Renal 2 Flashcards

1
Q

what is the renal corpuscle

A

multiple structures that are involved in the filtration unit

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2
Q

what are podocytes

A

specialized epithelial cells that surround glomerular cells

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3
Q

what is a mesangial cell

A

connective tissue (support cells)

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4
Q

what consists of the triple filtration barrier

A

capillary endothelial cells
basal lamina
podocyte end feet

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5
Q

what are capillary endothelial cells

A

fenestrated pores

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6
Q

what is the basal lamina

A

an extracellular matrix (mesh)

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7
Q

what are podocyte end feet

A

the last filtration slit to go through in the Bowmans capsule

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8
Q

what can mesangial cells influence and how

A

they can influence filtration by altering surface area for filtration

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9
Q

what are mesangial cells a part of

A

the renal corpuscle

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10
Q

what pressure/s favour filtration

A

hydrostatic

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11
Q

what pressure/s opposes filtration

A

colloid osmotic
Bowmans capsule hydrostatic pressure

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12
Q

what is the glomerular filtration rate

A

the volume of fluid that filters from the glomerular capillaries into the Bowmans capsules per unit time

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13
Q

how much fluid is filtered each day

A

125ml/min or 180L/day

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14
Q

what are the 2 factors that influence GFR

A

filtration pressure
how permeable the triple filtration barrier is

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14
Q

if there was no reabsorption, how fast would we run out of plasma

A

24 minutes

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15
Q

is GFR relatively constant

16
Q

what is GFR primarily regulated by

A

renal arterioles, primarily afferent arteriole

17
Q

is reabsorption 100%

18
Q

what is renal blood flow overall dependant on

A

overall resistance

19
Q

what does GFR regulation do

A

helps to keep GFR stable when there is high blood pressure

20
Q

what are the 2 auto regulation mechanisms

A

myogenic auto regulation
tubuloglomerular feedback

21
Q

what is myogenic autoregulation

A

when the arteriole contracts in response t the street of vascular smooth muscle due to increased blood flow

22
Q

what is tubuloglomerular feedback

A

the nephron loops back on itself in between the afferent and efferent arterioles where the macula densa cells release paracrine that affect diameter of arterioles

23
Q

where are macula dense cells located

A

on the ascending wall of the loop of henle

24
what do macula densa cells do
they can sense increased flow and send signals for smooth muscle to constrict
25
what do macula densa cells release
adenosine
26
when do sympathetic neurons also influence GFR
in extreme situation (ie, when there is a sharp drop in blood pressure)
27
what are the 2 important hormones that can modulate arteriole resistance
angiotensin II (constricts) prostaglandins (dialates)
28
how do angiotensin II (constricts) and prostaglandins (dialates) affect filtration
by altering permeability for filtration
29
whats the equation to determine filter, reabsorption, secretion and excretion
amount filtered - amount reabsorbed + amount secreted = amount excreted
30
do all substances in plasma undergo all the steps in the kidneys
no