The Kidney Flashcards

1
Q

Structure of the kidney: what does each part do?

A
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2
Q

Cross section of inside of a kidney

A
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3
Q

What’s the cortex of the kidney e.g. what it contains, function

A
  • contains glomerulus, bowman’s capsule, proximal convoluted tubule, distal convoluted tubule
  • brown colour
  • ultrafiltration & selective reabsorption occurs here
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4
Q

What’s the function & what’s in the medullas of the kidney

A
  • red colour
  • contains loop of Henle & collecting ducts
  • contains pyramids, from tissue of medulla: cone shaped structures
  • osmoregulation occurs here
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5
Q

Whats the renal pelvis & what does it do

A

A large chamber where the ureter joins the kidney
Collects urine from the kidney tubules & funnels it into the ureter
White colour

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6
Q

What’s a nephron and what does it do

A

The functional unit of a kidney
Produces urine

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7
Q

Renal artery -> efferent arteriole journey and what the stuff does

A

Renal artery -> afferent arteriole -> ball of capillaries (glomerulus) -> efferent arteriole

The afferent arteriole supplies blood from the renal artery to the glomerulus
Efferent arteriole returns blood from the glomerulus to the renal vein
The bowman’s capsule contains the glomerulus

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8
Q

After the efferent arteriole where does the filtrate go

A
  • intertwines with the rest of the nephron
  • > bowman’s capsule -> proximal convoluted tube -> loop of Henley (desc & asc limb) -> distal convoluted tubule -> collecting duct -> URINE!
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9
Q

Where does ultrafiltration occur

A

In the bowman’s capsule & glomerukus

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10
Q

How does ultrafiltration occur in the bowman’s capsule

A
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11
Q

What allows the blood plasma & dissolved substances for pass out of the capillary basement membrane

A

The fenestrations in the endothelium of capillary walls of the glomerulus

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12
Q

What is the capillary basement membrane & its significance

A

It’s a mesh network of collagen & glycoproteins
Small molecules are forced out of the glomerulus into the bowman’s capsules through the basement membranes e..g glucose, water, urea, vitamins, salts, ions
(Large molecules are prevented from entering the bowman’s capsule e.g. blood cells, platelets etc)

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13
Q

How do podocytes assist in ultrafiltration (podocytes are epithelial cells of the Bowman’s capsule)

A
  • have finger like projections called major processes / PEDICELS
  • projections ensure gaps between cells to allow the passage of substances
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14
Q

What is selective reabsorption

A
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15
Q

Where does selective reabsorption occur

A

Proximal convoluted tube
- most water, glucose & amino acids reabsorbed

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16
Q

Describe the process of selective reabsorption in the PCT using this image

A
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17
Q

PCT adaptations for selective reabsorption

A
  • microvilli lining the epithelium & made from folds of the CSM: provide a large SA for uptake during reabsorption
  • many mitochondria in pct epithelial cells: provides energy for uptake in reabsorption
  • cotransporter proteins in CSM: to cotransport glucose / amino acids, with sodium ions from PCT into epithelial cells of PCT cells lining the PCT
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18
Q

Loop of henle structure & ion movement

A
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19
Q

What happens in the descending limb of the LOH towards the medulla

A
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20
Q

What happens in the ascending limb of the LOH (moving towards the cortex)

A
21
Q

How does selective reabsorption occur in the distal convoluted tubule

A
22
Q

How does selective reabsorption occur in the collecting duct

A
23
Q

What does osmoregulation do

A

Control water & salt levels in the blood, therefore control body W.P.
Therefore an example of negative feedback

24
Q

How does osmoregulation work in regards to the mechanism of ADH

A

Osmoreceptors in hypothalamus monitor the water potential of blood
ADH regulates the permeability of walls of the collecting duct
More ADH = more aquaporins fuse with the CSM of the cells of the collecting duct
= more aquaporins on tubule walls
-> = Inc permeability of walls of collecting duct = more water reabsorbed

25
Q

Adh levels when dehydrated vs hydrated

A
26
Q

Detailed answer when dehydrated & levels of ADH increases

A
27
Q

Detailed answer of what happens when hydrated & levels of ADH are decreased

A
28
Q

What is ‘kidney failure’

A
29
Q

What is glomerular filtration rate

A

The volume of blood which passes through the nephron

30
Q

Typical value of GFR

A

90-120cm3/min

31
Q

GFR below 60cm3/min indicates?
GFR below 15 indicates?

A

Chronic kidney disease
Kidney failure

32
Q

Symptoms of kidney failure

A

Protein or blood in urine

33
Q

Causes of kidney failure

A
34
Q

Treatments for kidney failure/disease?

A
  • transplants
  • renal dialysis (e.g. peritoneal or haemodialysis)
35
Q

What occurs in a kidney transplant

A
36
Q

Kidney failure pros & cons

A
37
Q

What does renal dialysis do

A

Remove urea & other waste products
Restore electrolytes balance e.f. conc of glucose, ions, h2o etc
Carry out osmoregulation

38
Q

What does dialysate have

A

Normal conc of glucose, mineral ions, etc & no urea 2 maximise conc gradient
Therefore no net movement of glucose & other necessary substances, just urea moving down the conc gradient, out of the blood, into the dialysis fluid

39
Q

What happens in haemodialysis

A
40
Q

Products from excretion in medical diagnoses

A
41
Q

How does pregnancy testing work

A
42
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43
Q
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44
Q
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45
Q
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46
Q
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47
Q
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48
Q

Outline the processes in the loop of Henle that cause the solute concentration to increase

A