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What’s excretion
The removal of metabolic waste from the body
What are examples of metabolic waste products
Carbon dioxide, urea, bilirubin
What’s egestion
The removal of undigested food waste
How is most of the carbon dioxide in the lungs transported
In the form of hydrogencarbonate ions
How is carbon dioxide excreted
It diffuses into the blood and combines with water in the presence of carbonic anhydrase to form carbonic acid which then dissociated into hydrogen carbonate ions and hydrogen ions
What does high blood CO2 levels lead to
Respiratory acidosis- a decrease in the pH of the blood
What are the two steps in which amino acids are excreted
Deamination and formation of urea
What happens during deamination
In the liver the amino group is removed forming ammonia and the amino acid combined with oxygen forming a keto acid
What happens during the formation of urea
Ammonia reacts with carbon dioxide forming urea and water
Which cells make up the liver
Hepatocytes
Which two blood vessels transport blood into the liver
The hepatic artery and the hepatic portal vein
Whats the function of the hepatic artery
To transport oxygenated blood from the heart to the liver via the aorta
Whats the function of the hepatic portal vein
To transport blood rich in the products of digestion from the intestines to the liver
Whats the function of the hepatic vein
It transports the products of liver metabolism away from the liver towards the heart
Whats the function of the bile duct
To transport the non-blood related products out of the liver
Which blood vessel transports blood out of the liver
The hepatic vein
What structure is the liver broken down into
Lobules
What structure does blood pass through in the liver
Sinusoids
What are the phagocytes inside sinusoids of the liver called
Kupffer cells
Whats the function of kupffer cells
To destroy worn out red and white blood cells, bacteria and foreign matter from the digestive tract and to break down haemoglobin into bilirubin
Why does bilirubin need to be excreted
It can build up and cause jaundice
Why is ammonia especially toxic
Because it’s highly soluble and so lowers the water potential of cells
In which process is ammonia converted into urea
In the ornithine cycle
How is ethanol broken down in the liver
It’s broken down into ethanal by ethanol dehydrogenase and then is broken down into acetate by ethanal dehydrogenase ton eventually enter the Krebs cycle
Why does liver cirrhosis occur
If large amounts of ethanol are broken down reduced NAD is released if its reduced the NAD cannot oxidise fatty acids leading to them being converted into fat and being deposited in the liver
What connects the kidneys to the bladder
Ureters
Which blood vessel supplies blood to the kidneys
The renal artery
Which blood vessels removes blood from the kidneys
Inferior vena cava
Whats the outer membrane of the kidney called
The capsule
Whats the outer layer of the kidneys called
The cortex
Whats the inner layer of the kidneys called
The medulla
What are the subunits of the kidney called
Nephrons
Whats the function of the glomerulus
Ultrafiltration of the blood
What structure surround the glomerulus
The bowman’s capsule
What occurs in the proximal convoluted tubule and loop of henlee
Selective reabsorption
What occurs in the collecting duct
Water reabsorption into the blood
Which hormone controls water reuptake
ADH
What happens during ultrafiltration
Small molecules are filtered out of the blood and pass into the lumen of nephrons
What are pores between endothelial cells known as
Fenestrations
Whats the first layer of the basement membrane
Endothelium
Whats the second layer of the basement membrane
Podocytes
Whats the function of podocytes
To support the basement membrane and prevent anything large molecules passing through
Why is blood forced out of the glomerulus into the bowman’s capsule
Due to high hydrostatic pressure in glomerular capillaries
What is blood known as when it leaves the glomerulus
Glomerular filtrate
Which substances are reabsorbed out of the convoluted tubule
Glucose, amino acids, vitamins and sodium and chloride ions
How does selective reabsorption occur
Sodium ions are actively transported out of cells into the tissue fluid, glucose or amino acids enter the cells with sodium by facilitated diffusion and then diffuse into the blood capillary
What happens to the water potential of the tubule after selective reabsorption
It increases
What are the stages of reabsorption in the loop of henlee
Sodium ions are actively transported into the interstitial fluid at the ascending limb decreasing the water potential in the tissue fluid, water moves out of the descending limb by osmosis, the water potential of the urine in the collecting duct is higher than the water potential of the tissue fluid so water moves out of the collecting duct into the tissue fluid
