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Phys - Final Review
Urinary System
18
Health Care
Undergraduate 1
07/26/2012

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Cards

Term
Prostaglandins and dopamine act how on the vasculature of the Urinary system?
Definition
Vasodilators
Term
Epinephrine and angiotensin II act how on the vasculature of the Urinary system?
Definition
Vasoconstrictors
Term
What affects glomerular hydraulic pressure?
Definition
Angiotensin II or norrepinephrine
Term
What affects glomerular oncotic pressure?
Definition
Nephrotic syndrome
Term
What affects Bowman space hydraulic pressure in the urinary system?
Definition
Urinary Tract obstruction
Term
What is the function and regulation in the PROXIMAL tubule of the glomerulus?
Definition
Fx: Reabsorbs most filtrates,
Secretes organic acid/bases
Regulates: PTH
Term
What is the function and regulation in the LOOPS of the glomerulus?
Definition
FX: Reabsorbs Na, Cl, K, Ca, Mg

Reg: ADH
Term
What is the function and regulation in the DISTAL tubule of the glomerulus?
Definition
Fx: Reabsorbs Na, Cl

Regulates: PTH, ADH
Term
What is the function and regulation in the COLLECTING DUCTS of the glomerulus?
Definition
Fx: secretes H,K, Reabsorbs Na,H2O

Regulates: ADH, Aldosterone
Term
What causes ISOSMOTIC VOLUME CONTRACTION, and what effect does it have on the fluids?
Definition
Cause: Diarrhea
Effect: no shift in osmolarity or ECF/ICF balance (iso = unchanged)
Term
What causes HYPEROSMOTIC VOLUME CONTRACTION, and what effect does it have on the fluids?
Definition
Causes: Water deprivation
Effects: shift ICF to ECF, Osmolarity increased
Term
What causes ISOSMOTIC VOLUME EXPANSION, and what effect does it have on the fluids?
Definition
Causes: infusion of 0.9% saline (isotonic)
Effects: No shift in osmolarity or ECF/ICF balance (iso = unchanged)
Term
What causes HYPEROSMOTIC VOLUME EXPANSION, and what effect does it have on the fluids?
Definition
Cause: High NaCl intake
Effects: Water shift from ICF to ECF, Osmolarity increased
Term
Adrenal insufficiency causes Volume Contraction, with what effects?
Definition
Volume contraction decrease,
osmolarity decrease
Term
SIADH causes volume expansion, with what effects?
(syndrome of inappropriate antidiuretic hormone secretion)
Definition
Volume Contraction increase
Osmolarity decrease
(SIADH) is characterized by excessive release of antidiuretic hormone (ADH or vasopressin) from the posterior pituitary gland or another source. The result is hyponatremia and sometimes fluid overload. It is usually found in patients diagnosed with pneumonia, brain tumors, head trauma, strokes, meningitis, encephalitis, or small-cell carcinoma of the lung.
Term
An increase in BUN or Creatinine means what to the GFR (glomerular Filtration Rate)?
Definition
GFR decrease
Term
When the BUN/creatinine level is >20 (higher than normal, it should be <20) what is the general cause?
Definition
Prerenal causes (hypovolemia)
Term
When there's NO INCREASE in the BUN/Creatinine Ratio, we know that GFR decrease is due to ....
Definition
renal causes (chronic renal failure)
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