Lab 10 Flashcards

(40 cards)

1
Q

How does placement of right and
left kidney differ?

A
  • Right kidney is lower and
    more lateral than the left
  • Crowded by the liver
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2
Q

RENAL CAPSULE

A

1.Peri-renal Fat
* Cushion/shock absorption
2.Fibrous Connective
Tissue Covering
* Protection

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3
Q

on the concave medial surface of the kidney
* Site where ureter, nerves, blood and lymphatic
vessels enter and exit the kidney

A

renal hilum

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4
Q

the two parts of the nephron

A

glomerulus and renal tubule

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5
Q

what part of the kidney houses 85% of all nephrons?

A

the cortex (cortical nephrons)

  • Associated with following capillary beds:
    o Glomerulus
    o Peritubular capillaries
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6
Q

where are peritubular capillaries located?

A

in the cortex of the kidneys (cortical nephrons)

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7
Q

JUXTAMEDULLARY NEPHRONS

A
  • Long loops of Henle
    o Deeply invade the medulla
  • Important in the production of
    concentrated urine
  • Associated with following capillary beds:
    o Glomerulus
    o Vasa Recta
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8
Q

where is the vasa recta located?

A

medulla of the kidneys (juxtamedullary nephrons)

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9
Q

filtrate

A

Components of blood entering the renal tubule (Urine composition: <1% of total filtrate)

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10
Q

GLOMERULAR FILTRATION

A
  • Passive mechanical process
    whereby molecules <5 nm are
    permitted into the tubule
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11
Q

TUBULAR REABSORPTION

A
  • Returns all glucose and amino
    acids, 99% of water, salt, and
    other components to the blood
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12
Q

TUBULAR SECRETION

A
  • Selective addition of nonfiltered substances into urine
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13
Q

Main driving force for
filtration is ____

A

blood pressure

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14
Q

GFR

A

glomerulular filtration rate. * Volume of filtrate formed
per min

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15
Q

where does most tubular reabsorption occur?

A

the proximal convoluted tubule.

  • Components absorbed include:
    1. Organic solutes
    o Nutrients (glucose, amino acids)
    o Small proteins
    o Phosphate
    o Nitrogenous compounds (urea)
    2. Inorganic solutes
    o Ions (Na+, Cl-, K+, Ca2+, Mg2+,HCO3-)
    3. Water
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16
Q

where does tubular secretion mostly occur?

A
  • Occurs mainly at proximal convoluted tubule
    o Parts of distal convoluted tubule and
    collecting ducts also involved
  • Solutes from peritubular capillaries or tubule cells are
    moved to the filtrate
    o Inorganic solutes (K+, H+, NH4+)
    o Organic solutes (urea, creatinine)
    o Drug metabolites/toxins
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17
Q

what kind of epithelium line proximal and
distal convoluted tubules?

A

simple cuboidal

18
Q

Renal corpuscles

A

(glomerulus with bowman’s capsule)
* Cluster of capillaries
surrounded by a
Bowman’s capsule
* Capillaries are surrounded
by podocytes (dark nuclei)
* Filtrate enters Bowman’s space
and is funneled into proximal
tubule at the urinary pole

19
Q

histological features of ureter:

A

-star-shaped lumen
-3 layers (adventitia, muscularis, lamina propria)
-mucosa lined by transitional epithelium

20
Q

what are the three layers of the ureter from superficial to deep?

A

adventitia, muscularis, lamina propria

21
Q

histological features of the bladder:

A
  • Mucosa lined by transitional epithelium
  • Thick muscularis composed of 3 layers of smooth muscle (Detrusor muscle)
  • Outer layer is a connective
    tissue adventitia
22
Q

epithelia of ureter lumen

23
Q

epithelia of bladder lumen

24
Q

epithelia of urethra lumen

A

transitional near bladder, then mostly pseudostratified columnar, then stratified squamous near external urethral orifice

25
histological features of the urethra:
* Branching lumen * Mucosa lined by variable epithelia: o Transitional epithelium near bladder o Mostly pseudostratified columnar epithelium (both males and females) o Stratified squamous epithelium near external urethral orifice * Thick lamina propria supporting the mucosa * Muscularis of smooth muscle * Adventitia of connective tissue
26
the filtration membrane of the glomerulus composition
a fenestrated endothelium, a basement membrane and the foot processes of enveloping podocytes
27
Proximal Convoluted Tubule
Reabsorb 60 -70% of filtrate * Water * Inorganic solutes/ions (Na+, K+, Mg2+, Ca2+, Cl-) * Organic solutes * Vitamins * Urea * Amino acids * Lipid-soluble substrates
28
Loop of Henle (Nephron Loop)
● Descending limb: water ● Ascending limb: inorganic solutes (mostly Na+ and Cl-)
29
Distal Convoluted Tubule
Under hormonal control * Water * Inorganic solutes (Na+ and Ca2+)
30
Collecting Duct
Under hormonal control * Water * Inorganic solutes (mostly K+) * Organic solutes * H+, HCO3-
31
Sites of secretion:
Proximal convoluted tubule ► Distal convoluted tubule ► Collecting duct
32
what does presence of ketones in urine indicate?
(ketonuria) advanced diabetes
33
what does presence of proteins in urine indicate?
(proteinuria) hypertension
34
histological features of renal cortex
-presence of renal corpuscles and renal tubules -renal tubules lines w simple cuboidal epithelium
35
histological features of renal corpuscle
● Outer envelope of simple squamous epithelium called Bowman's (glomerular)capsule ○ Surrounds a Bowman's (glomerular) space ● Cluster of varied cells suspended in Bowman’s space is the glomerulus ○ Endothelial cells of the glomerulus are simple squamous epithelia ○ Endothelial cells are mostly masked by darker staining oval nuclei of mesangial cells and podocytes ● urinary pole of the glomerulus is the site where the capsular space of the renal corpuscle gives rise to the proximal tubule
36
histological features of the renal medulla
Collection of renal tubules in the absence of renal corpuscles (glomeruli) ● Loops of Henle and collecting ducts ● Renal tubules lined by simple cuboidal or simple squamous ● May appear round, oval or elongated in shape depending on sectional plane
37
histological features of the ureter
● Star-shaped lumen ● Mucosa (inner most layer) lined by transitional epithelium ○ Epithelium sits atop a sparse and paler staining lamina propria of areolar connective tissue ● Muscularis (middle layer) of smooth muscle ● Adventitia (outer layer) of pale -staining connective tissue ○ Interspersed fat, blood vessels, and nerves
38
histological features of the bladder
Mucosa lined by transitional epithelium ○ Epithelium sits atop a thick and paler staining lamina propria of areolar connective tissue ● Thick muscularis composed of smooth muscle ○ Called the detrusor muscle
39
histological features of the urethra
● Branching lumen ● Mucosa lined by a variety of epithelia depending on the distance from the bladder: ○ Transitional epithelia close to the bladder ( proximal urethra) ○ Pseudostratified columnar at the midpoint ○ Stratified squamous near the urethral orifice ● Three mucosa layers ○ Epithelia sits atop a thick, lighter staining lamina propria of areolar connective tissue ○ Muscularis (middle layer) of circular and longitudinal smooth muscle ○ Adventitia (outer layer) of pale-staining connective tissue Interspersed fat, blood vessels, and nerves
40
histological features of the kidney
Bean-shaped, two variable staining regions, pale-staining capsule