L17 - kidney and urinary histology Flashcards

1
Q

what are medullary rays ( or pyramids )

A

bundles of collecting tubules/ducts

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2
Q

function of medullary rays

A

drain nephrons

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3
Q

what is a lobe

A

medullary pyramid and the region of cortex it connects to

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4
Q

what is the functional unit of the kidney

A

nephron (glomerulus to ureter)

renal corpuscle and renal tubule

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5
Q

what does the renal corpuscle consist of

A

glomerulus and bowmans capsule

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6
Q

what does renal tubule consist of

A

PCT
LOH
DCT
CT

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7
Q

where is the renal corpuscle

A

cortex

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8
Q

is the afferent or efferent arteriole bigger and which direction do they take the blood

A

afferent biggest

afferent towards glomerulus efferent away

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9
Q

does PCT / DCT / CT have the biggest lumen

A

CT

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10
Q

what cells line the bowmans capsule

A

parietal cells

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11
Q

what are the 3 layers of the glomerular filter

A
  1. capillary endothelium (fenestrated)
  2. glomerular basement membrane (thick)
  3. podocytes
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12
Q

describe podocytes

A

branching cells that go from
primary - secondary - tertiary - pedicels
which wrap around the BM

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13
Q

what are pedicels

A

finger like projections of podocytes with gaps in-between called filtration slits

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14
Q

role of glomerular basement membrane

A

prevents large material crossing into filtrate

contains -ve proteins which repel other -ve proteins in the plasma (which is most proteins)(minimising protein lost into filtrate)

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15
Q

order of nephron

A
afferent arteriole 
glomerulus 
bowmans space
PCT
LOH(thin descending -thin ascending -thick ascending) 
DCT
CT 
CD
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16
Q

describe PCT epithelium

A

simple tall columnar with tall microvilli

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17
Q

describe DCT epithelium

A

simple cuboidal no microvilli

18
Q

what is found in PCT epithelium

A

microvilli
vesicles (transport of absorbed material to capillary side)
mitochondria
lysosomes

19
Q

how does epithelium change from PCT through the LOH

A

simple columnar (PCT)
squamos (thin descending)
cuboidal (thick ascending limb)

20
Q

what is the juxtaglomerular apparatus

A

specialisation of afferent arteriole and DCT

21
Q

what lines the DCT?

A

macula densa

22
Q

where are juxtaglomerular cells located

A

adjacent to afferent arteriole

23
Q

where is the macula densa

A

adjacent to the JMA lining the DCT

24
Q

how does epithelium change from collecting tubule - CD

A

cuboidal to columnar

25
what cells are found in collecting tubules
principle cells | intercalated cells
26
what is the epithelium in ureter
transitional
27
describe the structure of ureter
2 layers of smooth muscle, outer circular inner longitudinal
28
what epithelium in bladder
transitional
29
describe layers of bladder
1. epithelium (highly folded to allow stretch) 2. inner longitudinal 3. outer circular 4. outermost longitudinal
30
what do renal veins drain into
inferior vena cava
31
what drives filtration at glomerulus
starling forces
32
what are starling forces?
pressure differences between hydrostatic (out of capillaries) and oncotic pressure
33
the juxtaglomerular complex consists of what cells
1. juxtaglomerular cells 2. macula densa 3. mesangial cells 4. lacis cells
34
function of juxtaglomerular cells
secretere renin - renin angiotensin system
35
function of macula densa cells
reabsorb Na
36
function of lacis cells
store and secrete erythropoietin
37
what are mesangial cells and what is their function
specialised smooth muscle cells that can contract to reduce GFR (glomerular filtration rate)
38
function of principle cells (DCT)
reabsorb Na | secrete k+
39
function of intercalated A cells (DCT)
reabsorb K+ reabsorb HCO3- secrete H+
40
function of intercalated B cells
secrete HCO3- in response to alkalosis