Kidney histology Flashcards

1
Q

What is found in the kidney hilum

A

Renal pelvis and major vessels

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2
Q

What is found in the renal cortex

A

Renal corpuscles

Convuluted tubules

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3
Q

What is found in the renal medulla

A

Medullary pyraminds
Loops of Henle
Collecting duct
Vasa recta

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4
Q

Describe the sequence of branching of the renal artery

A
Renal artery
Main branch renal artery artery
Interlobar artery
Arcuate artery
Interlobular artery
Afferent arteriole
Glomerulus
Efferent arteriole
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5
Q

What supports the bowmans capsule

A

Mesangial cells and extracellular matrixx

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6
Q

What makes up the renal corpuscle

A

Bowmans capsule
Glomerulus
Mesangium

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7
Q

What are the 3 elements of the glomerular filtration barrier

A

Fenestrated capillary endothelium
Basement membrane
Podocyte layer of Bowmans capsule

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8
Q

What is absorbed in the proximal convuluted tubule? In what percentages

A

70-80% of water
100% of amino aicds and glucose
Some bicarbonates

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9
Q

What is secreted in the proximal convuluted tubule

A

Hydrogen ions

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10
Q

Describe the histological appearance of the proximal convuluted tubule

A

Microvilllus brush border
Endocytotic vesicles
Lysosomes

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11
Q

What epithelium is found in descending limb of the loop of henle

A

Simple squamous epithelium

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12
Q

What is the descending limb of the loop of Henle permeable to?

A

Urea and water

Less permeable to Nacl

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13
Q

What is ascending limb of loop of Henle permeable and impermeable to

A

Impermeable to water

Allows some NaCl diffusion

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14
Q

What epithelium is found in the ascending limb of the loop of henle

A

Simple cuboidal

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15
Q

What is activelly transported out of the ascending limb of henle

A

Na+ (without water)

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16
Q

2 functions of the distal convuluted tubule

A

1) Water balance

2) Electrolyte and acid/ base balance

17
Q

How does distal convuluted tubule help control water balance

A

Tubules reabsorb water in the presence of adh

18
Q

How does distal convuluted tubule help control electrolyte and acid base balance

A

Na+ reabsoption coupled to K+

H+ secretion under control of aldosteronre

19
Q

Describe the histological appearance of the distal convoluted tubule

A

Simple cuboidal epithelium
Few microvilli or endocytotic vesicles
Basal or lateral interdigitations reflecting ion transport requirements

20
Q

What is the mucula densa

A

Specialised region at vascular pole of nephron- part of juxtaglomerular apparatus

21
Q

Function of the justaglomerular apparatus

A

Regulates blood pressure and volume

22
Q

What cells make up the juxtaglomerular apparatus

A

Juxtaglomerular cells
Macula densa
Extraglomerular mesangial cells

23
Q

What is the role of the juxtaglomerular cells

A

Afferent arteriole senses decreases in the blood pressure and secretes more renin

24
Q

What does the macula densa detect

A

Decreased sodium content of distal tubule

25
What epithelium is found in the collecting duct
Simple cuboidal--> columnar epithelium
26
What epithelium is found in urinary passageways
Transitional epithelium
27
What junctions are found in mucosa of urinary pathways
Tight junctions
28
Is there a lamina propria in urinary passageway? What about muscularis mucosae
Lamina propria but no muscularis mucosae
29
What kind of muscle is found in urinary passageways
Smooth
30
What are the layers of the urinary passageways
- Innermost longitudinal (loose spiral) - Middle circular (tight circle) - Outermost longitudinal (loose spiral) beginning at lower ureter
31
Where do the ureters enter the bladder
Posterolateral wall
32
How is backflow from the bladder prevented
Filling closes the lumen
33
What forms the internal sphincter at beginning of urethra
Middle circular smooth muscle layer