Lecture 12 Flashcards

1
Q

Why do females have a lower percentage of body water?

A

Have a higher percentage of body fat

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2
Q

What are the three types of extracellular fluid? How much of the extracellular fluid do they make up?

A

Transcellular (3% - 1.5 - 2L) in CSF
Plasma (7% - 3-4L)
Interstitial (28% - 11-12L)

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3
Q

What is interstitial fluid?

A

Outside of cells but nor part of the cardiovascular system

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4
Q

What is transcellular fluid?

A

Urine stored in bladder; unusual fluid that doesn’t conform to other types of fluids

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5
Q

What are exceptions to typical intracellular and extracellular ion concentrations?

A

Cells whose job is to secrete Cl has higher concs. of Cl

Colon, upper respiratory tract counts amount of Na and not concentration

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6
Q

How do the kidneys impact blood pressure?

A

Total Na content of plasma is regulated in kidneys

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7
Q

Where does most excretion of Na occur?

A

Through urine

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8
Q

Why is cholera fatal in third-world countries?

A

Amount of water loss from acute diarrhea can cause dehydration of the brain

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9
Q

Name examples of congenital abnormalities of the kidney?

A

Renal agenesis
- don’t develop kidneys
- fetuses instantaneously abort in first trimester
- 1/2500 fetuses affected
Ectopic kidney
- One or more kidneys are in the wrong place
- 1/800
- increased risk of damage but not fatal
- kidney stones
Horseshoe kidney
- Kidneys fused across midline
- Increased risk of renal stone formation and damage
- 1/1000

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10
Q

What part of the kidney has a darker color and why?

A

Medulla, rich blood supply

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11
Q

What is the capsule of the kidney?

A

Fibrous layer that protects and holds kidney in place

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12
Q

What are the papilla?

A

End of medullary rays

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13
Q

What are the calynx?

A

Drainage channels

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14
Q

What are they hillus?

A

Where drainage region comes out of kidney

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15
Q

What is the functional unit of the kidney?

A

nephron

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16
Q

How many nephrons are there in each kidney?

A

1-1.5 million

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17
Q

What is the function of the nephron?

A

Produce urine

Body fluid composition and fluid regulator

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18
Q

Where does modification of fluid occur?

A

Loop of Henle

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19
Q

Where does fully formed urine collect at?

A

Collecting duct

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20
Q

How many distal tubules from different nephrons does each collecting duct drain?

A

6

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21
Q

What is the diameter of the glomerulus?

A

200 micro-meters

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22
Q

Where does the afferent arteriole receive blood?

A

renal artery

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23
Q

How much of plasma goes into Bowman’s capsule?

24
Q

How much of plasma goes through efferent arterole?

25
What is the normal Glomerular filtration rate?
125 ml/min
26
What are the two types of nephron?
Superficial nephron | Juxtamedullary nephron
27
How much of the nephrons are superficial nephrons?
85%
28
Where are superficial nephrons located?
Cortex then loop goes into outer medulla
29
What is the function of the Juxtamedullary nephron?
Concentrate urine
30
Where is the Bowman's capsule located for Juxtamedullary nephrons?
Really close to border between cortex and outer medulla
31
Where is the loop of Henle located for Juxtamedullary nephrons?
Deep into inner medulla
32
How is renal failure recognized as?
Fall in GFR | Leads to an increase in serum urea and creatinine
33
What are the two types of renal failure?
acute and chronic
34
What is the difference between acute and chronic renal failure?
Acute is reversible | Chronic is irreversible (dialysis or transplant needed)
35
What is peripheral neuropathy?
Peripheral nerve damage leading to problems with sensation and movement
36
What causes interstitial inflammation?
Hydrostatic pressure on nephron and damage them
37
How can normal nephrons be replaced?
Replaced by collagen and lead to reduction in renal size
38
What does hyperkalaemia increase the risk of?
Heart failure
39
What does mild acidosis lead to?
Negative effects in CNS
40
What is pericarditis?
Inflammation of pericardium Inflammation of area that surrounds the heart Leak of protein into urine (tubules are degenerating)
41
What does erythropoetin do?
Stimulates production of RBC
42
Where is erythropoetin produced?
Kidneys
43
What happens after erythropoetin production?
Hemoglobin drops
44
What symptom can calcium phosphate deposits in the skin lead to?
Itching
45
What is the difference between osteomalacia and osteoporosis?
Osteomalacia: Soft bones Osteoporosis: Brittle bones
46
What are the four stages of renal failure?
early stages moderate severe end-stage
47
What are the symptoms of early stages of renal failure?
Decrease in urine flow but no major symptoms | Can be dangerous if not presented to GP but is reversible
48
How is moderate renal failure characterized as?
A lot of patients start seeing GP | Too late as irreversible
49
When do problems in blood pressure occur?
When it reaches severe stage
50
What are the causes of renal failure?
Glomerulonephritis (30%) Diabetes Mellitus (25%) Hypertension (10%) Polycystic kidney disease (5%)
51
What is glomerulonephritis a consequence of?
autoimmune disease
52
How can diabetes lead to renal failure?
Increases level of fibrotic depositions in kidneys
53
What happens in polycystic kidney disease?
Kidney tissue is replaced with fluid-filled cysts | End up with end-stage
54
What kind of diet restrictions could be seen in renal failure patients?
Restrict protein, salt and water
55
What are phosphate binders?
For people with high plasma phosphate | Reduced ectopic calcification
56
How can diuretics help treat renal failure?
Helps patients excrete Na using parts of kidney that is still working (not ideal for end-stage patients)