Kidneys Flashcards

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1
Q

Describe the role of the loop of Henlé in osmoregulation

A
  1. Filtrate moves into the descending limb of the loop of Henlé. Water moves out of the descending limb by osmosis
  2. At the bottom of the LoH (hairpin bend) the filtrate has a low water potential as it has a very high concentration of solutes
  3. Ions rapidly diffuse out of the ascending limb into the medulla which creates a very low WP in the medulla tissues
  4. Further up the ascending limb, ions (Na+, Cl-) are actively transported out of the ascending limb
  5. At the top of the collecting duct, there is a very high WP so water moves out of the collecting duct by osmosis
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2
Q

Describe the role of ADH in osmoregulation

A
  1. osmoreceptors in the hypothalamus detect a low WP
  2. sends signal to posterior pituitary gland which secretes ADH
  3. ADH binds to receptors on the cell surface membrane
  4. Aquaporins fuse to membrane which increases permeability of collecting duct
  5. WP increases and returns to set point
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3
Q

Describe the gross structure of the kidney

A

Cortex, medulla, pelvis
- renal artery, renal vein

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4
Q

State the blood vessels of the liver

A

Hepatic vein (takes blood away)
Hepatic portal vein (wider, blood from intestines/ digestive system)
Hepatic artery (narrow, blood from aorta - into liver)

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5
Q

State 3 functions of the liver

A
  • glycogen storage
  • detoxification
  • deamination
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6
Q

Define excretion

A

Removal of metabolic waste products from the body

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7
Q

Explain each function of the liver

A

Detoxification
- hepatocytes secrete catalase which breaks down hydrogen peroxide
- hepatocytes release alcohol dehydrogenase
Ethanol —> Ethanal Ethanal —> ethanoate

Ethanol is absorbed and transported in the blood until it reaches hepatocytes
Hepatocytes release enzyme alcohol dehydrogenase which converts ethanol into ethanal

Deamination
- remove amine group from amino acid
- forms ammonia (toxic and highly soluble)
- ornithine cycle
- urea is produced

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8
Q

How do freshwater fish, mammals and birds excrete

A

Freshwater fish- ammonia
Mammals- urea
Birds- uric acid

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9
Q

Where does ultrafiltration occur

A

Glomerulus

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10
Q

What happens in ultrafiltration

A
  • Salts, water, urea and glucose diffuse out of the glomerulus into the bowman’s capsule
  • WBC’s, RBC’s, platelets are too large to pass through fenestrations in B.C
    Afferent and efferent arterioles
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11
Q

What makes up glomerular filtrate

A

Water, urea, amino acids, inorganic ions

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12
Q

Where does selective reabsorption occur

A

PCT

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13
Q

What 4 things are selectively reabsorbed

A

Glucose, water, sodium, amino acids

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14
Q

3 adaptations of PCT

A
  • microvili (large SA)
  • mitochondria
  • Co transporter molecules
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15
Q

3 things DCT does in selective reabsorption

A
  • pH regulation
  • ion reabsorption
  • water reabsorption
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16
Q

5 causes of kidney failure

A
  • blood loss
  • high BP
  • overuse of certain drugs
  • infection
  • diabetes
17
Q

What happens if kidneys fail

A
  • urea, water, salts, toxins are not excreted
  • this leads to a build up toxins in blood
  • less blood is filtered, glomerular filtrate rate decreases
  • electrolyte balance is disrupted
18
Q

What problems occur if electrolyte balance is disrupted

A

K+ = abdominal cramps, muscle spasms, paralysis, cardiac arrest
Na+ = muscle spasms, general weakness, high BP, disorientation

19
Q

Define dialysis

A

Filtering of blood through a partially permeable membrane

20
Q

Describe the process of Haemodialysis

A
  • blood passes through tubes of dialysis membrane surrounded by dialysate
  • blood and dialysate flow in opposite directions - maintain concentration gradient
  • lasts ~3 hours
  • heparin (blood thinner) is given to prevent blood clots
21
Q

Drawbacks and side effects of haemodialysis

A

Drawbacks
- required several times a week for 3 hours
- restricts diet (low salt intake)
- decreases lifespan by 5-10 years

Side Effects
- muscle cramps
- low BP
- weakness
- nausea

22
Q

What is a kidney transplant

A

One kidney is replaced by a donor
- donor and recipient must have a compatible blood type

23
Q

Benefits and drawbacks of kidney transplant

A

Benefits
+ long term
+ better quality of life & freedom
+ no diet restrictions
+ cheaper

drawbacks
- must take immunosuppressants for life
- not enough donors for demand
- risk of rejection
- risks of surgery
- vulnerable to infection

24
Q

What 4 molecules/ions can urine testing be used for & problems with them

A

Proteins - high BP, kidney infection
Glucose/ketones -diabetes
Nitrate ions- bacterial infection, UTI

25
Q

How are anabolic steroids tested for

A
  • gas chromatography
  • mass spectrometry
26
Q

How do pregnancy tests work

A

First Zone
Mobile monoclonal antibodies bind to hCG bind to layer of fixed antibodies

Second Zone
Antibodies that didn’t bind to hCG bind to a second layer of antibodies (control line)

27
Q

What substances undergo detoxification in the liver

A
  • alcohol
  • hydrogen peroxide
  • lactate
  • medicinal drugs