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kidney functions
blood osmolarity balance
waste excretion
pH regulation
blood pressure regulate
erythropoietin (reabsorb, secretion)
blood osmolarity balance
monitor electrolyte/ions & H2O balance + hormones ADH
waste excretion
urea (protein) via deamination of amino acids (remove nitrogen)
pH regulation
via H+ (=acid=proton) ion secretion & reabsorb of HCO3- (bicarbonate)
blood pressure regulate
renin, angiotensin II, aldosterone (Na+) → blood pressure up, pressure up
erythropoietin (EPO) secretion to make RBCS
RBCS make O2
from kidney to red marrow
Reabsorb & secretion
REABSORB:
take from urine back to blood
secretion
: From blood into kidney tubes/urine
location
retroperitoneal space
has capsule of adipose & adrenals on top/superior
retroperitoneal space
behind abdomen cavity
hilum
depression where vessels enter/exit
regions
cortex (out) and medulla (in) containing parts of → nephrons, pyramids
nephrons
filtering units (1.3M/kidneys) tubules
pyramids
thyey concentrate urine
calyx
cup regions, collect urine from pyramids
renal pelvis
funnel, form superior ureters
ureters
empty into bladder
bladder
muscle, stores urine
anterior to uterus & anterior to rectum
INFERIOR: male prostate gland
transitional epithelial (stretch) + mucosa
lines urinary organs
detrusor
detrusor
smooth muscle, involuntary autonomic
aids micturition/voiding
smooth muscle
can’t control
involuntary autonomic
mictruition/voiding
pee
continence
continence
hold & use bladder
trigone muscle
triangle, acts as valve, aids continence
internal sphincters
circular muscle: regular release of urine to urethra involuntarily/autonomic
relaxing→ fills urethra
external sphincter
skeletal/somatic muscle
control → micturition/continence from urethral meatus
meatus
opening to a tube/canal
urethra
& mucosa transports urine out of body
mucosa
opens outside
traps stuff
1 urogenital opening
men have ________
as urethra passes thru prostate because it also serves as semen transport via ejaculation
renal artery →
afferent arteriole → feeds glomerulus
nephron glomerulus (caps)
high hydrostatic pressure (high to low) & gradients
filter out substances thru capillary fenestrations into bowman’s capsule
filtrate
filtrate
liquid to become pee & includes: H2O, glucose, urea, H+, electrolyte/ions
tubular fluid
nephron made
fenestration
gap/pore between endothelial caps
not filtered
should not be in urine
RBCs & proteins
efferent ateriole
drains blood to renal vein → vena cava
peritubular caps
vessels @ nephrons to reabsorb H2O & nutrients & secrete wastes into nephron that iwll become pee
vasa recta
caps @ loop henle
vessels @ nephrons to reabsorb H2O & nutrients & secrete wastes into nephron that iwll become pee
glomerular filtration rate
osmotic/colloidal pressure (solutes) in bowman’s is low
osmotic/colloidal pressure (solutes)
low in bowman’s
thus hdydrostatic is driving force to mkae filtrate
filtrate made
125 mL/min
180 L/day
99% of filtrate
reabsorbed by nephron under influence of gradients, hormones, etc.
= 1-2L urine output/day
-uresis
urinate
albumin
osmotic sponge
if albumin escapes into bowman’s
via inflammation
it increases osmotic pressure (solutes) in bowman’s and nephron
draws in more H2O than usual
more H2O than usual
dark and increased urine volume
lower osmotic pressure in blood & more H2O (hypotonic)
edema
swell
H2O diffuses thru caps into tissues
primary active transport
shows antiport (opps)
ions moving in opposite directions using ATP
secondary active transport
shows symport (together) as 2 molecules diffuse togeteher using a transport protein and gradient
electrochemical (Na+) gradients
flows hi to low
draws things with it
not all movement needs ATP
has power
proximal convoluted tube (PCT)
closest to start of nephron
majority of reabsorption
proximal
closest to start of nephron
facilitated
still passive transport but uses carrier protein to move glucose bc of size
apical cell side
faces nephron lumen and filtrate
basal cell side
faces interstitial/tissue
filtrate passes into PCT
most active reabsorb (into blood) area of: NA+, electrolytes, H2O, glucose
Na+ symport
together → 2nd active
apical side
transports glucose out of nephron filtrate → glucose then diffuses (facilitated) into peritubular capillary
Na/K ATP pump
active transport, primary, ATP, antiport
pumps 3 Na+ into interstitial & then Na+ diffuses into peritubular caps…H2O will diffuse hi to low gradient bc of this
Na+/H+ antiport
antiport, primary
H+=acid
secrete H+ into filtrate = acidic pee + Na+ adds to gradient for H2O to follow
HCO3- Bicarbonate
imporrtant for pH balance, is symported with Na+ ions = buffer blood
ions
Cl-, Mg, Ca2+
use symport proteins from filtrate
loop of henle
reabsorb Na+ & H2O into vasa recta capillaries
descending nephron loop
has aquaporin proteins for fast diffusion of H2O out of loop and into interstitial
No Na+
As H2O lost, osmolarity increases down in loop → increased concentration
loop → interstitial → blood
ascending loop
thick portion impermeable to H2O but Na+ actively transported (Na/K+ ATP pump into interstitial space @ loop)
vital because it forms hyperosmotic gradient (lots of solutes) so H2O can diffuse out of descending loop
thicker ascending
countercurrent exchange
against
as H2O diffuses out as we move down…Na+ transported out as we move up
urea
nitrogen waste
byproduct of the breakdown of amine (NH2) group of amino acids via liver. Urea diffuses into descend loop lumen