Glomerulus Flashcards

1
Q

Which adrenal gland is depressed + why?

A

Right adrenal gland: liver sits on it

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2
Q

Blood supply + drainage of kidneys

A

Blood supply from renal a. & drained via renal vein

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3
Q

What is the pubic symphysis?

A

Joint between the R & L pelvic bones

Bladder sits behind this

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4
Q

What is the renal capsule + purpose?

A

Holds in all the pressure (drinks from the aorta)

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5
Q

What is renal fascia?

A

Connective tissue that surrounds the kidney

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6
Q

Perirenal fat

A

Completely surrounds the kidney + goes inside (holds kidney up)

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7
Q

What is pararenal fat?

A

Outside of renal fascia

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8
Q

What is the renal hilum?

A

Where fat/arteries/veins go in & BS/ureter go out

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9
Q

Characteristics of the renal cortex

A

Found in the outer layer, glomeruli are found here (makes the filtrate)

Thin cortex = glomeruli are falling apart (normal as you age)

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10
Q

Renal columns

A

Extension of cortex into medulla

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11
Q

Renal medulla

A

Where all the renal pyramids are found (in between columns)

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12
Q

Pathway of urine

A

Nephrons –> collecting ducts –> renal papilla –> minor calyx –> major calyx –> renal pelvis –> ureter –> bladder –> urethra

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13
Q

What are polycystic kidneys?

A

Kidneys with round sacs with fluid (inherited)

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14
Q

Problems with kidneys

A
  • Too many ureters
  • Severe hydronephrosis (joint kidneys)
  • Supernumerary renal arteries (too many renal a.)
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15
Q

What is the renal corpuscle?

A

Composed of glomerular capsule & glomerulus

Glomerulus = tuft of capillaries

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16
Q

What feeds the glomerulus & what spreads over the tubules?

A

Afferent arterioles = glomerulus

Efferent arterioles = tubules

17
Q

Role of juxtaglomerular cells

A

Acts as a quality control mechanism of filtrate

18
Q

What happens between the peritubular capillaries (bloodstream) and the renal tubules?

A

Reabsorption of material from the filtrate in the tubule to the blood

Secretion of material from the blood to the tubule

19
Q

Layers of the renal corpuscle

A

Visceral layer: covers the capillaries of the glomerulus

Parietal layer: outside layer

20
Q

Components of the juxtaglomerular apparatus

A

Macula densa: part of the D.C.T., tastes the filtrate + making sure there’s the right amount

Granular cells: makes renin, if MD senses something wrong = renin release

Mesangial cells: also found in-between capillary tufts (regulates filtration)

21
Q

Function of the renal corpuscle

A

The capsular space (space between visceral & parietal layers) is where filtrate is formed (BVs –> capsular space)

With every heart beat, blood is pushed in here (filtrate slowly enters capsular space)

22
Q

Podocytes

A

Found outside of the glomerulus

Pedicels come off the podocytes

In between these, there are filtration slits

23
Q

Relationship between kidneys and CV system

A

CV system generates the pressure necessary for glomerular filtration

The kidneys maintain blood volume, regulate plasma osmolality + secrete mediators that affect both cardiac performance & vascular tone

24
Q

Positive pressures (filtration)

A

Pressure pushing fluid out of the glomerular capillaries (the pressure of the blood in the glomerular capsule)

Determines the glomerular filtration rate

25
Negative pressures (filtration)
Pressures holding fluid in the glomerular capillaries (pressure of the fluid already in the capsule)
26
Ways to auto regulate GFR (x2)
Myogenic mechanism Tubuloglomerular feedback
27
Myogenic mechanism
The smooth muscle of the afferent arteriole is stretched by the increased in blood pressure and afferent arteriole responds with constriction which decreases GFR
28
Tubuloglomerular feedback
The macula densa of the juxtaglomerular apparatus detects high amounts of filtrate flow (i.e. lots of water & Na+ and Cl- flowing past) inhibits NO release which inhibits afferent arteriole dilation which decreases GFR
29
Hormonal regulation of GFR (x2)
ANP and angiotensin II
30
Angiotensin II and GFR
Sympathetic stimulation or decrease in blood pressure causes juxtaglomerular apparatus activation J.A. releases renin Angiotensin is made --> increased BV constriction & increased blood pressure J.A. is then turned off Result = increased BP from angiotensin II and more Na+ reuptake in tubules
31
ANP and GFR
ANP is released when there is distention of the atrium ANP causes relaxation of mesangial cells between glomerular capillaries (so they're more spread out = more filtration) ANP also relaxes the afferent arterioles of the glomerulus and increases Na+ loss
32
Neural regulation of the GFR
Sympathetic branch of ANS has inputs to muscular walls of the afferent arterioles Receptors are alpha 1 adrenoceptors With low blood flow, glomerular hydrostatic pressure goes down & filtration decreases