Renal Phys ML: 1 Flashcards

1
Q

Our kidneys are _____ vascularized

A

highly

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2
Q

What are the 5 functions of the kidney?

A
  1. regulation of water, inorganic ion balance, and acid base balance
  2. removal of metabolic waste products from the blood and their excretion of waste products
  3. Removal of foreign chemical from the blood and their excretion in the urine
  4. Glucogenesis
  5. Production of hormones and enzymes
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3
Q

What enzymes are created by the kidneys

A

erythropoietin which controls erythrocyte production
-renin and enzyme that controls the formation of angiotensin
-conversion of 25-hydroxyvitamin D

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4
Q

The kidneys are _______

A

retroperitoneal

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5
Q

What is the function unit of the kidney and the amount within one kidney

A

Nephron; 1 million

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6
Q

What are the tubular components of a nephron?

A

Bowman’s capsule
Proximal convoluted tubule
Loop of Henle
-descending loop
-ascending loop
Distal convoluted tubule
Collecting duct
-cortical
-medullary

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7
Q

The order of nephron blood supply

A

renal artery
afferent arteriole
glomerular capillaries
efferent arteriole
Peritubular capillaries
renal vein

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8
Q

What two structures make up the renal corpuscle

A

glomerular capillaries and bowman’s capsules

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9
Q

What are the two types of nephrons

A

Juxtamedullary and cortical

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10
Q

What is the percentage of J nephrons

A

15%

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11
Q

Where are the J nephrons located

A

close to the medulla

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12
Q

What are the characteristics of J nephrons?

A

long loops of henle
generate gradient in medulla which is important for water reabsorption
-Peritubular capillaries are called the vasa recta
– also help maintain gradient

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13
Q

What percentage are there of C nephrons?

A

85%

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14
Q

What are the characteristics of C nephrons?

A
  • short loops of henle
    -does not contribute to gradient in medulla
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15
Q

What is the outside layer of the kidney

A

renal cortex

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16
Q

What does the renal cortex contain?

A

-renal corpuscles of all nephrons
-proximal and distal tubules of all nephrons –contains cortical nephrons

17
Q

What is the inner layer of the kidney

A

renal medulla

18
Q

What is in the inner layer of the kidney

A

-renal pyramids
-contains long loop of henle from J nephrons
-contains medullary portion of the collecting ducts

19
Q

JG cells are also called

A

granular cells

20
Q

What do JG cells do?

A
  • surround afferent arteriole
  • synthesize and store and secrete renin
21
Q

When is renin secreted

A

-blood pressure
-norepi
-macula densa

22
Q

Macula densa

A

part of the wall of the distal tubule
- senses filtrate flow
-sends paracrine signals to afferent arterioles

23
Q

Sympathetic nerve fiber

A

comes from VM center
-constricts afferent arteriole
-causes renin secretion from JG cells

24
Q

What does the JGA do?

A

allows kidney to control and regulate blood pressure

25
Q

Where are the JG cells located?

A

surround the AA