kidney failure Flashcards

1
Q

cause of damage to the glomerulus

A

a lot of proteins lost in urine

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2
Q

cause of tubular necrosis?

A

under perfused or low o2 conc to tubules

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3
Q

name 4 fuctions of the kidneys

A

excretion of nitrogenous waste
salt, iron, water homeostasis
secretion of erythroprotein
secretion of renin

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4
Q

what can cause acute renal failure

A

failure of blood to perfuse to the nephron - acute tubular necrosis
acute destruction of part of the nephron - e.g. bac infection

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5
Q

signs and symptoms f renal failure

A

anuria,
electrolyte balance (hyperkalaemia =dysarrhythmia and metabolic acidosis)
high blood urea and creatining

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6
Q

effects of acute tubular necrosis

A

kidneys look pale,
PCT cells hae high 02 demand
tubular cells die so no pumping of ions salt water
kidney swells because little reabsorbed

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7
Q

symptoms of chronic renal failure

A
lowe GFT
polyuria
malaise and lethargy (maybe as anaemia)
high uraemia - confusion and maybe coma
electrolyte imbalance
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8
Q

what does partial renal failure lead to

A

chronic kidney disease

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9
Q

outcomes of nephritic syndrome

A

damage to glomeruli,
oliguria( low output)
unaemia and hypertension
oedema

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10
Q

how does disease cause nephritic syndrome

A

blockage of glomeruli capillary lamina

  1. immune complexes deposited
  2. destroy basement membrane -haemuria
  3. capillary epithelia over proliferates causing a blockage of glomerula capillary lumen
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11
Q

outcome of nephritic failure

A

kidney cant retain proteins
albumenuria
hypoalbumenaemia ( blood conc albumin falls, oedema and RAAS water retention and futher oedema)
oedema

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12
Q

diabetic glomerula disease and membranous nephropathy?

A

immune complex deposited and thicken basement membrane

mesangium obliterates capillary lumen

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