GU
Help!
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Kidneys | show 🗑
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show | 1.Renal Corpuscle-Glomerulus, Bowmans capsule.2.Renal tubule-proximal,loop of henle,distal,collecting
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Hilum | show 🗑
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Renal cortex | show 🗑
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Renal Medulla | show 🗑
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show | project into hollow space of the renal pelvis
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show | cortical and medullary tissue
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show | renal pelvis and ureter
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Nephron physiology | show 🗑
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show | 1.glomerular filtration2.reabsorption,3,secretion
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show | 60 mm/Hg
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GFR | show 🗑
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Proximal tubules | show 🗑
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Descending loop pf Henle | show 🗑
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Ascending loop and beginning distal tubule | show 🗑
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Distal/collecting tubules | show 🗑
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Late distal tubules | show 🗑
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Angiotenson II | show 🗑
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show | secreted by adrenal gland-target tissue(distal tubule/collecting duct-effetcs:reabsorbs,Na,Cl,H2o,SECRETES K+, and H+
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show | secreted from posterior pituitary-distal and collecting-effects:increased reabsorption of water
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show | secreted by Rt atrium when pressure in the atria increases-target tissue-distal /collecting,Effects:ADH secretion is inhibited, decreased reabsorption of Na and CL,urine is released
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show | catecholamines released,=vasoconstriction and decreased renal bld flow
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Reabsorption /secretion occur by | show 🗑
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Glucose | show 🗑
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show | 1/2 is filtered in glomerulus,reabsorbed in proximal,contributes to osmotic gradient in medulla-necessary for concentration/dilution of urine-1/2 secreted in distal tubule-byproduct of protein metabolism- (urea not excreted becomes ammonia)
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show | checks blood urea nitrogen-normal BUN=8-21 mg/dl
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Creatine | show 🗑
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show | blood level of creatine and urea
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show | renin released from kidneys due to low pressure-acts on angiotensin-produces angiotensinI.then converted in lungs to angio II by ACE-takes 20 mins
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ACE-Angiotensin converting enzyme | show 🗑
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show | potent vasoconstrictor-stimulates production of aldosterone=kidneys reabsorb Na+=intravascular volume is maintained
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Erythropoietin | show 🗑
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show | contains 350-500cc
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show | voiding
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show | inflammation,distention,ischemia-transmits pain signals from veseral afferent nerve fibers back to spinal cord-DIFFUSE,DULL or CRAMPY,tachu,n/v, diaphoresis
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show | pain originates in a region other then where it is felt
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show | a sudden decrease in filtration through the glomeruli-urine output <400-500cc/day (oliguria)
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show | insufficient bld supply to kidney 40-80%or ARf,reversible.if GFR not maintained=metabolic acidosis(H+ retained),Hyperkalemia occurs (K+ retained)-GFR decreases, nephron tubular cells become ischemic-causes by :Organ problems that originate prior to kidney
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show | hypovolemia,hemmorrage,dehydration, burns,cardiac failure,shock, sepsis
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Renal ARF | show 🗑
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Post Renal ARF | show 🗑
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show | 1.injury to small vessels/golom injury.2.tubular cell death 3.Interstitial nephritis-(antibiotics,nsaids,diureticshigh BP drugs)
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S/S | show 🗑
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BUN to Creatine ratio | show 🗑
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show | urine smell to breath,pyuria,hematuria,glycosuria,n/v,pruitis,rash,diarrhea,confusion,drowsy,convulsions, coma
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Chronic Renal failure | show 🗑
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show | HTN,DM,atherosclerosis,glomerulonephritis,lupus,nephrotoxins,infections-most damade affects the glomeruli
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Outcomes of CRF | show 🗑
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show | HTN,edema,fatigue,pasty yellow skin,thin extremities,Uremic frost (late sign),anemia
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show | works like osmosis and equalizes osmolarity across a semipermeable membrane-3-5hr, 3x a wk-flows into dialysate, it cleans it and is returned back to pt
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Hemodyalisis complications | show 🗑
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show | uses peritoneal membrane,dialysate is put in peritoneal cavity, absorbs toxins and then returns out-takes 10-12 hrs-reduces risk of fluid and elctrolyte shifts
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show | crystal aggregation in kidneys collecting system,>men,hereditary.Causes=immobilization,meds,dehydration,cns disorders,gout,hyperparathyroidism-made of calcium oxalate and calcium phosohate
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Lithrotripsy | show 🗑
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Struvite stones | show 🗑
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show | not common,common in men,runs in families,1/2 have gout
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show | least common (sulfur containing amino acid) due to cystine in filtrate/hereditary
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s/s | show 🗑
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show | affects urethra,bladder,kidney,prostate gland-caused by bacteris,viruses and fungi-Bld(hematogenous infection)not common,Urethra (ascending infection)most common-lower UTI's most common
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Urethritis | show 🗑
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Prostitis | show 🗑
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show | spread towards kidneys,effects 1 or both,Infllammation of the kidney, more common in women,abcess may develop
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show | form within renal parenchyma-
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Epididymitis | show 🗑
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Testicular Torsion | show 🗑
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show | structural and functional unit if te kidney
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show | produces the urge to void
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Hemasite | show 🗑
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show | congestive heart failure
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show | renin.
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When the solute concentration of the blood increases | show 🗑
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The glomerular filtration rate is MOST accurately defined as the: | show 🗑
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show | inhibiting sodium resorption in the kidneys
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Disequilibrium syndrome is a condition in which | show 🗑
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The main filter for blood in the kidney is the | show 🗑
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show | increased nitrogenous wastes in the blood
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show | A marked decrease in urinary output
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