metabolism, renal, reproductive Flashcards
result of lactic acid fermentation
2 molecules lactic acid
2 molecules of ATP
triglycerides break down into_____ through _____
acetyl coA
beta oxidation
what two things can happen to acetyl coA
enter CAC
ketone body formation in liver
transamination
transfer of amine group to keto acid to form a non-essential amino acid
oxidative deamination
if amino acids are used for energy, ammonia and keto acid is produced
BUN
blood urea nitrogen- may be elevated (uremia) in acute adn chronic renal failure
what is uric acid synthesized from
adenine and guanine. normally excreted in small amounts in urine
glycogenesis
excess glucose to glycogen
lipogenesis
glucose and amino acids used to synthesize lipids
glycogenolysis
breakdown of glycogen
gluconeogenesis
formation of glucose from amino acids and glycerol (opposite of glycolysis)
absorptive state
period immediately after eating where nutrients absorbed through intestinal wall into circulatory and lymphatic system
postabsorptive state
after absorptive state when blood glucose levels are maintained by conversion of other molecules
functions of urinary system
elimination of waste, filtering blood, regulation of blood volume, concentration of solutes, pH, blood cell synthesis, synthesis of vitamin D
which kidney is slightly lower
right
renal capsule
fibrous connective tissue surrounding kidney
perirenal fat
engulfs renal capsule and acts as cushion
renal fascia
thin layer of loose connective tissue (anchors kidney to abdominal wall)
hilum
renal artery and nerves enter and renal vein and ureter exit kidneys
cortex
outer area of kidney
medulla
inner area of kidney
renal pyramids
cone shaped
base is boundary between medulla/cortex
apex is the renal pailla
calyces
converge to form pelvis
pelvis
enlarged chamber in the middle of the kidney
ureter
connects kidney to urinary bladder
what type of tissue is the bladder made of
transitional epithelium
blood flow through the kidney
renal artery, segmental artery, interlobar artery, arcuate artery, interlobular artery, afferent arteriole, glomerulus, efferent arteriole, peritubular cappilary, vasa recta, interlobar vein, arcuate vein, interlobar vein, renal vein
what are the 4 parts of the nephron
bowman’s capsule, proximal tubule, loop of henle, distal tubule
what is the path of urine out of the body
collecting duct, papillary duct, minor calyses, major calyses, renal pelvis, ureter, urinary bladder, urethra
what is the difference between juxtamedullary nephrons and cortical nephrons
juxtamedullary loop of henle extends deep into medulla and cortical loop of henle does not go as deep
what three processes are involved in filtering blood
filtration, reabsorption, and secretion
what is the outer and inner layers of the bowman’s capsule made of
outer- simple squamous epithelium
podocytes
where is renin produced
juxtaglomerular apparatus
renal fraction
% of total cardiac output that passes through the kidneys average 21%
renal blood flow rate
1176 mL/min
renal plasma flow rate
(renal blood flow rate)(fraction of blood that is plasma)= 650 mL/min
filtration fraction
part of plasma that is filtered into lumen of bowman’s capsule (19%)
glomerular filtration rate
amount of filtrate produced each minute 180 L/day
average urine production/day
1-2 L (99% of filtrate is reabsorbed)
what is special about the filtration membrane?
has fenestrated endothelium prevents cells from entering the capillaries but some albumin and hormones enter the filtrate and are reabsorbed and metabolized by the PCT cells.
glomerular capillary pressure
blood pressure inside capillary pushes fluid out into bowman’s capsule
capsule hydrostatic pressure
pressure of filtrate already in lumen
blood colloid osmotic pressure
osmotic pressure caused by proteins in the blood (favors movement into capillary)
autoregulation of Glomerular filtration
increase in BP=constriction of afferent arterioles (less flow)
sympathetic stimulation:norepinephrine
constricts small arteries and afferent arterioles, decreases blood flow and filtrate formation, during shock or intense exercise- intense sympathetic stimulation decreases rate of filtrate formation
where does tubular reabsorption occur
proximal tubule, loop of henle, distal tubule, and collecting duct
where does passive transport occur in the kidney
thin segment of loop of henle
how do things get back into venous circulation
substances transported to interstitual fluid and reabsorbed into peritubular capillaries and venous system
what gets reabsorbed and secreted in proximal tubule
HCO3-, NaCl, H2O (passively) K+, other nutrients- reabsorbed
H+, NH3, secreeted
what gets reabsorbed in the descending loop of henle
water, solutes enter
what gets reabsorbed in the thin and thick segment of loop of henle
NaCl, K+
thin-passive
thick-active
what gets reabsorbed and secreted in the distal tubule
NaCl, H2O, HCO3- reabsorbed
K+, H+ secreted
what gets reabsorbed in the collecting duct
NaCl, urea, H2O
As the tubule goes deeper in the medulla, the osmolarity of interstitial fluid _____
increases
What happens in diabetes mellitus
concentration of glucose in filtrate exceeds rate of transported so it is excreted in urine
What happens in the loop of henle
descending- water moves out of nephron and solutes move in
ascending- solutes move out
what is usually secreted in the the tubule
metabolic byproducts, drugs, ammonia, H+,K+, penicillin
What mechanisms create urine of variable concentration
maintenance of high concentration of solutes in medulla, counter current flow, control of permeability of distal nephron to water