Physio exam 5 Set 1 Flashcards
Saliva made from plasma
Initially Isotonic
Saliva final secretion modified in
Duct (absorption-hypotonic)
Saliva: at high flow rates
Approach plasma composition
At low flow rates
More hypotonic- absorption
Functions of saliva are:
amount and composition dependent (Na, K,Cl, HCO3, H)
and dependent on body volume homeostasis and kidney function
Xerostomia
dry mouth, reduced pH, less HCO3-
Sialadenitis
inflammation of salivary gland(mostly serous)
- contamination of salivary ducts by oral cavity bacteria, or stasis of salivary flow,
Sialorrhoea
-uncontrolled drooling/excess saliva
- from poor swallowing or excess secretion
- due to parasympathetic stimulation
GFR- 120ml per min
CKD- GFR reduced 60%
40-50ml a min
Compromised Kidney Function - Salivary flow decreased
Na, K, Ca, Po4, goes up
UREA goes UP ALOT
Bicarbonate unchanged
Change the concentration of water in saliva by changing
NaCl !!
ESRD
Urea goes up, Creatine, Na, pH becomes slightly acidic
Glomerulus
Site of filtration, from blood into the kidneys
Peritubular Cappilaries
surround nephron tubule, responsible for reabsorption
Loop
Concentrates urine because flow in opposite directions
Shallow Nephrons
glomerulus start at the cortex go a bit into the medullary region
Deep Nephrons
glomeruli are deeper but the loops are longer and go deeper into the medullary region
- Lower water conc. Outside between cells and are able to absorb more water and concentrate more urine.
Proximal Tubule
Brush Border, microvilli, mitochondria
- MAJORITY OF ABSORPTION occurs, ACTIVE TRANSPORT