renal anatomy and disease Flashcards

1
Q

how much water is in average individual?

A

42L (60% body weight)

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2
Q

what are intracellular ions?

A

high K+
low Na+
low cl-

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3
Q

what are extracellular ions?

A

lowK+
high Na+
high cl-

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4
Q

what is renal agenesis?

A

where kidneys dont develop (fatal)

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5
Q

give some kidney abnormalities

A
ectopic kidneys
horseshoe kidneys (fused) 

increased risk of stones

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6
Q

what are structures in kidney longitudanal section?

A
cortex, 
medullary ray,
 capsule,
 papilla,(preceding calyx)
 calyx, (urine drains into before leaving)
 ureter,
 pelvis,
 hilus
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7
Q

what are structures of the nephron?

A

proximal tubule, bowmanns capsule, loop of henle, collecting duct

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8
Q

what is glomerular filtration rate?

A

125ml/min

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9
Q

what are different types of nephron?

A
superficial (85%) higher - capsule and tube in cortex
juxtamedullary nephron (15%) (lower)
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10
Q

what is renal failure defined as?

A

a fall in GFR - increase in serum urea and creatine

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11
Q

what happnes in chronic renal failure?

A

decrease in haem level (anaemia)
decrease in renal size
peripheral neuropathy

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12
Q

what happens in acute renal failure?

A

haem level and renal size remains same

peipheral neuropathy absent

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13
Q

what is peripheral neuropathy?

A

peripheral nerve damage leading to problems with sensation and movement

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14
Q

what is uraemia?

A

describes group of symtoms in renal failure

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15
Q

what is renal failure progression?

A

thickening glomerular membranes
damage glomeruli
progressive scarring of glomeruli and tubular atrophy and interstitial inflammation and fibrosis
reduction in renal size

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16
Q

when is mild, moderate, severe renal failure classified?

A

mild gfr is 50-75
moderate gfr 25-50 (anaemia)
severe gfr 10-25

17
Q

what are causes of renal failure?

A

hypertension
diabetes mellitus
polycystic kidney disease

18
Q

what does kidney excrete each day on avaerage?

A

1.5 l

140mmoles Na+