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Chapter 25 Part Urinary System
Chapter 25 Part
69
Physiology
Undergraduate 2
05/19/2015

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Term
What are the main functions of the kidneys?
Definition
To remove nonessential waste from the plasma including waste metabolites, excess water, and electrolytes to recover any essential substance like glucose.
Term
which is the functional unit of the kidneys?
Definition
the nephron
Term
what are the functions of the nephrons?
Definition
to filter the kidneys, reabsorb essential nutrients, and excrete nonessential wastes and molecules
Term
What is the pathway of blood supply in the kidneys?
Definition
the renal artery gives blood to the interlobular artery then the afferent arteriole, which gives rise to the glomuleris(filtration takes place) to the efferent arteriole to the peritubular capillaries to the interlobular vein to the renal vein
Term
what has a larger diameter? afferent arteriole or efferent arteriole?
Definition
afferent arteriole
Term
where is the filtration of the blood take place in the kidneys?
Definition
the glomerulus. there is a filtration space called the capsular space.
Term
What are the main functions of the kidneys?
Definition
To remove nonessential waste from the plasma including waste metabolites, excess water, and electrolytes to recover any essential substance like glucose.
Term
which is the functional unit of the kidneys?
Definition
the nephron
Term
what are the functions of the nephrons?
Definition
to filter the kidneys, reabsorb essential nutrients, and excrete nonessential wastes and molecules
Term
What is the pathway of blood supply in the kidneys?
Definition
the renal artery gives blood to the interlobular artery then the afferent arteriole, which gives rise to the glomuleris(filtration takes place) to the efferent arteriole to the peritubular capillaries to the interlobular vein to the renal vein
Term
what has a larger diameter? afferent arteriole or efferent arteriole?
Definition
afferent arteriole
Term
where is the filtration of the blood take place in the kidneys?
Definition
the glomerulus. there is a filtration space called the capsular space. this is called the gloumuleral filtration
Term
what does filtration mean?
Definition
the movement of fluid through the glomuleral capillary due to hydrostatic pressure
Term
what does filtrate mean?
Definition
filtrate means the solution created by filtration and is mostly made of water plus all the dissolved solutes from the blood(except for large proteins)
Term
what is reabsorption?
Definition
movement of a substance from the lumen back to the blood.
Term
what is secretion?
Definition
secretion is the movement of substances from the blood to the lumen of the nephron
Term
what is excretion of a substance?
Definition
excretion is the removal of the substance from the body. putting filtration, reabsorption and secretion equals to excretion
Term
the fluid called filtrate has similar substances like plasama except?
Definition
large proteins and red blood cells
Term
glomular filtration has extremely permeable capillaries? True or false
Definition
True. they have special epithelial cells called podocytes and they have large filtration slits that increase filtration rates
Term
what are starling forces?
Definition
starling forces can be broken down into two hydrostatic pressure and two osmotic forces(sometimes called the colloid osmotic pressures) which causes reabsorption or filtration.
Term
what is the capillary hydrostatic pressure? and interstitial fluid hydrostatic pressure?
Definition
it is the pressure forcing it outward of the of the walls of the capillaries and interstitial is the pressure back onto the capillaries
Term
what are the two osmotic forces?
Definition
one os the osmotic force of plasma proteins causing fluid to go into capillaries which causes reabsorption, the pressure is high due to proteins. and second is osmotic force of interstitial space, to cause the fluid to move out and pressure is lower
Term
how much is the normal range of the pressures in the kidneys?
Definition
the blood hydrostatic pressure is roughly 60 mmHG due to the large afferent arteriole and moves fluid into the glomueral capsule.
the colloid osmotic pressure due to plasma proteins is -32mmHG causing reabsorption of fluid into the plasma. and the capsular hydrostatic pressure is -18mmHG causing reabsorption of fluid back into the plasma.
Term
what is the glomuleral filtration rate(GFR)
Definition
it is the volume of fluid filtered in the glomulerulus during a certain time period.
Term
the tubular cells are joined togheter by what type of junctions?
Definition
gap junctions
Term
the process where substances pass through the gap junctions from the lumen of the nephrons to the circulatory system is called the?
Definition
paracellular transport
Term
Other substances are transported across the tubular cell membrane from the lumen into the cell, then into the interstitial fluid and into the blood. This form of reabsorption is called
Definition
transcellular transport
Term
are transcelluar/paracellular transport regulated or non regulated?
Definition
both but mostly non regulated. if they are regulated, it is due to certain hormones.
Term
many of the transport mechaniisms along the nephrons rely upon what type of pump? and why?
Definition
the sodium potassium pump because it helps it establish a concentration gradient. recall that this is an active transport.
Term
(reabsorption)the sodium potassium pump powers other transporters such as the secondary active transport. What are the two types, explain.
Definition
one is the sodium glucose transport...as sodium goes in from high to low concentration, glucose ions move along with it and the other one is the hydrogen sodium exchange, as sodium goes in , hydrogen ions move out
Term
how is ions such as potassium or hydrogen ions secreted into the nephron?
Definition
through potassium channels with the help of the sodium potassium pump.
