Urine Concentration/Dilution Flashcards

1
Q

function of recirculation of urea in the medulla

A

helps trap urea in the medulla, contributes to hyperosmolarity

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2
Q

what happens to your urine if you have a high protein diet

A

produce more urea, have more concentrated urine

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3
Q

where does reabsorbtion of sodium and chloride take place

A

thick loop of henle

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4
Q

what portion of the loop of henle is permeable to water

A

thin descending loop

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5
Q

what portion of loop of henle is impermeable to water

A

thick and thin ascending loop

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6
Q

where does countercurrent exahcnge take place

A

vasa recta

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7
Q

is countercurrent exchange an active or passive process?

A

passive

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8
Q

where does countercurrent multipliation take place

A

loop of henle

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9
Q

affect of ADH concentration on cortical collectind ducts

A

highest osmolarity possible is here.

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10
Q

affect of ADH concentration on medullary collecting deucts

A

urine becomes more concentrated

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11
Q

What does dehydration cause

A

increases the release of ADH, increases sympathetics, increases angiotension, decreases ANP

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12
Q

overhydration effects

A

increase ANP, decrease symphateics, Angiotension II, ADH

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13
Q

how does central diabetes affect ADH

A

can not make it at all

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14
Q

how does nephrogenic diaetes affect ADH

A

patients don’t have ADH receptors, or the needed type of aquaporin

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15
Q

Why does diabetes cause a large amount of dilute urine

A

because they are bypassing the medullary gradient that would normally remove water from the collecting ducts

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16
Q

how is lung cancer related to ADH

A

some secrete ADH, it isn’t under normal control so you get a lot of it which increases water retention, get hyponatermia. this is SIADH

17
Q

how does morphine affect ADH secretion

A

increases

18
Q

how does EtOH affect ADH secretion

A

decreases