Renal mechanisms for excreting either dilute or concentrated urine Flashcards

1
Q

countercurrent multiplier system - loop of henle

A

controls if urine produced is concentrated or diluted
interacts with descending vs ascending limbs of loop of henle
by creating a concentration gradient in renal medulla
allowing body to conserve/ excrete water depending on body needs

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2
Q

countercurrent multiplier system - descending limb

A

permeable to water
impermeable to solutes

filtrate passes through DCT, water gets reabsorbed into surrounding hypertonic medullary interstitial causing high osmolarity

filtrate produced is concentrated as it passes through medulla

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3
Q

countercurrent multiplier system - ascending limb

A
  • thick ascending limb
    impermeable to water
  • thick ascending limb is permeable to solutes by active transport
  • na/k/cl- cotransporters from filtrate -> TAL
  • na-k/ATPase pump reabsorbs na+ from interstitial forming concentration gradient

filtrate produced is diluted as nacl has been removed

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4
Q

dehydration - ADH

A
  • body needs to conserve water
  • ADH released from posterior pituitary gland
  • ADH functions to activate aquaporins-2-channels onto collecting duct cell membrane
  • ADH increases permeability of collecting duct to allow water to be reabsorbed from filtrate into bloodstream

aldosterone acts on DCT to increase sodium reabsorption

urea reabsorbed in PCT -> loop of henle -> recycled in medulla

concentrated urine formed + high urine osmolarity

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5
Q

overhydration

A
  • body needs to lose water
  • ADH inhibited from posterior pituitary gland
  • so ADH does not functions to activate aquaporins-2-channels onto collecting duct cell membrane
  • so ADH does not permeability of collecting duct to allow water to be reabsorbed from filtrate into bloodstream

aldosterone acts on DCT to increase sodium reabsorption

= dilute urine produced
= low osmolarity of urine

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