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Renal Physiology
Lecture #2
64
Physiology
Graduate
11/05/2013

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Term
term describing the glomerulus and Bowman's capsule collectively
Definition
renal corpuscle
Term
specialized epithelial cells found on the glomerular capillaries
Definition
podocytes
Term
secondary foot processes of podocytes
Definition
pedicles
Term
lumen of Bowman's capsule
Definition
Bowman's space
Term
relationship between pedicels of adjacent podocytes
Definition
interdigitation
Term
pedicels fuse to this structure
Definition
basement lamina/membrane
Term
porous cell type found within glomerular capillaries
Definition
fenestrated endothelial cell
Term
thin, negatively charged membrane located between adjacent pedicels
Definition
slit diaphragm
Term
urine formation involves movement of fluid from glomerular capillary lumen through a multiunit barrier consisting of the following layers
Definition
glomerular capillary endothelial layer
glomerular basement membrane (GBM)
filtration slit diaphragms
Term
pores of the glomerular capillary endothelial layer are covered in this negatively charged coating
Definition
polyanionic surface glycoprotein
Term
reason why blood cells should NOT be found in urine
Definition
pores in glomerular capillary endothelial layer are too small
Term
components found in basal lamina/glomerular basement membrane
Definition
type IV collagen & proteoglycans
Term
syndrome seen as a result of an inherited mutation in genes that encode type IV collagen; results in hearing disorders and kidney disease
Definition
Alport Syndrome
Term
distance between adjacent podocyte foot processes
Definition
fenestration slit/slit pore
Term
larger artery from which the afferent arteriole branches off of
Definition
interlobular A.
Term
term describing fluid that enters Bowman's space/capsule from the capillaries
Definition
glomerular ultrafiltrate
Term
term describing fluid once it moves into the tubule
Definition
tubular fluid
Term
examples of low molecular weight organic solutes that are found at the same concentrations in both glomerular ultrafiltrate and plasma
Definition
glucose & amino acids
Term
major protein found in blood; made in liver; exerts a major pulling force to hold fluid in capillaries; is a sign of kidney damage when found in urine
Definition
albumin
Term
differences in these two attributes are vastly different when comparing final urine to glomerular ultrafiltrate
Definition
volume & solute concentration
Term
two processes that change the composition of glomerular ultrafiltrate as it passes through segments of the tubule
Definition
tubular secretion & tubular reabsorption
Term
3 things normally NOT seen in urine
Definition
RBCs
albumin
glucose
Term
volume of filtrate formed per unit time
Definition
glomerular filtration rate
Term
normal value of GFR in a young adult male
Definition
125 mL/min OR 180 L/day
Term
value of total plasma volume
Definition
3L
Term
times plasma is filtered each day
Definition
60
Term
high GFR allows ____ of large amounts of waste products and foreign substances in urine at a fast rate
Definition
excretion
Term
normal value of RBF in a typical adult
Definition
1.1 L/min
Term
% of the total CO that the kidneys receive
Definition
20
Term
% of total body weight which the kidneys make up
Definition
1
Term
normal hematocrit level
Definition
.45
Term
defined as fraction of blood volume due to cells
Definition
hematocrit
Term
(1-hematocrit) * RBF =
Definition
RPF
Term
RPF will always be ___ in comparison to RBF
Definition
lower
Term
normal value of GFR
Definition
125 mL/min
Term
normal value of RPF
Definition
605 mL/min
Term
describes fraction of RPF that is filtered
Definition
filtration fraction
Term
GFR/RPF =
Definition
filtration fraction
Term
normal value of filtration fraction
Definition
20%
Term
effect on filtration fraction when increasing the GFR while keeping RPF the same
Definition
increase
Term
effect on filtration fraction when decreasing RPF while keeping GFR the same
Definition
increase
Term
2 major qualities which the filtration barrier is selective to
Definition
size & electrical charge
Term
filtration barrier does not generally allow large, ____-charged molecules to pass through
Definition
negatively
Term
normal healthy kidneys lose up to __ mg of albumin per day
Definition
30
Term
% albumin reclaimed by proximal tubule
Definition
99
Term
condition resulting when 30-300 mg albumin per day is excreted in urine
Definition
microalbuminuria
Term
condition resulting when more than 3.5 g per day is excreted in urine; associated with foamy urine
Definition
overt proteinuria
Term
glomerular disease characterized by effacement of foot processes of the podocytes; loses "negative charges" of filtration barrier; associated with albumin in urine
Definition
minimal change disease
Term
glomerular disease characterized by thickening of basement membrane and damage to foot processes; result of 15-20 year diabetes; associated with more protein in urine and a lower GFR
Definition
diabetic glomerulopathy
Term
glomerular disease characterized by immune-complex deposits between podocytes and basement membrane; associated with protein in urine
Definition
membranous glomerulopathy
Term
syndrome characterized by immune mediated inflammation and RBCs/tubular casts in urine (hematuria); mild to moderate protein in urine
Definition
nephritic syndrome
Term
syndrome characterized by heavy proteinuria and loss of albumin in serum; associated with generalized body edema; tend to see hyperlipidemia in these patients;
Definition
nephrotic syndrome
Term
cells believed to play a phagocytic role and provide some structural support to the glomerular capillaries
Definition
mesangial cells
Term
mesangial cells are modified smooth muscle cells with receptors for these
Definition
vasoactive agents
Term
Kf * NFR =
Definition
GFR
Term
hydraulic permeability * filtering surface area =
Definition
Kf
Term
Kf of kidneys is much ____ than in all other capillaries of the body
Definition
higher
Term
a high ___ is important for rapid rate of fluid filtration in kidneys
Definition
Kf
Term
factors that favor filtration (2)
Definition
hydrostatic P in glomerular capillaries
oncotic P in Bowman's Space
Term
factors that oppose filtration (2)
Definition
hydrostatic P in Bowman's Space
oncotic P in glomerular capillaries
Term
(P GC + II BS) - (P BS + II GC) =
Definition
NFP
Term
a pulling or colloid osmotic pressure exerted by large molecules (proteins)
Definition
oncotic
Term
filtration results in a net fluid movement ___ capillary & into Bowman's Space
Definition
out
Term
reason why II BS should be 0 in a normal individual
Definition
proteins are too large & cannot cross filtration barrier
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