P21 - Urinary Part 1 Flashcards

1
Q

4 main components of the kidney

A
  • glomerulus
  • tubules
  • interstitium
  • vasculature
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what part of the kidney should be removed during necropsy to examine the cortical surface

A
  • external fibrous capsule
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

color of the outer cortex in mature cats

A
  • yellow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

when can the glomerulus be seen macroscopically

A
  • when accentuated by inflammation (glomerulonephritis)

- appear as granular foci in cortex on cut surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

type of capillaries the glomerulus contains

A
  • fenestrated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

function of mesangial cells in the glomerulus

A
  • production of collage and matrix
  • specialized smooth muscle cells that contract tuft
  • phagocytosis
  • secretion of inflammatory mediators
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are podocytes and what are they important for

A
  • visceral epithelial cells that participate in glomerular filtration
  • important for filtration barrier
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

glomerular filtration barrier filtration slits are formed between what

A
  • podocyte pedicels and fenestrated endothelial cells with shared basal lamina
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the glomerular basement membrane (GBM) composed of

A
  • type IV collagen and numerous glycoproteins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T/F: the proximal tubule has an absorptive function

A
  • true
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

T/F: the descending limb is thin and permeable

A
  • true
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

T/F: the ascending limb is thick and permeable

A
  • false: is thick but is impermeable
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

interstitial cells are responsible for the production of what

A
  • prostaglandins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

amount of connective tissue increases with what 3 things

A
  • age
  • chronic inflammation
  • ischemic damage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

which part of the renal vasculature is more susceptible to embolism leading to renal infarction (2)

A
  • interlobular arteries

- arcuate artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

five basic renal functions

A
  • production of urine to eliminate metabolic waste
  • acid-base regulation through reclamation of bicarbonate from glomerular filtrate
  • conservation of water
  • maintenance of normal extracellular K concentration
  • control of endocrine function
17
Q

K is actively excreted under the influence of what

A
  • aldosterone
18
Q

the renin-angiotensin-aldosterone system (RAAS) regulates what 2 things

A
  • blood pressure

- fluid balance

19
Q

renin-angiotensin-aldosterone system basic function

A
  • JG cells produce renin -> converts agniotensinogen to angiotensin I -> ACE converts angiotensin I to angiotensin II
20
Q

functions of angiotensin II in the RAAS

A
  • constricts afferent renal arterioles
  • stimulates aldosterone release (increase Na reabsorption & K excretion)
  • stimulates ADH (water reabsorbed)
21
Q

clinical indications of renal failure (5)

A
  • altered urine quantity
  • altered urine quality (USG)
  • proteinuria
  • azotemia
  • uremia (uremic syndrome)
22
Q

acute renal failure urine quantity

A
  • oliguria or anuria
23
Q

renal failure USG

A
  • isosthenuria (1.008-1.012)
24
Q

uremic syndrome

A
  • when entire body starts to respond and lesions occur outside of the kidney
25
Q

renal failure can lead to death by (3)

A
  • cardiotoxicity (elevated serum K)
  • metabolic acidosis
  • pulmonary edema
26
Q

causes of azotemia (3)

A
  • pre-renal
  • renal
  • post renal
27
Q

renal azotemia caused by damage to renal tissue such a what 4 things

A
  • acute tubular necrosis
  • acute glomerulonephritis
  • tubulointerstitial nephritis
  • acute pyelonephritis
28
Q

most common cause of acute glomerulonephritis

A
  • immune complexes
29
Q

uremia can cause systemic lesions by 2 mechanisms

A
  • endothelial injury

- epithelial injury

30
Q

in uremic syndrome causing epithelial injury due to ammonia accumulation at mucosal surfaces, how is ammonia produced

A
  • by urea-splitting bacteria (uremic toxicity)