Kidneys Flashcards

1
Q

What does Vasopressin/ADH regulate?

A

body fluid osmolality - ratain H2O

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2
Q

Where is vasopressin released from?

A

Supra-optic and paraventicular nucleas - POSTERIOR PITUITARY - PITUITARY GLAND.

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3
Q

How does ADH release change according to body fluid osmolality.?

A

As body fluid osmolality increases, so does the release of vasopressin (retains water)

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4
Q

What happens to ADH in central diabetes insipidus?

A

ADH/vasopressin is not released

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5
Q

What happens to ADH in nephrogenic diabetes insipidus?

A

There is no response VP as a defect in vasopressin receptor + H2O channel.

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6
Q

What does aldosterone regulate?

A

Plasma K+ and Na+ and body fluid volume.

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7
Q

What type of hormone is aldosterone?

A

A mineralocorticoid

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8
Q

Where is aldosterone released from?

A

The zona glomerulosa (outer area) in the adrenal cortex of the adrenal gland.

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9
Q

What causes the release of aldosterone?

A

Decrease in Na+, Decrease in ECF volume. Increase in K+

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10
Q

What does aldosterone cause?

A

Reabsorption of Na+ and H2O, Secretion of H+ and K+

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11
Q

Why does aldosterone have little effect on Na+ conc?

A

Because vasopressin fixes these levels more quickly

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12
Q

What hormone does aldosterone coordinate with to retain ECF volume?

A

Renin-angiotensin

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13
Q

Name 2 aldosterone related disorders/diseases

A

liddles syndrome, pseudohypoaldosteronism

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14
Q

What happens in liddles syndrome?

A

Hypertension, Na+ reabsorption but low aldosterone as too many Na+ channels.

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15
Q

WHat happens in pseudohypoaldosteronism?

A

Hypotension. Salt lost but high aldosterone as there is a loss of response to aldosterone.

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16
Q

What does renin-angiotensin regulate?

A

plasma Na+, k+ and ECF volume.

17
Q

Where is angiotensin released from?

A

juxtaglomerular apparatus (JGA)

18
Q

What are the effects of angiotensin II ?

A

Increase in plasma Na+ and ECF volume, increase in blood pressure (causes vasoconstriction)

19
Q

What is the macula densa sensitive to?

A

tubular flow rate and NaCl

20
Q

What converts angiotensin I into angiotensin II?

A

ACE - angiotensin converting enzyme.