renal physiology Flashcards

1
Q

cortex of kidney

A

outer portion (but under capsule) houses

parts of the renal tubule and vasculature -glomerular capsule, convoluted tubules (prox and dist), glomerulus, peritubular capillaries, juxtaglomerular complex

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2
Q

capsule of kidney

A

membranous sheath on outside of kidney
does not permit expansion during inflammation

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3
Q

medulla of kidney

A

inner portion
May be arranged in masses that are pyramidal in shape.
contains medullary loop and vessels
-nephric loop, collecting ducts, vasa rects

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4
Q

bovine kidney

A

lobated, no renal pelvis

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5
Q

renal lobe

A

each pyramid with its cortex
**ADD PIC

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6
Q

papilla of kidney

A

at the apex of the pyramid at the renal sinus

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7
Q

kidney development

A

dogs, horses, sheep fuse the pyramids to form medullary mass
bovine kidneys retain multilobar shape

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8
Q

renal pelvis

A

expansion of the ureter, where all the papillary ducts open into

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9
Q

ureter path

A

ureter goes from renal pelvis to the dorsal surface of bladder and empties near the neck

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10
Q

renal tubule segments

A

glomerular (Bowmans) capsule
proximal (convoluted) tubule
nephric loop (loop of Henle)
distal (convoluted) tubule
collecting duct

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11
Q

glomerulus

A

complex tangle of capillaries in glomerular capsule
keeps cells & large molecules in vessel while filtering out water, electrolytes (glomerular filtrate)

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12
Q

what is the functional unit of the kidney?

A

nephron

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13
Q

Glomerular filtration rate

A

rate of filtration through the glomerulus
in beagle- can produce 37ml/14gal of filtrate- must recover some of this!

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14
Q

flow of blood through kidney

A
  • Renal blood flow from the renal artery enters the network of capillaries.
  • The afferent arteriole leads into the glomerulus.
  • Once through the glomerulus, the capillaries anastomose to form the efferent arteriole.
  • The filtered blood flows away from the kidney in the efferent arteriole and eventually leaves the kidney with the renal vein.
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15
Q

2 general groups of glomeruli

A
  • those in the mid and upper cortex
  • those near the corticomedullary junction
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16
Q

vasa recta

A

straight vessels

highly permeable to solutes and water

flow dependent

provide O2 and nutrients to nephron itself

17
Q

Renal corpuscle

A

collective term for glomerulus and urinary capsule

18
Q

urinary capsule vs corpuscle

A
19
Q

proximal convoluted tubule

A

function: absorption

initial mass of recovery of filtered stuff we want to keep (solutes and water)

secrete things we don’t want to keep

20
Q

thick vs think segments of tubules

A

variably permeable to water and solute

able to dilute tubular fluid and concentrate salts in the medulla

sets up ability to excrete either concentrated or dilute urine as needed

21
Q

distal convoluted tubule

A

dumps into collecting duct

22
Q

macula densa

A

part of distal convoluted tubule next to glomerulus

  • a specialized segment of the distal convoluted tubule adjacent to companion glomerulus – part of the juxtaglomerular
  • Sensitive to the concentration of NaCl in the blood and play an important role in blood pressure regulation
23
Q

juxtaglomerular apparatus

A

tubular part: macula densa of distal tubule

arteriolar part: juxtaglomerular cells and afferent arteriole

mesangial cells

24
Q

juxtaglomerular cells

A

of afferent arteriole

25
Q

mesangial cells

A

dispersed amoung glomerular tuft as well as afferent and efferent arterioles

26
Q

cortical function

A

make, then modify filtrate:

  • filter
  • add/recover substances to/from filtrate
  • Peritubular capillary network – deliver materials to and recover materials from tubules

-BP regulation

27
Q

medullary function

A
  • dilution of tubular fluid
  • concentrate medullary salts
  • final control over excretion of concentrated or dilute urine
  • acid-base balance
  • final determination of K+ homeostasis
28
Q

hormones produced by the kidney

A

renin: BP regulation

1,25 dihydroxycholecalcipherol: vit D metabolism/absorption

erythropoietin: RBC production
protaglandins: locally vasoactive

29
Q

renin

A

produced by kidney

BP regulation

30
Q

1,25 DIHYDROXYCHOLECALCIFEROL

A

vit D metabolism/absorption

produced by kidney

31
Q

erythropoietin

A

produced by kidney

RBC production

32
Q

prostoglandins

A

produced by kidney

locally vasoactive

33
Q

hormones produced elseware acting on kidney

A

(know the ones made by the kindey more)!

Antidiuretic hormone – allows urine concentration

Aldosterone – raises systemic blood pressure

Atrial natriuretic peptide – decreases blood pressure

Parathyroid hormone – calcium metabolism