Term
Where does sodium reabsorption take place in the nephron?
Definition
Na+ reabsorption takes place in the proximal tubule, ascending limb of the loop of Henle, and early distal tubule—mostly by non-regulated mechanisms. However, Na+ reabsorption in the proximal tubule can also be regulated by the hormone angiotensin II, and by the hormone aldosterone in the late distal tubule and collecting duct.
Term
where does glucose and amino acid reabsorption take place in the nephron?(for a healthy individual)
Definition
in a healthy individual, all the glucose filtered at the glomerulus is reabsorped in the proximal tubule and so is amino acids.
Term
Which hormones can regulate sodium ions in the nephron?
Definition
angiotensin 2 in the proximal tubule and aldoststerone in the late distal tubule
Term
h20(water) reabsorption takes place in what part of the nephron?
Definition
the proximal tubule and descending limb through non regulated mechanisms
Term
potassium reabsorption takes place in what part of the nephron
Definition
takes place in the proximal tubule and ascending limb of loop of henle.
Term
where does secretion of potassium take place?
Definition
small amounts in the ascending limb of the loop of hendle, however larger amounts are secreted in the late distal tubule and collecting duct under the influence of aldosterone
Term
where does secretion of hydrogen take place?
Definition
it takes place in the proximal tubule and ascending limb of the loop of henle. there is also secretion in the late distal tubule and collecting duct.
Term
it the secretion of hydrogen ions regulated or non regulated
Definition
both.
Term
the proximal tubule reabsorps roughly how many percent of total filtrate?
Definition
66%
Term
water reabsorption only takes place after what has been absorbed?
Definition
solutes, particularly sodium ions
Term
after amino acids, na, and glucose have been reabsorbed, the water pressure will be higher or lower in the tubular cell?
Definition
higher
Term
what are the special water channels called that water can be reabsorped through osmosis
Definition
aquaporins
Term
Sixty-five percent of all the filtered K+ and Cl− are reabsorbed in the proximal tubule. All of this reabsorption is through two types of paracellular transport—both of which are regulated or non regulated?
Definition
not regulated
Term
potassium uses what type of transport from the proximal tubule?
Definition
it uses paracellular transport through tight gap junctions
Term
chloride uses what type of transport from the proximal tubule?
Definition
transcellular transport
Term
the movement of solute in a solvent is called?
Definition
solvent drag, water drags solutes like potassium ions with water
Term
potassium can use both simple diffusion and solvent drag to transport. true or false
Definition
true
Term
which hormones causes water reabsorption in the late distal tubule and collecting duct?
Definition
antidiuretic hormone(adh)
Term
which hormone causes reabsorption of sodium and hydrogen ions in the proximal tubule and the ascending limb of the loop of henlse
Definition
renin angiotensin system, also stimulates the adrenal glands to produce aldosterone
Term
what is antidiuretic hormone?
Definition
its a hormone that helps water reabsorp at the late distal tubule and collecting duct
Term
what is the renin angiotensin system?
Definition
it helps reabsorb na and hydrogen ions in the proximal tubule and asceding limb of the loop of hendle. also helps stimulate the adrenal glands to produce aldosterone
Term
which hormone is stimulated by the adrenal glands to increase the number of the sodium potassium pump
Definition
aldosterone
Term
you are lost in the desert, what will happen to your body?
Definition
ADH will cause the collecting duct to manufacture more water channels to reabsorb more water.
Term
Lecture) capillaries have tiny little pores called what to help with filtration?
Definition
fenestrated capillaries
Term
(lecture) what is the hydrostatic pressure gc in the nephron?
Definition
generally 50-55 but it can vary
Term
lecture) what is the osmotic pressure gc in the neprhon?
Definition
generally 30 as an opposing force to hydrostatic pressure fc
Term
lecture) what is the hydrostatic pressure cs
Definition
generally around 10-15 mmhg
Term
lecture)what is gfr?
Definition
glomerulus filtration rate
Term
lecture) whats the problem if the hp gc is high?
Definition
it wont give time to reabsorp, its too fast and possibly dehydration
Term
lecture) what would be the problem if the hp gc is too low?
Definition
waste buid up
Term
lecture) whats the normal range of the gfr
Definition
120-125 mill per min
Term
lecture)what are the 2 intrinsic renal regulation systems
Definition
myogenic mechanisms, tubular glomelur mechanism
Term
lecture)what is the myogenic mechanism? what can it do?
Definition
it can dilate and constrict vessels. for example, if blood pressure is high,
Term
lecture) if you increase the flow, the gfr will go (high, low) if you decrease the flow, the gfr will go(low, high)
Definition
high, low
Term
lecture) the more force, the more?(constriction, or dilation) and the more relaxed, the more(constriction, dilation)
Definition
constriction, dilation
Term
lecture)the tubulo glomerul mechanism has what type of cells? and located where?
Definition
macula densa located in the ascending limb of the loop of henle
Term
(lecture)what are the percentages of reabsorption from the neprhon
Definition
65% in the pct
Term
if gfr is high then osmolarity is high or low
Definition
high
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