Session 3- Resorption of sodium along the tubule Flashcards

1
Q

What is tthe renal threshold for resorption of glucose

A

10mmol/ml

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2
Q

What is normal plasma glucose concentration

A

2.5-5.5 mmol/L

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3
Q

How much glucose is filtered per minute

A

0.2-0.5 mmol

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4
Q

Where is glucose reabsorbed and where

A

PCT and all

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5
Q

How is glucose reabsorbed

A

Secondary active transport driven by energy released from transport of Na+ down its concentration gradient

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6
Q

What is Tm

A

The maximum tubular resorptive capacity of a solute

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7
Q

What develops of plasma glucose rises above 10mmol/L

A

Glyccosuria- sugar in urine

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8
Q

Why does glycosuria develop in pregnancy

A

As the Tm for glucose falls and glucose is excreted in the urine

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9
Q

Where and how are amino acids reabsorbed

A

Proximal convulsed tubule by secondary active transport

-symport with Na+ driven by Na+/K + ATPase as with glucose

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10
Q

How do AA’s move through the glomerulus

A

Easily them are reabsored in PCT

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11
Q

How is sodium reabsorbed in the PCT

A

Basolateral 3Na-2K-ATPase

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12
Q

How is sodium reabsorbed apically

A
  • Na H exchange
  • Co-transport with glucose
  • Co-transport with AA or carboxylic acids
  • Co-transport with phosphate (NaPi channel sensitive to [↑PTH])
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13
Q

Hw does the conc gradient change from cortex to papilla

A

Increase

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14
Q

What is central diabetes insipidus

A

Impaired ADH synthesis or secretion by the hypothalamus. Damage to hypothalamus or pituitary glad due to-

  • brain injury
  • tumour
  • sarcoidosis or tuberculosis
  • an aneurysm
  • encephalitis or meningitis
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15
Q

How do you treat diabetes insipidus

A

Administering ADH - desmopressin

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16
Q

Nephrogenic diabetes insipidus

A

Acquired insensitivity of the kidney to ADH

Water is inadequately reabsorbed from the collecting ducts so a large quantities of urine is produced

17
Q

Management of nephrogenic diabetes insipidus

A

Low protein and low salt diet reduced urine output

18
Q

SIADH

A

Syndrome of inappropriate anti diuretic hormone secretion

Characterised by excessive release of ADH from the posterior pituitary gland

19
Q

Characteristics of SIADH

A

Dilutional hyponatramia
Plasma sodium concentration is lowered
Total body fluid is increases