L26 - Kidney - Structure And Blood Filtration Flashcards

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1
Q

What are the structures in the renal system?

A
  • 2 kidneys
  • 2 ureters
  • bladder
  • urethra
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2
Q

What are the functions of the kidney?

A
  • regulation of water, salts, acid-base balance
  • removal of metabolic waste, foreign chemicals
  • gluconeogenesis
  • production of hormones/enzymes
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3
Q

What are examples of hormones/enzymes that the kidney produces?

A
  • erythropoeitin (control RBD production)
  • renin (controls BP and Na+ balance)
  • activates vitamin D (regulates Ca2+)
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4
Q

What is the anatomy of the kidney (in cross section)?

A
  • capsule (separates the kidney from the rest of the body)
  • cortex
  • medulla
  • renal pelvis
  • urether
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5
Q

What is the output like in one kidney?

A
  • contrain 1 mil nephrons
  • feed into collecting ducts
  • feed into ureter
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6
Q

What areas of the kidney can the nephron be found in?

A
  • cortex
  • medulla
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7
Q

What are the sections of the nephron?

A
  • glomerulus
  • bowman’s capsule
  • PCT
  • loop of henle
    -DCT
  • collecting duct
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8
Q

Where does blood filtration occur in the nephron?

A
  • glomerulus
  • bowman’s capsule
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9
Q

What type of relationship is there between blood vessels and the nephron? What does this allow?

A

Intrinsic relationship
- allows fine tuning of waste products

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10
Q

What are the key steps in the function of the nephron?

A
  • glomerular filtration
  • tubular secretion
  • tubular reabsorption
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11
Q

What way does blood flow in from the blood vessel into the bowman’s capsule?

A

Afferent arteriole to the efferent arteriole

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12
Q

What are the blood vessels like at the glomerulus? And why?

A

Bunched up
- increases surface area

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13
Q

What are the epithelial cells like of the blood vessels in the glomerulus? And why?

A

They are more porous
- allows small substances to leave

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14
Q

What are podocytes?

A

Cells with lots of small projections that wrap around the blood vessels
- sieve substances

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15
Q

What do podocytes allow the absorption of?

A
  • water
  • salts
  • glucose
  • a/a
  • urea
  • uric acid
  • creatine
  • small drugs

Anything <8nm

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16
Q

What do podocytes not allow the absorption of?

A
  • cells
  • proteins
  • protein-bound drugs

Anything >8nm

17
Q

What are the main steps of glomerular filtration?

A
  • podocytes surround blood vessels in glomerulus
  • foot-like process create sieve like structure
  • allows free passage of small molecules from blood to kidney tubules
18
Q

What is the glomerular filtration rate (GFR)?

A

Volume of fluid filtered from glomeruli to bowman’s space per unit time

19
Q

How is fluid filtered through glomeruli?

A

By pressure of flow through blood vessels

20
Q

What is GFR regulated by?

A

Adjusting blood pressure either side of glomerulus

21
Q

How do you reduce GFR?

A
  • constrict afferent flow
  • dilate efferent flow
  • reduces water and salt loss through excretion
22
Q

How do you increase GFR?

A
  • dilate afferent flow
  • constrict efferent flow
  • increases water and salt excretion
23
Q

What are facts about the kidneys in humans?

A
  • avg person contains 40L of water
  • total filtered 4.5 times a day