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Urinary System
all you need to know
20
Physiology
Undergraduate 2
07/07/2012

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Term
Kidney function
Definition
1.filters blood plasma
-returns useful substances to the blood
-eliminates waste
2.regulates
-osmolarity of body fluids, blood volume, blood pressure
-acid-base balance
3.secrets renin and erythropoietin
4.detoxifies free radicals and drugs..
5.gluconeogenesis
Term
Nitrogenous wastes
Definition
1.Urea-protein->amino acids->NH2 removed->ammonia, liver converts in to urea.

2.Uric acid-nucleic a acid catabolism

3.Creatinine-
-creatine phosphate catabolisum
-an important indicator of kidney function

3.Renal failure-
-Azotemia: Increase BUN, nitrogenous wastes in blood
-Uremia-toxic effects as wastes accumulate
Term
excretion
Definition
Respiratory: CO2
Integumentary: waster, salts, lactic acid, urea
Digestive:water salts, CO2,lipids, bile pigment, cholesterol.
Urinary:many metabolic wastes, toxins, drugs, hormones, salts, H, and water.
Term
PCT
Definition
longest, most coiled, where most glomerular filtrate is reabsorbed.
Term
Nephron loop
Definition
thick segment-part of descending limb and part of all of ascending limb.
-thing segment-very water permeable.
Term
DCT
Definition
re absorption variable, predominantly under hormonal control.
Term
Collecting duct
Definition
several dct join and concentrates urine.
Term
Flow of glomerular filtrate
Definition
glomerular capsule
PCT
nephron loop
DCT
collecting duct
papillary duct
minor caylax
major caylax
renal pelvis
ureter
urinary bladder
urethra
Term
Cortical nephron and juxtamedullary nephron
Definition
cortical=short loops, efferent arterioles branch off peritubular capillaries.

Jux-very long loops, maintain salt gradient helps conserve water
Term
Path of blood through kidney
Definition
renal artery
interlobar arteries
arcuate arteries
interlobular arteries
afferent arterioles
glomerulse capsule
efferent arterioles
pertibular capillaries
interlobular veins
renial vein
Term
4 nephron tasks
Definition
1.filtration-the nephron filters small solutes out of the blood into the filtrate (plasma like substance)

2.reabsorption-useful solutes are removed from the filtrate and absorbed back into the blood.

3.Secretion-additional waste are removed from the blood and put into the filtrate.

4.Concentration-waster is reabsorbed and returned to the blood, concentrating the urine.
Term
filtration membrane and blood
Definition
blood enters the capsule under pressure and passes through
1.fenestrated endothelium-pores exclude cells
2.basement membrane-proteoglycan gel excludes molecules.
-blood plasma 7 percent protein, glomerular filtrate only .03 protein.
3.filtration slits-podocye arms have pedicels allow particles to pass
Term
what can pass through
Definition
blood cells and most proteins cannot pass through but glucose, fatty acids, amino acids, and ions can
Term
GFR
COME BAK+C
Definition
filtration rate;
Term
GFR abnormalities
Definition
increase GFR-urine output rises->dehydration electrolyte depletion

Decreased FR-wastes reabsorbed AXOTEMIA possible
Term
GFR controlled
Definition
by adjusting glomerular blood pressure;
-autoregulation'
-sympathetic control
-hormonal mechanism:RAA system
Term
Myogenic Autoregulation of GFR
Definition
respond to changes in BP

BP increase=constrict afferent arteriole, dilate efferent arteriole

BP decrease-dilate afferent arteriole, constrict efferent

Stable for BP range of 80-170 mmhg systolic

cannot conpensate for extreme BP
Term
Tubuloglomerular feedback control of GFR
Definition
another local autoregulation mechanism of GFR

Macula densa cells on DCT monitor turbular fluid.

JG cells are stimulated by macula densa cells to dilate or constrict the arteriloles

Mesangial cells-may secrete paracrine messengers to stimulate JG cells
Term
Symphathetic control of GFR
Definition
Strenous exercise or acute condition-stimulate afferent arterioles to constrict.
->B1 adrenergic receptors

decrease GFR and urine production-redirecting blood flow to heart brain and skeletal muscles

GFR may drop as low as a few millilters per minute.
Term
Angeotensinogen
Definition
made in liver.
-drop in BP stimulates JG cells to release renin.
-renin converts angiotensionogen to AG1

AG1-converted to AG2 via ACE in the lungs.

AG2 is a powerful vasoconstrictor w/ multiple effects.
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