the kidneys in a given time

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11
Q

events in the PCT

A
  • selective reabsorption
  • of glucose and amino acids
  • by active transport via co-transporter
  • water follows via osmosis down CG
  • conc of ions/urea inc
  • walls PCT lined with epithelium
  • epithelium have microvilli
  • large SA for uptake
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12
Q

events in the loop of henle

A
  • filtrate entering DL is isotonic with the blood,
  • water leaves by osmosis into conc tissue of medulla
  • water into blood of capillaries down CG
  • CG maintained along the DL
  • concentrated solution at hairpin (hypertonic to blood)
  • Bottom of AL perm to NaCl which diffuse out
  • equilibrium is reached
  • Na+ is actively pumped out
  • Cl- follow down ECG
  • walls of AL imperm to water
  • water can’t follow by osmosis
  • high conc of ions in TF of medulla
  • filtrate is dilute and hypotonic to the blood
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13
Q

events in DCT

A
  • Perm of walls varies with ADH levels
  • walls have a lot of mitochondria supplying ATP for AT
  • Na+ AT if body lacks salt
  • Cl- follow down ECG
  • further concentrates the medulla
  • water can osmote out
  • conc the urine
  • blood pH balanced
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14
Q

events in the CD

A
  • perm of CD controlled by ADH levels
  • if ADH present water osmotes out into TF of renal medulla
  • urine is more conc
  • conc of Na in TF of medulla increases maintaining cg
  • urine hypertonic to blood when needed to conserve water.
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15
Q

what is fenestration

A
  • gaps in capillary endothelial

- where water can be forced out .

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16
Q

what is basement membrane made of

A
  • collagen fibres
17
Q

how to calc net filtration pressure

A

blood pressure in glomelular - hydrostatic pressure in capsular.

18
Q

what receptor detech blood pressure

A

baroreceptor

19
Q

when your dehydrated how is the water content increased

A
  • water potential drops
  • detected by osmoreceptors in the hypothalamus
  • posterior Pit gland stimulated to release ADH
  • more ADH = DCT + CD are more perm
  • more water reabsorbed into blood by osmosis
  • small vol of highly conc urine
  • less water is lost
20
Q

when you are hydrated how does water content reduce

A
  • water potential rises
  • detected by osmoreceptors in hypothalamus
  • posterior PG releases less ADH
  • less ADH = CD + DCT are less perm
  • less water reabsorbed into the blood by osmosis
  • large vol of dilute urine produced
  • more water is lost.
21
Q

compare processes in DCT and PCT

A
  • both involve co-transporters
  • both use AT
  • both involve selective reabsorption
  • both use Na+
  • DCT involves Ca2+
  • co transport in DCT involves ions only/PCT uses glucose
  • PCT involves ion and molecules (glucose)