Urine concentration and dilution Flashcards

1
Q

What is a hypotonic solution?

A

Low osmolality

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2
Q

What happens to water in the collecting duct?

A

Water leaves due to an increase in osmolality- concentrates urine

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3
Q

What inhibits AVP release?

A

Increase stretch in atria- baroreceptors stimulation

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4
Q

Where is AVP made and released?

A

Made-paraventricular nucleus of hypothalmaus

Released- posterior pituatary

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5
Q

What does AVP cause?

A

Vasoconstriction and kidney AQP

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6
Q

What does KO AQP1 show?

A

Problems with urine concentration but largely healthy as not contributing full amount to counter current multiplication

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7
Q

Through what channel does water move out in the thin descending limb?

A

AQP1

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8
Q

What does the thin ascending limb do?

A

water impermeable, NaCl out and urea in

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9
Q

What does the thick ascending limb do?

A

Apical- NKCC2 ROMK
Basolateral - Na/k pump (drives NKCC2), k out, CLCK regulated by Barttin B subunit
Paracellular reabsorption of Calcium

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10
Q

What are the symptoms of Bartters syndrome?

A

Salt wasting and polyuria, hypokalaemia, metabolic alkalosis, hypercalciuria, nephrocalcinosis

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11
Q

Principle cell

A

Apical- ENaC ROMK AQP2

Basolateral- Na/K pump, K out, AQP3+4

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12
Q

What determines water reabsorption?

A

AQP2

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13
Q

What part of the collecting duct is permeable to urea?

A

Inner medulla

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14
Q

What does KO A1/A3 show in mice with and without water?

A

With- half the osmolality in urine. Without water- quarter the osmolality in urine

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