renal Flashcards
what are the calyces function
- funnels and collected fluid from nephron
- filters to hallow renal pelvis
what’s the difference between cortical and juxtamedullary nephron
- both filter blood
juxtamedullary – help produce more concentrated urine (longer collecting duct– can reabsorb more water)
what happens in diabetes mellitus
- increased urine volume
- glucose in the urine
- nephron cannot absorb all th glucose that it was normally able to
themes of reabsorption throughput the nephron
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
what are the components of the renal corpuscle
- 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
what’s the measure of proper net filtration
10 mmHG
what are the auto regulatory mechanisms for GFR
- myogenic response
- muscle stretch - tubuloglomerular feedback
- regulation by blood flow
what is special about the distal tubule
- 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
what happens in the collecting duct
- aquarporin 2 channels
- water reabsorption
** aldosterone acts
** ADH acts
- ATP channe; and Na+ channels
what are baroreceptors
- 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
what are osmoreceptors
- detect changes in osmolarity
when low osmolarity- cell shrivels
– trigger ADH to be released
high osmolarity- cell is large
– no ADH release
what is ADH stimulus
- low ECF concentration
- high plasma osmolarity
(dehydrated)
what is diuresis
- 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
what happens when sodium levels are low
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
what is aldosterone stimulus, and function?
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+