loop of Henle Flashcards

1
Q

what parts of the nephron are in the medulla

A

vasa recta
loop of henle
collecting duct

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2
Q

what is the function of ADH

A

allows the distal tubule and collecting ducts to become permeable to water and so reabsorbed

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3
Q

how are ions absorbed across the thin ascending loop of Henle

A

passive absorption

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4
Q

how are ions reabsorbed in the thick ascending loop

A

Na- active transport

cotransport of postassium, chloride and other ions

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5
Q

what is the renal papilla

A

where the renal pyramids in the medulla enter into the minor calyx

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6
Q

what is normal osmolarity of the ECF

A

300 mOm/L

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7
Q

how does ecf change in the kidney

A

it is reduced to 100 mOmL in the dct

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8
Q

how concentrated can urine be

A

1200 mosm/l. This is the same concentration as the renal medulla.

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9
Q

what is the difference between the thick and thin ascending loops

A

passive absorption- thin

active transport of sodium and co transport of K and Cl- thick

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10
Q

what is the descending loop impermeable to

A

salt

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11
Q

what is the ascending loop impermeable to

A

water

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12
Q

what is the purpose of the loop of henle

A

counter current multiplier that generates a concentration gradient

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13
Q

what is the purpose of the thick ascending loop

A

establishes a concentration gradient between the interstitial fluid and the descending loop which causes water to diffuse out of the descending loop

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14
Q

where is most water absorbed from the collecting duct

A

cortical region

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15
Q

how does urea contribute to concentrating urine

A

ADH activated urea transporters move urea out of the collecting duct into the interstitium
this can move into the loop of Henle and can recirculate
this helps concentrate urea and forms the hyperosmotic renal medulla
partly due to slow movement in the tubules

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16
Q

describe blood flow to the vasa recta

A

low blood flow so does not remove solutes from the interstitium
help to form the counter current multiplier

17
Q

what receptors stimulate ADH secretion

A

osmoreceptors

18
Q

what factors increase ADH secretion

A
increased plasma osmolarity 
decreased blood volume/ pressure 
nausea
hypoxia
morphine 
nicotine
19
Q

what factors decrease ADH secretion

A

decreased plasma osmolarity
increase blood volume/ pressure

alcohol
clonidine
haloperidol