Liver and kidney system Flashcards

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1
Q

What are the functions of the liver?

A
  • Uptake, stores and distributes nutrients
  • Produces majority of circulating plasma proteins
  • Stores iron
  • Converts vitamins
  • Degraded drugs and toxins
  • Acts as an exocrine organ (produces bile) and performs endocrine-like functions
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2
Q

How does the liver receive blood?

A

Dual blood supply

Hepatic portal vein
Hepatic artery

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3
Q

State four structural components of the liver

A
  • Parenchyma (plates of hepatocytes)
  • Connective tissue stroma
  • Sinusoidal capillaries
  • Perisinusoidal spaces (of disse)
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4
Q

What three ways are used to describe the unit structure of the liver?

A

Classic lobule (polygonal shape)
Portal lobule (triangular shape)
Liver acinus (diamond shape, three zones)

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5
Q

How does each functional unit supply/drin?

A

‘Classic’ lovule: drained by a central vein
Portal lobule: by a portal triad
Liver acinus: by terminal branches of portal triad vessels

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6
Q

Where does the portal triad sit?

A

On the corners of the polygonal classic lobule

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7
Q

Outline hepatocytes

A
  • 80% of the liver
  • Large, polygonal cells
  • Spherical nuclei, often binucleate
  • Acidophilic cytoplasm
  • Numerous mitochondria, peroxisomes and small golgi complexes
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8
Q

What does hepatocyte cytoplasm contain?

A

sER and rER

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9
Q

What are the two surfaces on hepatocytes and where do they contact?

A

Basal surface: contact with Perisinusoidal space of disse

Apical surface: connected to adjacent hepatocyte to form a bile canaliculus

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10
Q

Where do bile canaliculi drain?

A

Into the short canals of Hering
Then the intrahepatic bile ductule
Interlobular bile ducts (portal triad)
Right/left hepatic ducts
Common hepatic duct
Gallbladder
Bile duct
Duodenum

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11
Q

What form irregular vascular channels running parallel to the plates of hepatocytes?

A

Hepatic sinusoids

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12
Q

What is the space of disse?

A

Lies between hepatocytes and epithelium.

The site of exchange of materials between blood and liver cells.

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13
Q

What specialised sinusoidal macrophage-like cells are found in the sinusoidal epithelium?

A

Kuppfer cells, remove senile RBCs and recycle iron molecules

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14
Q

What do hepatic stellate cells do?

A

Reside in perisinusoidal spaces, loaded with lipid droplets for vitamin A storage

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15
Q

What does the urinary system contain?

A

2 Kidneys
2 Ureters
Bladder
Urethra

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16
Q

What are the functions of the kidney?

A
  • Control acid-base balance
  • Eliminate waste products of metabolism
  • Excrete excess water
  • Endocrine organ (renin (BP control) and erythropoietin (erythrocyte production))
17
Q

Outline the structure of a kidney

A
  • Capsule (collagenous connective tissue)
  • Cortex (contains parts of the nephron: collectibg thbules, medullary rays)
  • Medulla (renal pyramids containing part of the nephron)
  • Pelvis (beginning of main excretory duct)
18
Q

What are the features of a nephron?

A
  • Proximal convoluted tubule (active reabsorption)
  • Loop of Henle (ascending, descending)
  • Juxtaglomerular apparatus (renin production)
  • Glomerulus (filtration unit, bowman’s capsule)
19
Q

What are the features of the proximal convoluted tubule?

A

Simple cuboidal epithelium
Intensely eosinophilic
Prominent brush border (narrow lumen)
Numerous lateral folds and basal striations

20
Q

What are the features of the thin loop of henle?

A

Simple squamous epithelium
Nuclei bulge into the lumen
Highly permeable to water, urea, ions

21
Q

What are the features of the distal convoluted tubule?

A

Simple cuboidal epithelium
Weakly eosinophilic
Low brush border (wide lumen)
Impermeable to water/urea

22
Q

What are the features of the collecting tubules/ducts?

A

Simple cuboidal epithelium
Pale cytoplasm
Prominent lateral cell boundaries
Luminal (apical) surface, may be scalloped

23
Q

What is found in the cortex and upper medulla?

A

Rebal corpuscle
Proximal convoluted tubules
Straight segment of descending proximal tube
Thin segments of loop of henle
Straight ascending segment of distal tube
Distal convolute tubules
Collecting tubules

24
Q

What do the macula densa do?

A

Sense a decreased salt concentration in filtrate and signal the juxtaglomerular cells to release renin

25
Q

What staining techniques can be done on kidney and related tissue?

A

H&E
PAS
PA silver
Immunofluorescence
Electron Microscopy

26
Q

What laboratory investigations are done using kidney samples?

A

IgA, M, G, fibrinogen, C3 and C4 levels
Paraffin wax

27
Q

What clinical complications relate to the kidney?

A

Nephritis
Acute glomerulonrphritis
Congenital
Tumours