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UVM COM HSF
HSF block 3 cells
30
Medical
Graduate
12/13/2009

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Term
principal cells
(location, secretion, regulation)
Definition
organ: kidney (collecting duct)
secretes: K+
reabsorbs: Na+
regulated by: aldosterone
reabsorb: Na+
regulated by: Aldosterone
Term
intercalated cells
(location, secretion, regulation)
Definition
organ: kidney
secretes: H+
reabsorbs: K+
regulated by:Aldosterone
Term
Aquaporin 2 channel
(location, function, regulation)
Definition
organ: kidney, collecting duct
function: final adjustment of water excretion
regulated by: ADH
Term
proximal tubule
Definition
reabsorbs 2/3 of filtered Na+, H2O
recaptures most of filtered HCO3, Cl-, glucose, and filtered lmw proteins
Term
descending limb of Henle's loop
Definition
highly permeable to H2O
no active transport
Term
ascending loop of henle
Definition
no water transport
agressive solute transport
(allows for adjustment of urine concentration)
Term
thick ascending limb
Definition
Na+/K+/2 Cl- cotransporter

blocked by: loop diuretics, furosemide, bumetanide

15% of filtered Na+ is reabsorbed here
Term
distal tubule
Definition
Na+/Cl- cotransporter
blocked by: thiazide diuretics
2-5% of filtered Na+ reabsorbed here
Term
collecting duct
Definition
principal cells and intercalated cells
regulated by aldosterone
also contains aquaporin 2 channels
allows for fine tuning of volume, potassium, and acid balance
Term
terminal (inner medullary) collecting duct
Definition
many ion transporters and pores
final urine adjustments
Term
Clearence equation
Definition
C= UV/P
clearence equals concentration in urine times urine volume, divided by plasma concentration
Term
Fractional Excretion
Definition
C(x)/C(creatinine)

FE(x)= [U(x)/P(x)] / [U/ P (creatinine)]

*volume term cancels out!
Term
Renal blood flow
Definition
RBF= RPF/(1-Hct)
Term
Renal plasma flow
Definition
RPF= C(pah)/0.9
Term
3 key hormones secreted by kidney
Definition
1) Renin
2) Eythropoeitin
3) calcitrol (active vit. D3)
Term
Kidney functions (5)
Definition
1) Excrete toxins
2) maintain body fluid balance
3) maintain body solute balance
4) secrete 3 main hormones
5) degrade of degenerated key organic molecules
Term
Renin is secreted in response to: (2)
Definition
1) decrease in pressure in afferent arteriole
2) decrease in Cl uptake by distal tubule at macula densa
Term
Renin effects
Definition
activates angiotensin--> maintains pressure in glomerulus despite decreased perfusion pressure
Term
Erythropoietin
(secreted by)
(in response to)
(stimulates)
Definition
secreted by: peritubular interstitial cells
in response to: fall in oxygen tension
stimulates: red cell production in bone marrow
Term
Function of D3
Definition
maintain stable blood Ca by increasing Ca absorption from GI tract and stimulating bone Ca release
Term
podocyte
Definition
unique epithelial cell on the urine side of glomerular basement membrane
Term
mesangial cell functions
Definition
1) contractile elements --> limit filtration
2) secrete collagen that forms GBM
Term
slit diaphragms are made up of this molecule
Definition
nephrin
it attaches the cell membranes of adjacent pedicles and forms a barrier to the filtration of large molecules
Term
Filtration Fraction
Definition
the fraction of renal plasma flow that is filtered
remains at about 20%
Term
cystatin C
Definition
low molecular weight serum protease that is freely filtered and completely reabsorbed and degraded that will likely become a marker for GFR
Term
G cells
Definition
secrete: gastrin
organ: stomach
effect: activates parietal and ECL cells, which makes stomach more acidic
Term
ECL cells
Definition
secretes: histamine
organ: stomach
effect: activates parietal cells
Term
parietal cells
Definition
secrete: H+
organ: stomach
effect: make intrinsic factor
Term
D cells
Definition
organ: stomach
secretes: somatistatin
effect: inhibits G cells and parietal cells
net result: decrease amt. of acid
Term
I cells
Definition
organ: duodenum
secretes: CCK
effect: activates acinar cells
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