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R1
Renal Fxns, Anatomy, Basic Processes
35
Physiology
Professional
02/18/2013

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Cards

Term
What are some of the more common substances that the kidney excretes?
Definition
urea, uric acid, creatinine, urobilinogen
Term
What peptide hormone do the kidneys produce that stimulates RBC production?
Definition
erythropoietin
Term
what colors the urine yellow?
Definition
urobilinogen
Term
what is the most common extracellular cation in the body?
Definition
sodium
Term
what is hypernatremia a sign of?
Definition
severe dehydration
Term
what is the normal sodium conc in the blood?
Definition
136-153 meq/liter
Term
how is the kidney a metabolic organ?
Definition
it participates in gluconeogenesis
Term
what vitamin does the kidney convert from inactive to active?
Definition
Vit D2 to vit D3
Term
what part of the kidney has the most autoregulatory function?
Definition
renal capsule
Term
what is the path of blood in the kidneys?
Definition

renal artery

segmental arteries

interlobar arteries

arcuate arteries

interlobular arteries

afferent arterioles

glomerular capillaries

efferent arterioles

venules

renal vein

Term
how many nephrons does each kidney have?
Definition
~one million
Term
what is the path of urine in the nephron?
Definition

Bowman's capsule

proximal tubule

loop of Henle

distal tubule

nephron ends at common collecting duct

Term
which part of the nephron dives into the renal medulla
Definition
loop of Henle
Term
what fraction of nephrons are long-looped?
Definition
1/7
Term
what structure of the nephron dictates the concentration of urine?
Definition
the Loop of Henle -- the longer the loop, the more concentrated the urine
Term
what are the "headwaters of urine flow"?
Definition
the plasma that is filtered from the glomerular capillaries into Bowman's space
Term
is resistance to blood in glomerular capillaries high or low?
Definition
it is very low because there are many parallel pathways
Term
how does the filtration coefficient of glomerular capillaries compare to systemic capillaries?
Definition
glomerular capillaries have a 200x greater filtration coefficient
Term
what makes up the JGA?
Definition
macula densa cells (of distal tubule) and JG effector cells (of afferent arteriole)
Term
what do macula densa cells do?
Definition
they detect distal tubular fluid flow/osmolarity and send signals to afferent arterioles through the JG cells to regulate urine flow through that single nephron
Term
what percentage of filtered substances and water are reabsorbed back into the peritubular capillary blood at the long proximal convoluted tubule?
Definition
67%
Term
why is the thick ascending limb of the loop of Henle thick?
Definition
it is thick with mitochondria supporting high metabolic activities
Term
how is the blood flow in the kidney divided among the cortex and medulla?
Definition
90% to cortex, 8% to outer medulla, 2% to inner medulla
Term
what percent of the cardiac output do kidneys receive?
Definition
25%
Term

what percent of blood from the efferent arterioles branches into peritubular capillaries?

outer and inner medullary vasa recta capillaries? 

Definition

peritubular capillaries - 90%

outer medullary vasa recta capillaries - 8%

inner medullary vasa recta capillaries - 2%

Term
which capillaries process substances to and from the proximal and distal tubules?
Definition
peritubular capillaries
Term
which capillaries process substances to and from the loops of Henle and collecting duct?
Definition
vasa recta capillaries
Term
Do NaCl and Urea get reabsorbed in the ascending or descending vasa recta?
Definition
descending vasa recta
Term
Does water get reabsorbed in the ascending or descending vasa recta?
Definition
asending vasa recta
Term
what vasculature provides a division between cortex and medulla?
Definition
arcuate artery and vein
Term
what are the three classes of renal variables and their units?
Definition

1. flow (ml/min)

2. concentration (mg/ml)

3. loads (mg/min)

Term
what are the 4 types of renal loads?
Definition

filtered load, secreted load, reabsorbed load, excreted load

F + S = R + E

Term
which renal loads are active? which are passive?
Definition

active = secretion, reabsorption

passive = filtration, excretion

Term

what is the normal urine flow?

what is the normal urine concentration?

Definition

urine flow = 1 ml/min

urine concentration = 700 mosm/L

Term
what percent of water is reabsorbed? sodium? glucose? urea?
Definition

water - 99%

sodium - 99.5%

glucose - 100%

urea - 50%

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