kidney structure and function Flashcards
highly metabolically active and does the bulk of the transport
PCT
counter current flow and selective water/solute permeability responsible for medullary hyperosmolality
look of henle
volume status affects the
sodium balance in urine
sodium in PCT:
- % reabs
- mode of reabs
- regulatory factors
- 55%
- Na/H exchanger and Na-co transporters
- AII, Ne, GFR
sodium in Loop
- % reabs
- mode of reabs
- regulatory factors
- 35%
- Na/K/Cl co transporter
- flow dependent
sodium in DT
- % reabs
- mode of reabs
- regulatory factors
- 5%
- Na/Cl con transporter
- flow dependent
sodium in CT
- % reabs
- mode of reabs
- regulatory factors
- 3%
- Na channels
- aldosterone and ANP
does water must be filtered and not secreted?
yep
creation of a hypertonic medulla
counter current multiplier
creation of a dilute filtrate
water imperm DT
ADH dependent water channel
medulllary CT thus concentrating the filtrate
Ammonia genesis
excretion of additional protons as ammonia w/out increasing the H gradient
potassium excreted in the urine
is secreted by the VT
Vit D hydroxylation does what?
increases gut absorption and bone turnover
vit D. and PTH are sensitive to
tubular reabsorption
sodium loss in urine is ________ at times of hypervolemia, __________GFR and ______ tubular flow rates
sodium loss in urine is increased at times of hypervolemia, increased GFR and high tubular flow rates
sodium loss in urine is _________ at times of hypovolemia, ______GFR and _____ tubular flow rates
sodium loss in urine is decreased at time of hypovolemia, reduced GFR and low tubular flow rates
renin is the response to
volume depletion
renin is stimulated by
- Cl- decrease to
2. B- adrenergic: sympathetic activity
effect of renin release
- increased vascular tone
- sodium reabsorption
- aldo release
which segment of the nephron plays the primary role in clearign toxins?
PCT