renal Flashcards

1
Q

what are the calyces function

A
  • funnels and collected fluid from nephron
  • filters to hallow renal pelvis
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2
Q

what’s the difference between cortical and juxtamedullary nephron

A
  • both filter blood

juxtamedullary – help produce more concentrated urine (longer collecting duct– can reabsorb more water)

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3
Q

what happens in diabetes mellitus

A
  • increased urine volume
  • glucose in the urine
  • nephron cannot absorb all th glucose that it was normally able to
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4
Q

themes of reabsorption throughput the nephron

A

filteration in bowmans capsule

proximal tubule– reabsorption of almost everything
- 65% reabsortion

descending limb
- reabsorbs water

ascending limb
- transport of ions

distal tubule
- no water reabsorption
- also absorbs calcium and same ions as ascending limb
- no paracellular transport

collecting duct
- ADH acts on
- water reabsorption

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5
Q

what are the components of the renal corpuscle

A
  • blood filtration occurs here

Bowmans capsule- blood filters into

glomerulus- leaky capillaries- many pores between

juxtaglomerular apparatus

podocytes- wrap around leaky capillary and prevent some filtration

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5
Q

what’s the measure of proper net filtration

A

10 mmHG

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6
Q

what are the auto regulatory mechanisms for GFR

A
  1. myogenic response
    - muscle stretch
  2. tubuloglomerular feedback
  3. regulation by blood flow
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7
Q

what is special about the distal tubule

A
  • na, cl, k reabsorption (like ascending limb)
  • no water reabsorption
  • no paracellular reabsorption ( more controlled by transcellular)

**also calcium is reabsorbed– hromonelu regulated (parathyroid hormone)

** aldosterone help control

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8
Q

what happens in the collecting duct

A
  • aquarporin 2 channels
  • water reabsorption

** aldosterone acts
** ADH acts

  • ATP channe; and Na+ channels
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9
Q

what are baroreceptors

A
  • dectects in blood pressure
  • detects a decrease in ECF, less action potential, baroreceptors cause ADH release

ex. from high sodium– low ECF, need to reabsorb more water

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10
Q

what are osmoreceptors

A
  • detect changes in osmolarity

when low osmolarity- cell shrivels
– trigger ADH to be released

high osmolarity- cell is large
– no ADH release

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11
Q

what is ADH stimulus

A
  • low ECF concentration
  • high plasma osmolarity

(dehydrated)

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12
Q

what is diuresis

A
  • when more urine is produced than expected

ex. diabetes insipidus
- causes very large volumes of urine
- because of less ADH released (posteior pituitary) - cause receptor not activated/ doesn’t respond

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13
Q

what happens when sodium levels are low

A

RAAS pathway

proximal tubal – angiotensin II
- increase na/k transporters
- more sodium get reabsorbed and made

constricting afferent and efferent arterioles
- decreasing the GFR– blood flows through tubule slower
- more chance for na+ to be reabsorbed

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14
Q

what is aldosterone stimulus, and function?

A

angiotensin 2 release, high levels of potassium (that angiotensin 2 cause)

** increase sodium reabsorption in collecting duct
- increase na+/k+ channels moving to luminal membrane
- increase activity of Na+/K+
- increase gene expression of na+

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15
Q
A