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Renal System
Renal Lecture I
24
Physiology
Undergraduate 4
02/20/2012

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Term
Mass of Male & Female Kidney
Definition
Male- 150-175
Female- 125-150
Term
Renal hilum
Definition
where artery, vein, ureter, and neural tissue are located
Term
Renal Artery
Definition
Carries blood flow through the base of the medulla to the nephrons
Term
How much does the kidneys recieve of total cardiac output?
Definition
25% of the total 1000-1500 mL/min
-charged with filtering the blood of unwanted biproducts of metabolism, toxins, etc.
-charged with regulating the internal environment (osmocity, pH, composition, ionic balances, etc)
Term
Vascular supply pathway
Definition
heart, renal artery, interlobal artery, arcurate arterioles, interlobular artery, afferent arterioles, glomerular capillaries, efferent arterioles, peritubular capillaries
Term
Glomerular Capillaries
Definition
Filtration occurs here, efflux of H2O and components across the wall into the nephrons tubular system
Term
Peritublar capillaries
Definition
surround tubules of the nephron
ability to modify filtration in the glomerular capillaries upstream
Term
Two kinds of nephrons
Definition
1) Cortical (Superficial) nephrons- just beneath the renal capsule (plunge into the mid-medullary region)
2) Juxtamodullary nephrons- located near border of cortex & medulla (reach almost through the entire medulla)
Term
Minor calices (s. calyx)
Definition
structures that recieve the collective content of the nephrons (where urine is drained)
Term
Tonicity of the medulla
Definition
Becomes increasingly hypotonic (hypoosmotic) from base of pyramid to apex of pyramid (superficial -> deep)
Term
Where is the ultra-filtrate first formed?
Definition
Bowman's Capsule (Glomerulus)
Term
First set of tubules after Bowman's Capusle
Definition
S1-Bowman's capsule --> mid proximal convulated tububle (PCT)
S2-Rest of PCT
S3- proximal straight tubule (PST)
Term
Loop of Henle
Definition
Desending portion- thin Descending Tubules of Loop of Henle (tDLH)
Ascending portion:
-thin ascending portion of loop of henle (tALH)
-thick ascending portion of loop of henle (TAL)
Term
Path after Loop of Henle
Definition
-through the macula densa
-to the distal convoluted tubule (DCT)
-to the conecting tubles
-connecting tubles (CNT)
-initial collecting tubles (ICT)
-cortical collecting tubule (CCT)
-to the collecting ducts
-outer medullary connecting duct(OMCD)
-inner medullary connecting duct (IMCD)
Term
Connecting tubles
Definition
Inter-connections are mignified, specialized for cell-->cell transfer
-capacity to secrete bicarbonate and hydronium ions (pH)
-capacity to secrete Na+ ions
-Aquaporins-proteins that form water channels
Term
proximal tubles
Definition
contain inner-cilated structures (brushed borders)
-central cilium-elongated sections of membrane that projects into the lumen
-believe is is a flow sensor
Term
Macula Densa
Definition
believed to be sensors that detect Na+, Cl-, and H2O
Term
tubuloglomular feedback
Definition
messages sent by detection of ions that regulated renal functions
-tubular and vascular funtions working together
Term
3 Layers of the renal filtration barrier
Definition
1) Endothelial cells
2) Basement Membrane
3) Podocytes
Term
Ratio of filtrate in kidneys decreases with
Definition
radius of that filtrate

*during heavy exercise, large proteins are able to pass through the filtration barrier
Term
renal clearance
Definition
-the ability of the kidneys to remove a slute from renal plasma and excrete it through the urine
-take some substance out of capillary into the tublar components
Term
clearance
Definition
-rate at which solute appears in urine, or rate at which a solute disappears from the plasma

Also:
-"virtual" volume of solute per unit time necessary to supply a given amount of solute in the urine
Term
3 basic functions of the kidneys
Definition
-filtration
-reabsorption
-secretion
Term
Equation for clearance (C(x))
Definition
C(x)= U(x) x V/P(xa)
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