Renal histopathology Flashcards

1
Q

endothelial cells of bowmans capsule

A

fenestrated
filtration barrier in bowman’s capsule
gaps between cells to allow filtrate through

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2
Q

what is the function of basement membrane?

A

outside the capillaries

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3
Q

what is the function of podocytes?

A

surrounds the basement membrane and form mesh around capillaries

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4
Q

what is the function of the primary pedicle?

A

foot projections/ trabeculae of podocytes
interdigitate
much bigger than secondary

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5
Q

what is the function of the secondary pedicle?

A

the processes of the trabeculae of the podocytes

interdigitate

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6
Q

what is the function of filtration slits?

A

between secondary pedicle interdigitations
covered by slit diaphragms which allow only smaller molecules through in filtration - water, glucose and ions
macromolecules - proteins cannot pass through

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7
Q

what is the function of Malpighian corpuscle?

A

renal corpuscle

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8
Q

what is the function of mesangial cells?

A

between endothelium and basement membrane - between capillaries
forms 3D matrix to hold capillaries in place

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9
Q

what is the function of bowman’s space?

A

between the visceral and parietal layers of glomerulus

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10
Q

bowman’s capsule?

A

parietal and visceral layers

the filtrate enters after passing through the filtration slits

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11
Q

PCT

A

single layer of large cuboidal cells
brush border - microvilli to increase SA
highly metabolically active epithelium

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12
Q

DCT

A

always returns to the glomerulus because of renin release
well defined lumen
cells are cuboidal

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13
Q

what is the function of macula densa?

A

part of the DCT

detects a fall in sodium concentration of tubules

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14
Q

what is the function of juxtaglomerular cells ?

A

detect a fall in BP in afferent arterioles

secrete renin

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15
Q

kidney damage with nml or increased GFR

A

GFR >90

diagnosis/ review of underlying conditions and co-mobidities

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16
Q

what is the function of urinary pole?

A

where the PCT joins the bowman’s capsule

17
Q

kidney failure

A

GFR <15%

dialysis or transplantation if uremic

18
Q

what is in the cortex?

A

afferent and efferent arteriole
glomerulus
PCT
DCT

19
Q

what is in the medulla?

A

collecting duct

Loop of Henle

20
Q

collecting duct histopathology

A

wide lumen to collect from many DCTs
defined boundary between cells
pale staining

21
Q

Loop of Henle

A

simple squamous epithelium cells - flattened

22
Q

conn’s syndrome

A

primary hyperaldosteronism
high blood pressure
low renin

23
Q

what is released by zona glomerulosa?

A

mineralocorticoids

24
Q

what is released by zona fasciculata?

A

glucocorticoids

25
Q

what is released by zone reticularis?

A

androgens - testosterone

26
Q

what are the layers of the adrenal cortex?

A

zona glomerulosa
zona fasciculata
zona reticularis

27
Q

what causes foamy urine?

A

protein in urine

28
Q

what causes foamy urine?

A

protein in urine - albumin