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Renal Phys 1
WVSOM -- Renal Phys -- Functional anatomy and basic processes
Question | Answer |
---|---|
What are the 7 functions of the kidney? | regulation of water and electrolyte balance, excretion of metabolic waste, excretion of bioactive substances, regulation of arterial pressure, regulation of rbc production, regulation of vit D production, gluconeogenesis |
What are the medullary pyramids? | collecting ducts in the medulla of the kidney which gives a striped pyramid-like appearance |
What does the cortex of the kidney look like? | granular outer region |
What is the medulla look like? | darker inner region |
What does the cortex contain? | glomeruli |
What is the difference between the cortex and medulla? | cortex have glomeruli |
What are the types of nephrons? | Superficial nephrons, mid-cortical nephrons and juxtamedullary nephrons |
Where are juxtamedullary nephrons at? | border of the cortex and medulla |
What are loops like on the Juxtamedulalary nephron? | very long that extend into the medulla |
How are superficial nephrons different form the juxta-medullary nephron? | The superficial nephron has a low pressure peritubular capillary attached to the high resistant efferent while the juxta-medullary nephron has an efferent hairpin loop and vasa recta after the glomerulus |
What is the renal corpuscle? | contains the glomerulus surrounded by a ballon-like hollow capsule |
What is the glomerulus? | tuft of interconnected capillary loops inside the renal corpuscle |
What is the bowman’s capsule? | ballooon like hollow capsule of the renal corpuscle |
What is bowman’s space? | fluied filled space within bowman’s capsule where the fluid is filtered |
What are the 3 layers of the filtration barrier? | capillary endothelium, glomerular basement membrane and the layer of epithelial podocytes |
What is the first layer of the glomerulus capillary? | capillary endothelium |
What does the capillary endothelium allow passage of? | blood cells and platelets |
What are filtration slits? | Spaces between the pedicles of the podocytes |
What re slit diaphragms? | bridge the slits between pedicles |
What is the role of glycoporteins and podocytes? | Glycoproteins have a negative charge. They cover the podocytes and filtrations slits, and favors the filtration of positively charged solutes. |
What kind of charge is the basement membrane and epithelial podocytes covered with? | negative charges |
What does the overall anatomical arrangement of the filtration barrier allow? | passage of large volumes of fluid but restricts filtration of large plasma proteins like albumin |
What makes up the juxtaglomerular apparatus? | Extraglomerular matrix, macula densa of distal tuble and the granular cells |
What is the extraglomerular matrix? | glomerular capillary loops that are supported by a network of mesangial cells. |
What do mesangial cells secrete? | the extracellular matrix |
Where is the JGA? | where the afferent arteriole kisses the renal corpuscle |
What happens when mesangial cells contract? | the decrease the surface area of the capillary membrane |
What is the macula densa? | specialized epithelial cells of the thick ascending limb where it contacts is glomerulus |
What does the macula densa do? | salt dectors and contribute to the control of the GFR |
What is GFR? | glomerular filtration rate |
What are granular cells? | specialized smooth muscle cells in the wall of the afferent arteriole. |
What do granular cells do? | production, storage and regulation of release of rennin |
What does the JGA control? | renal blood flow and GFR, Na+ balance and systemic blood pressure |
What innervates the kidney? | sympathetic, no real parasympathetic |
What does freely filtered mean? | when a substance is present in the filtrate at the same concentration found in the plasma |
What is Glomerular filtrate? | fluid that has passed from the blood into bowman’s capsule. |
What is the make up of glerular filtrate? | mostly like plasma except that it contains very little total protein |
What is the glemerular filtration rate? | The volume of filtrate formed per unit of time |
What is the normal GFR? | 180 L/day |
What is filtrated and reabsorbed? | Na, clucose, AA….most ions… |
What are filtered and secreted? | urea and K+ |
What is just secreted? | PCN, Morphine and Creatine |
What does the proximal tubule do? | reabsorbs 2/3 of the filtered water, Na, Cl and all organic substances that need to be conserved and secretes some wastes and some drugs |
What organic substances does the proximal tuble reabsorb? | glucose and amino acid |
What is an example of what proximal tubules secrete? | PCN, morphine and urate |
What does the distal tuble and connecting tubule do? | reabsorb some small additional salt and water. |
What regulates the kidney filtration? | aldoesterone and ADH |
What does aldosterone do? | increase Na absorption; increase K secretion |
What does ADH do? | increase water reabsorption |
With aldosterone present, do you have more Na present in the final urine or less? | less |
With ADH present, is the final urine more concentrated or dilute? | concentrated |
What do sympathetic regulate in regards to renal function? | RBF, GFR, release of rennin |
What do adrenal hormones and aldosterone regulate in the kidney? | Na and K excretion |
What hormone is secreted from the heart? | ANP, atrial natriuetic peptide |
What does ANP do? | increased Na excretion |
Where is ADH secreted from? | pituitary |
What does the Loop of Henle do? | reabsorbs ~20% of the filtered Na and Cl and ~10% of filtered H2O from the lumen |