Renal and Digestive - Super High Yield! Flashcards
excretory organs
- colon
- liver
- kidney
colon
- eliminates solid waste
- what we eat but do not absorb
- bacteria
liver
- eliminates hydrophobic wastes
- eaten and absorbed but not dissolved in the plasma
- bile salts
- directly detoxifying
kidney
- eliminates hydrophilic wastes
- material that is eaten and absorbed, and dissolved in plasma
other kidney functions
- regulates bp
- water balance
- ion balance
- long term pH
- urea balance
- homeostasis
- activates vitamin D
- secretes erythropoietin to make RBC
internal urinary sphincter
- smooth muscle
- under involuntary control
- dilates
external urinary sphincter
- skeletal muscle
- under conscious voluntary control
bladder
- stores urine
difference between male and female urethra
- males is longer
osmolarity of cortex versus medulla
- osmolarity in cortex is much lower
why is medulla osmolarity higher
- allows us to concentrate urine
processes to produce urine
- filtration
- reabsorption
- secretion
filtration
- moving a substance across a membrane using pressure
- moving blood plasma across a capillary wall using blood pressure
reabsorption
- move a substance from the filtrate to the blood
- glucose, water, ions, AA, water soluble vitamins, HCO3-
secretion
- move a substance from blood to the filtrate
- H+, NH4+, some drugs, creatinine, toxins
- ions can also be secreted (H+, K+)
creatinine
- marker of kidney function
- breakdown of muscle metabolism
- if it’s increased patient needs dialysis
glomerulus
- small hydrophilic molecules are pushed across by pressure
- dilate afferent arteriole (approaches glomerulus)
- constrict efferent arteriole (exits glomerulus)
- to increase blood pressure
proximal convoluted tubule
- 2/3 of reabsorption and secretion occurs
- Na+, K+, Cl-, glucose, AAs, water, vitamins, HCO3
- excretion of H+, NH4+, some drugs
- filtrate roughly isotonic to plasma when it leaves.
- composition and volume has decreased
descending limb of Loop of Henle
- permeable to water
- impermeable to salt
ascending limb of Loop of Henle
- impermeable to water
- Na/K/Cl flows out
- passively in medulla
- actively pump out sodium in cortex and into surrounding tissue
Loop of Henle
- countercurrent multiplier
distal convoluted tubule
- specializes in reabsorption/secretion
- Ca2+ reabsorbed
- where aldosterone has its effects
- PTH increases
- Calcitonin decreases
collecting duct
- regulated water reabsorption
- 10-12 nephrons feed into collecting duct
- ADH (vasopressin) acts here
relationship between ADH and osmolarity
- directly related
- as osmolarity increases, so does ADH.
relationship between urine and blood
- opposite
- as volume of urine increases, volume of blood decreases and vice versa
volume and osmolarity relationship
- opposite
renin-angiotensin system
- angiotensinogen from liver
- > angiotensin I by renin
- > angiotensin II by ACE (in lungs)
- > systemic vasoconstriction (increase BP) and increase aldosterone release
increase aldosterone release causes
- increase # of Na+/K+ ATPases in distal tubule
- Increase in Na+ reabsorption and excretion of K+ into urine
- increase blood osmolarity (also trigger ADH)
- increase water reabsorption
- increase in blood volume
- increase in BP
Juxtaglomerular apparatus
- contact point between afferent artery and distal convoluted tubule
afferent artery
- baroreceptor
- if pressure falls too low, it releases renin
distal tubule
- chemoreceptor - if filtrate osmolarity falls too low
- stimulate afferent artery to release renin
- directly dilate the afferent arteriole to increase pressure in glomerulus
ANP role
- blood pressure regulation to bring down blood pressure
ANP steps
- high blood pressure
- > atria of the heart stretches
- > Right atrium releases ANP - inhibits aldosterone release (increase urine output)
- vasodilator
- inhibits renin release
- decrease BP
alimentary canal
- long muscular tube that makes up the digestive system
- mouth to anus
accessory organs
- digestive role, not part of canal
- liver
- gallbladder
- pancreas
- salivary glands
bile
- amphipathic
- from cholesterol and fat wastes
- produced by liver