renal Flashcards

1
Q

functions:

A

make urine, filters waste out of the body, fluid balance, Ph balance, secondary endocrine: erythropoitein, renin, vit d, reabsorbtion/secretion/excretion

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2
Q

nephron

A

functional units of the kidneys

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3
Q

filtration begins at the …..

A

bowmans capsule

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4
Q

descending loop of henle is permeable to ….

A

h20

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5
Q

the ascending limb of henle is permeable to _____

A

solutes

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6
Q

ADH

A

stimulation: osmoreceptors, low Bf/decreased bp/ANG2/atrial stretch receptors/barrorecptors(-stretch)–>+ADH
actions: +expression of aquaporions on the apical side of tubular cells of the DCT

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7
Q

vasa recta

A

BV that picks up materials reabsorbed at the capillaries, surrounding the medullary loop

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8
Q

DCT

A

short nephron segment between macula densa/collecting ducts
(absorbs ions and h20)

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9
Q

Loop of henle

A

site of 20% solute reabsorption, makes the concentration gradient to pull H2O out( descending), and reabsorb solutes (ascending)

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10
Q

what is the toop of the loops concentration?

A

300mosm/L

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11
Q

concentration of the bottom of the loop?

A

1200 mosm/L

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12
Q

What is the concentration after the DCT?

A

-100 mosm/L

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13
Q

PCT?

A

segment of of renal tubule that absorb/secretes h2o& solutes ( in the renal cortex)

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14
Q

reabsorption mechanisms

A

transcellular:Na+ gradients/supporting transport proteins
secondary active transport: atp used to transport molecule against gradient and another molecule piggy backs.
paracellular: passive, H2o follows osmotically charged particles

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15
Q

Distal convoluted tubules & collecting ducts:

A

winds around the bowmans capsule
- dilute, -100mosm/L

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16
Q

ANP

A

stim: stretch receptors in the atrial myocytes detect the vol of BF, actions= dilates the afferent arterioles do +GFR–>+Na+ filtered= surpresses the release of ALDO -ANG2 & ALDO(decreases H2O reabsorption by DCT promotes more urine, stims vaso D)

17
Q

RAAS

A

afferent arteriole sense low p–> renin released, Juxtaglomerular cells in kidneys–>angiotensinogen released from the liver—>converts to ANG1–> ACE–> ANG2–> decreases bv diameter, ec proliferation, +bp

18
Q

GFR=

A

vol filtered/unit of total blood
125ml/min=180L/day

19
Q

myogenic model:

A

High pressure—> higher BF through the afferent arteriole→ + GFR
+BP= smooth muscle stretch→ opening the VG Ca2+ channels→ Ca2+ allows for the cross bridge to form—> + Smooth muscle contraction of cells
When Pressure decreases, smooth muscles relax, + BF & GFR

20
Q

Tubuloglomular feedback

A

+ bf through the afferent arteriole→ + GFRs & + Flow of filtrate through the nephron
+ bf = sensed by the macula densa cells of the JGA
Macula densa cells secrete paracrine factors of adenosine & ATP —> smooth muscle cells of the afferent arteriole to contract —> decreases the GFR→ secrete less NO ( Nitric oxide)
When BF= decreased through the afferent arterioles, macula densa cells secrete less adenosine & ATP and more NO
Permeability of glomerulus= altered by angiotensin 2 (decreases GFR)

21
Q
A