me: ch. 10 renal system Flashcards

(38 cards)

1
Q

What structures make up the renal system?

A

Pair of kidneys
-pair of ureters
-urinary bladder
-urethra.

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2
Q

Function of kidneys

A
  1. The kidneys remove nitrogenous wastes (ike urea, creatinine and uric acid)
  2. regulate electrolyte balance
  3. regulates volume of H2O in body
  4. Secrete erythropoetin(Hypoxemia stimulates the kidneys to release erythropoietin, which boosts red blood cell production in the bone marrow to improve oxygen transport.)

Maintain blood pH

Regulate blood pressure (aldosterone, adh, angiotension)

Eliminate drugs/hormones

Activate Vitamin D3

Perform gluconeogenesis (when glucose made from non-carbhydrate like protein (maybe when hungry)

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3
Q

How is nitrogenous waste formed from proteins?

A

Proteins → Amino acids → Amino group is removed during oxidative deamination, forming ammonia (NH₃) and an alpha-keto acid.

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4
Q

What is oxidative deamination?

A

amino group is removed from an amino acid, forming ammonia (NH₃ - for excretion via urea) and an alpha-keto acid.

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5
Q

Why is ammonia toxic?

A

: Ammonia is highly toxic and soluble, which is why it must be converted or excreted quickly.

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6
Q

What are ammonotelic animals?

A

ammonia directly into water
ex) fish

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7
Q

What are ureotelic animals?

A

convert ammonia to urea in liver which is less toxic and soluble

ex) humans

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8
Q

What are uricotelic animals?

A

Animals that excrete nitrogen to uric acid (e.g., birds, reptiles)

it’s non-toxic, insoluble, and stored longer in the body.

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9
Q

What is the downside of uric acid accumulation?

A

can accumulate in joints, causing gout.

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10
Q

What is uric acid made from, and what is its structure?

A

Made from purines (adenine & guanine); contains 4 nitrogen atoms.

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11
Q

What are the characteristics of uric acid excretion?

A

Excretes more nitrogen, but costs 6 ATP → more energy-intensive.

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12
Q

What is creatine, and how is it used in muscle energy?

A

A straight-chain compound that can be phosphorylated to creatine phosphate; this stores energy.

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13
Q

How is creatine phosphate used in muscles?

A

When muscles contract, phosphate from creatine phosphate is transferred to ADP to make ATP.

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14
Q

What is creatinine used for clinically, what does high creatinine suggest?

A

To estimate glomerular filtration rate (eGFR), a marker of kidney function.

high creatinine means low GFR, kidneys not working properly

.7-1.3 is normal level (dont think important)

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15
Q

What happens in renal failure?

A

It’s not filtered → increase in urea in blood = uremia (toxic).

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16
Q

What is intravenous pyelography?

A

Used by iodine contrast creatine to improve X-ray image; used to diagnose renal failure (dark areas mean blockage).

17
Q

Which kidney is lower?

A

Right kidney is lower than the left.

18
Q

What is ptosis?

A

Ureter blocked → causes hydronephrosis.& kidney in pelvic region called nephroptosis

19
Q

What is renal aplasia?

20
Q

What is dysplasia?

A

Malformation.

21
Q

What is hypoplasia?

A

Small kidneys.

22
Q

What are renal calculi and how are they treated?

A

Kidney stones and treated through and Lithotripsy (laser breaks stone)

23
Q

Can the kidney regenerate? What are renal failure treaments?

A

No

Dialysis or kidney transplant. (not important i think)

24
Q

What types of cells are in the nephron’s collecting tubules?

A

Intercalated cells and principal cells.

25
What do Type B intercalated cells do?
*Excrete HCO₃⁻ into urine during alkalosis (too little acid).
26
What do principal cells do?
*Regulate Na⁺ and water retention under aldosterone.
27
How many nephrons are in each kidney and how long are they?
1 million at 3.5 cm
28
What are the characteristics of PCT and DCT cells?
*PCT cells: Cuboidal, with microvilli (brush border for 80% reabsorption). DCT cells: Cuboidal, without microvilli (secretory, not absorptive).
29
What is the blood flow pathway through the kidney?
Aorta → Renal artery → Segmental artery → Interlobar artery → Arcuate artery → Cortical radiate artery → Afferent arteriole → Glomerulus → Efferent arteriole → Cortical radiate vein → Arcuate vein → Interlobar vein → Renal vein →
30
What percent of cardiac output goes to the kidneys per minute? How much blood passes through the kidneys approximately every 4 minutes?
20–25% & About 5 liters every 4 min
31
What are the two types of nephrons, and how do they differ?
Cortical nephrons (85%): normally used, Shorter Loop of Henle, make urine 4x more concentrated than plasma. 300 mosmols Juxtamedullary nephrons (15%): Longer Loop of Henle, highly concentrated urine, up to 16x more concentrated - used in stressful situations (seen in desert rodents like Jerboa).
32
What is the difference between the parietal and visceral layers of Bowman's capsule?
Parietal layer: Flat, squamous cells. Visceral layer: podocytes (Specialized cells) that wrap around fenestrated capillaries with foot processes.
33
What is the juxtaglomerular apparatus (JGA)?
The JGA regulates Glomerular Filtration Rate (GFR) through macula densa cells and juxtaglomerular cells.
34
*How do macula densa cells influence GFR?
detects concentration of filtrate: If the filtrate is highly concentrated, macula densa cells secrete adenosine, which causes vasoconstriction of the afferent arteriole, reducing GFR. If the filtrate is dilute, they secrete prostaglandin E2 (PGE2), causing vasodilation and increasing GFR.
35
*What is the role of juxtaglomerular (JG) cells in regulating blood pressure?
JG cells in the afferent arteriole release renin (released when bp is too low) which converts angiotensinogen to angiotensin II, causing vasoconstriction of the efferent arteriole, restoring GFR (goes higher).
36
Which of the following does blood flow through before the afferent arteriole?
cortical radiate artery
37
Normal concentration of urine in cortical nephron is
1200 mosmols
38
efferent a has cappilary thta goes around the nephron. What are they called and where are they located
vasa recta: capilary near (counter current) peritubular plexus: near pct & dct