The Kidneys- BP Flashcards

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1
Q

Structure of Kidneys?

A

Outer region called Cortex, Middle region called Medulla

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2
Q

role of kidneys?

A

filters blood (removes urea, excess salts, excess water – combined known as urine)

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3
Q

why move urea?

A

toxic waste product made from excess amino acids

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4
Q

why remove excess salts and water?

A

maintain correct water potential and pressure in blood

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5
Q

how do the kidneys filter?

A
  • made up of millions of nephrons
  • each nephron filters the blood producing urine
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6
Q

Structure of Nephron?

A

1st part = Bowmans Capsules
2nd part = Proximal Convoluted Tubule
3rd part = Loop of Henle
4th part = Distal Convoluted Tubule
5th part = Collecting Duct

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7
Q

Bowmans Capsule?

A
  • start of nephron
  • site of ultrafiltration (where blood is filtered)
  • occurs between specialised capillaries called Glomerulus and Bowmans Capsule
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8
Q

Proximal Convoluted Tubule?

A
  • second part of the nephron
  • site of selective reabsorption
  • all the glucose/amino acids and some of the salts/water are sent back into blood
    (from lumen of PCT, through cells lining PCT, into blood)
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9
Q

How does the proximal convoluted tubule work?

A
  • salts (sodium ions) are actively transported from cells lining the PCT into the blood
  • this lowers sodium ion concentration in the cells
  • sodium ions diffuse from the lumen of the PCT into the cells
  • as sodium ions move, they pull in glucose and amino acids with them via co-transport
  • glucose and amino acids build up in the cell, then diffuse into the blood
  • the movement of salt/glucose/amino acids into the blood, lowers it’s water potential, so water follows into blood by osmosis
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10
Q

Loop of Henle?

A
  • third part of the nephron
  • site of further water reabsorption
  • occurs by hairpin countercurrent multiplier
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11
Q

How does the loop of henle work?

A
  • sodium and chloride ions are actively transported out of the ascending limb of the loop of henle into the surrounding medulla of kidney
  • this lowers water potential of medulla
  • so water moves out of the descending limb of loop of henle (and collecting duct) by osmosis into the medulla
  • this water then moves into the blood
  • the sodium and chloride ions then diffuse into the descending limb of loop of henle so the above process can be repeated
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12
Q

Distal Convoluted Tubule?

A

 fourth part of nephron
 site of further salt reabsorption
 corrects required salt balance between blood and urine

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13
Q

collecting duct?

A
  • final part of nephron
  • site of further water reabsorption and osmoregulation
  • end up being left with urine that is sent into the ureter to the bladder
  • water reabsorption occurs by the hairpin countercurrent multiplier
  • amount of water being reabsorbed is controlled at this stage, this is known as osmoregulation
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14
Q

what happens in the collecting duct if water levels become too low?

A
  • osmoreceptors in hypothalamus shrink
  • this stimulates the release of ADH from the posterior part of the pituitary gland
  • ADH stimulates the cells lining the collecting duct to increase the number of aqauporins (water channels)
  • so more water moves from the collecting duct back into blood
  • so less water is lost in the urine
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15
Q

what is osmoregulation?

A

the process by which the hypothalamus controls water potential of the blood

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16
Q

what happens in the collecting duct if water levels become too high?

A
  • less ADH released
  • less aquaporins in collecting duct
  • less water moves from collecting duct into blood
  • more water lost in urine (reduces overhydration)
17
Q

what happens in the Bowman’s capsule?

A
  • glomerulus located in the middle of an arteriole
  • afferent arteriole before glomerulus is wide, efferent arteriole after glomerulus is narrow
  • so build up of hydrostatic pressure in the glomerulus pushes fluid and small substances from the glomerulus into the bowmans capsule
  • small substances filtered = glucose, amino acids, salts, urea
  • only small substances can pass through the 3 layers
    (endothelium of glomerulus, basement membrane, podocytes of bowmans capsule)
  • results in glomerular filtrate in bowmans capsule
    (water + glucose/amino acids/salts/urea)
  • the job of the rest of the nephron is to send all the glucose/amino acids and some of the salts/water back into the blood [reabsorption]