renal 1 Flashcards

1
Q

what is the history of urine color?

A

since ancient times, urine characteristics have been used as an indicator of health and functioning of the body:
-color: yellow, pale straw, red or even black (blackwater fever: type of malaria that hemoglobin is broken down)
-clarity: froth (high protein content)
-odor: infection
-taste: ? diabetes historically known as honey-urine disease

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2
Q

what is the most important function of the kidneys?

A

homeostatic regulation of water and ion content of the blood (salt-water balance or fluid-electrolyte balance)

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3
Q

what are the functions of the kidney?

A
  1. regulation of extracellular fluid volume and blood pressure
  2. regulation of osmolarity: kidneys + behavior
  3. maintenance of ion balance: Na+, K+ and Ca2+
  4. homeostatic regulation of pH
  5. excretion of wastes: metabolic and xenobiotics
  6. production of hormones: erthropoietin, renin
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4
Q

what is the reserve capacity of the kidneys?

A

1:1000 people are born with one kidney, can loose 3/4 kidney function before affecting homeostasis

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5
Q

what is the graph/picture of the urinary system?

A
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6
Q

how much cardiac output does the urinary system?

A

-20-25%
but less than 1% of our body weight

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7
Q

what are nephrons?

A

the functional unit of the kidneys
-80% cortical nephrons (in cortex)
-20% juxtamedullary nephrons (@ junction and in medulla)
-1 million/kidney juxtaglomerular apparatus

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8
Q

what are the vascular components of the kidneys?

A
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9
Q

what is the very simple graph of the flow in the kidneys?

A
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10
Q

what is the tubular component of the kidneys?

A
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11
Q

what are the four processes of the kidneys?

A

-filtration: bulk-flow of fluid and dissolved solutes from the glomeralus into the bowman’s capsule
-secretion: movement of substance from the blood into another portion of the nephron (not bowman’s capsule)
-reabsorption: movement of substances from nephron to the blood (more selective than bulk flow)
-excretion: movement (removal) from the body

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12
Q

how much plasma is absorbed during these four processes of the kidneys?

A

approximately 180L of plasma is filtered at the glomeruli each day >99% is reabsorbed, 1.5L/day is excreted
-70% of reabsorption occurs in the proximal tubule
-loop of henle responsible for creating dilute urine
-distal tubule and collecting duct finely regulate salt and water balance under the control of hormones

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13
Q

what is the graph of the plasma being absorbed during the four processes of the kidneys?

A
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14
Q

what varies in the nephron?

A

the quantity and composition of the substance being reabsorbed or secreted varies in different segments of the nephron (not all 4 happen for each substance)

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15
Q

what is the equation for the amount excreted?

A
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