Kidneys Flashcards

1
Q

Uriniferous tubule

A

Nephron + collecting tubule

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2
Q

Renal Corpuscle

A

Golmerulus + Bowman’s capsule

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3
Q

What is meant by the lobe of the kidney?

A

Consists of medullary pyramid + associated cortex and half renal columns on either side

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4
Q

If you looked at a medullary ray, what would be the dominant feature?

A

It contains collecting tubules

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5
Q

What does the cortical labyrinth consists of?

A

Renal corpuscles and convoluted tubules - not the medullary ray

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6
Q

Follow the course of blood through the kidney

A

renal artery –> segmental arteries –> interlobar arteries –> arcuate arteries –> interlobular arteries –> afferent arterioles –> glomerular capillaries –> efferent artieroles –> cortical capillary plexus –> drains into interlobular veins or vasa recta.

Both interlobular arteries and vasa recta connect to the arcuate veins – interlobar veins –> real veins

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7
Q

Where does the capillary plexus in the cortical labyrinth come from?

A

Efferent Arterioles

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8
Q

What is unusual about the embryonic development of the nephron and the collecting ducts?

A

Come from different embryonic origins and must connect during embryogenisis

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9
Q

Which tubules in the cortex are located in the center of a lobule of the kidney?

A

Collecting ducts (all uriniferous tubules drain into collect duct)

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10
Q

Where are the renal corpuscles located in the cortex?

A

85% of renal corpuscles are in the upper cortex

15% are juxtamedullary

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11
Q

What is different between the uriniferous tubules and juxtamedullary renal corpuscles?

A

?

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12
Q

What is the barrier between the blood and the urinary space in the renal corpuscle?

A

Fenestrated endothelium, basement membrane, and podocytes with slits between pedicles

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13
Q

What is the structure of the visceral and parietal layer of bowman’s capsule?

A

Visceral - podocytes

Parietal - simple squamous

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14
Q

What is the function of mesangial cells?

A

Clean deposited proteins of the basement membrane

- have myosin/actin - thought to help with blood flow

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15
Q

What is unusal about the BM of glomerulus?

A

thick and neg charged (GAG) repels proteins in blood

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16
Q

What is the progression of filtrate through the uriniferous tubules?

A

proximal convoluted tubule, loop of henle (thick/thin desc. thin/thick asc limbs), distal convoluted tubule, collecting tubule, collecting duct

17
Q

What is the structure of the wall of the distal convoluted tubules?

A

simple cuboidal, no brush border

18
Q

on an H&E stain, how do you distinguish between PCT, DCT?

A

PCT - pink, mitochondria, brush border, taller

DCT - closer nuclei

19
Q

A renal lobule is defined by?

A

All of the nephrons that drain into a single collecting duct

20
Q

What is the structure of the thin limbs of henle?

A

simple squamous

21
Q

Why are the thin desc and asc limb adjacent to one another?

A

Allows countercurrent exchange of sodium to preent dilution of the sodium concentration in the renal medulla

22
Q

What is the function of the thick limb of Henle?

A

Impermeable to water, has sodium pumps to produce high conc in interstitium

23
Q

What is the structure of the collecting duct?

A

narrow to wide, simple cuboidal to columnar, and prominent later infoldings

  • principal cells (aquaporins)
  • intercalated cells (a and b - involved with H+/HCO2 secretion)
24
Q

What hormone has has the most powerful on collecting ducts?

A

ADH - allows water to be reabsorbed into the medulla of kidney and picked up by vasa recta

25
Components of JG apparatus?
The macula dense (specilization of DCT that detects NA and fluid levels). JG cells = modified SM that secrete renin. Mesangial cells = vaccuum
26
What is the pathway for urine from the medullary pyramid outward?
Collecting ducts open into the renal papilla --> minor calux --> major calyx -- renal pelvis --> ureter -> bladder --> urethra
27
What is the epithelium that lines the lower urinary tract?
urothelium/transitional epithelium. Changes shape. Has prominent terminal bars
28
What are the layers of the ureter?
Thick lamina propria, no submucosa, thick muscularis (3 layers), and adventia
29
What is the structure of urinary bladder?
It has lining of urothelium on lamina propria, no submucosa, thick smooth muscle (detrusor), adventia
30
Nephron?
Function unit of kidney from renal corpuscle through the distal convuluted tubule - not including the collecting tubule or duct