How does the loop of henlee act as a countercurrent multiplier
Because solutions travel down the nephron in two directions the concentration of ions in the tissue fluid is increased
Whats the permeability of the descending limb of the loop of henlee
It’s permeable to water
Whats the permeability of the ascending limb of the loop of henlee
It’s impermeable to water
Whats the function of the distal convoluted tubule
To pump sodium ions out of the nephron into the blood
How can more water be reabsorbed in the loop of henlee
A longer loop
Where are osmoreceptors found
In the hypothalamus
Which type of receptors monitor water concentration
Osmoreceptors
Which gland and where in the gland stores and secretes ADH
The posterior lobe of the pituitary gland
What happens if osmoreceptors detect an increase in water potential
Less ADH is secreted which decreases the permeability of the collecting ducts
What happens is osmoreceptors detect a decrease in water potential
The pituitary gland secreted more ADH which increases the permeability of the collecting duct
Describe the chain of events that occur when ADH is released
ADH acts as a first messenger and binds to cell surface receptors activating a G-protein which then activates adenyl cyclase which converts ATP top cyclic AMP which acts as a second messenger and activates kinase proteins which then cause vesicles contains aquaporins to fuse with the cell membrane
What does ADH act as
A first messenger
What does ADH activate when it binds to cell surface receptors
G-proteins
What do G-proteins activate
Adenyl cyclase
What does adenyl cyclase trigger
The conversion of ATP to cyclic AMP
What does cyclic AMP acts as
The second messenger
What does cyclic AMP do
Activate kinase proteins
What do kinase proteins cause
Vesicles containing aquaporins to fuse with the cell membrane
Which arteriole is wider
Then afferent arteriole
Which arteriole is narrower
The efferent arteriole
What are some causes of kidney failure
Type 2 diabetes, hypertension and infection
Whats acute kidney failure
Fast developing, short acting and easily treatable kidney failure
Whats chronic kidney failure
Slower developing, longer acting and less easily treatable kidney failure
What are two options for treating kidney failure
Dialysis or a kidney transplant
What happens during haemodialysis
Blood from the patients vein is passed through small tubes made from a partially permeable membrane, dialysis fluid is pumped in flowing in the opposite direction to the blood allowing urea to diffuse out of the blood into the dialysis fluid
What does the dialysis fluid contain
The same concentration of ions, glucose and water potential as the blood but a lower concentration of urea
What’s peritoneal dialysis
Dialysis that occurs within a patients abdomen
How does peritoneal dialysis work
A catheter is inserted into the abdomen and dialysis fluid pumped in, left and then drained out
What hormone is found in the urine of pregnant women
HCG
How does a pregnancy test work
Urine passes up the stick and if HCG is present it attaches to free monoclonal antibodies with coloured dye on the end they then reach immobilised monoclonal antibodies which can form a HCG-antibody complex if HCG is present in the urine if it is they bind and the coloured dye on the free antibodies form a line, then further up the stick there are immobilised antibodies complimentary to the free antibodies as a control
Why is there a second line on pregnancy tests
To act as a control and indicate that a test is functional
What does 2 lines on a pregnancy test indicate
That a person is pregnant
What does one line at the top of a pregnancy test indicate
That a person isn’t pregnant
What does one line at the bottom of a pregnancy test mean
That the test is faulty
What problems arise from kidney failure
Unbalanced electrolyte levels, build up of urea, high blood pressure
What effect does kidney failure have on glomerular filtrate rate
Decreases GFR
What builds up if the kidneys aren’t working properly
Creatine
What are limitations of dialysis
It can be very long and must be repeated often, patients must restrict their diets
What dietary changes would need to be made if you were on dialysis
Low protein and low salt intake
What is a difference between dialysis and ultrafiltration
There’s no active transport in haemodialysis just diffusion
What are limitations of kidney transplants
Immunosuppressants have to be taken for life, there’s a risk of rejection, requires you to find a donor
How can urine be used to test for anabolic steroids
Anabolic steroids are broken down into specific byproducts and urine tests can indicate whether these are present or not