regulates blood volume/ pressure though: reabsorption of sodium though aldosterone which is released from the adrenal (it regulates aldosterone as well) causes vasoconstriction through activation of angiotensin II
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what is happening during acid/base balance
secreation or conservation of acids and bases (achieved through HC03- and H+)
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the kidney acts as a functional endocrine organ producing what three things
Renin Erythropoietin Vitamin D metabolites
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what does erythropoietin do
Acts on bone marrow to generate new erythrocytes
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how does the kidney produce vitamin D metabolites
converts vitamin D to dihydroxycholecalciferol which regulates calcium transport
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what is the basic functional unit of the kidney
Nephron
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what are the three main components of the nephron
renal corpusle tubular component collecting duct system
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what makes up the renal corpuscle
glomerulus bowman's capsule
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what are the tubular components of the nephron
proximal convoluted and straight tubule thin descending and ascending parts of the loop of henle distal straight and convoluted tubule
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name the arteries and arterioles found in the kidney
what surrounds the glomerulus and is part of the renal corpuscle
bowman's capsule
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what are the layers of bowman's capsule
Visceral layer bowman's space parietal layer
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what is the visceral layer composed of
Podocytes/ epithelium
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what are podocytes
highly modified simple squamous epithelium to allow for filtration
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what does a substance have to go through in order to be filtered
Fenestration (pore) of glomerular endothelial cell Basal lamina of glomerulus slit membrane between pedicels
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the fenestration (pore) of glomerular endothelial cell prevents filtration of what and what does it allow
prevents blood cells but allows all components of blood plasma to pass through
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the basal lamina of glomerulus prevents
filtration of larger proteins
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what is difference between the basal lamina of the glomerulus and other basal lamina
it is three times thicker
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the slit membrane between pedicels prevents filtration of
medium-sized proteins
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what is on top of the slit membrane
podocytes
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which tubule is the longest, widest and most well developed segment of the nephron
Proximal tubule
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where is the proximal tubule mostly confined
the renal cortex
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tubular/convoluted portions of the proximal tubule are located in the
pars convoluta
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straight portions of the proximal tubule are located in
pars radiata
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the proximal tubule reabsords approximately 75% of what
sodium and chloride ions and water of the ultrafiltrate
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the proximal tubule reabsorbs 100% of what
glucose, amino acids, and proteins of the ultrafiltrate
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what dose the proximal tubule excrete
organic solutes, drugs, and toxins
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explain the microanatomy of the proximal tubule
lined by simple cuboidal epithelial cells sits on a well defined basement membrane well developed brush border Nuclei are located basally
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true or false Juxtamedullary nephrons have a shorter LOH than cortical nephrons
False. Juxtamedullary nephrons have a much longer LOH than cortical nephrons
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which tubule has thin descending and ascending limb
Loop of henle
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what are the two functions of the loop of henle
to generate high osmotic pressure in extracellular fluid of the medulla (counter-current multiplier system) Reabsorption of water back into circulation via vasa recta (counter-current exchange system)
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how can you distinguish the difference between LOH and capillaries
LOH has large lumen with more nuclei protruding into it than cappillaries LOHs squamous epithelium cells are slightly thicker them endothelial cells of vessels Nuclei stain less densely lumina contain no erythrocytes
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tubular portions of the distal tubule are located in
pars convoluta
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Straight portions of the distal tubule are located in
pars radiata
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the main purpose of the distal convoluted tubule is
that it is responsible for reabsorption of sodium by an active process controlled by aldosterone release from the adrenal
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the DST absorbs
sodium and chloride ions
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what is the distal tubule impermeable to and what can freely pass in and out
impermeable to water and urea ions can enter and leave
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the DCT controls acidity of ultrafiltrate by
active secretion of hydrogen ions into the lumen
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microanatomy of the distal tubule
lined by low cuboidal cells more nuclei evident in tubular cross section nuclei are more centrally/apically located
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what is the ratio of cross-sections of PCT to DCT
usually 7:1
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what is the macula densa
specialized portion of the distal convoluted tubule monitors filtrate volume and sodium concentration instructs JG cells to release renin of necessary
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true or false the collecting duct system is not considered to be a part of the nephron
true this is because of it's different embroyological origin.
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the collecting duct system is comprised of what three things
collecting tubule collecting ducts duct of bellini (Papillary duct)
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what opens into the area cribosa to drain urine into the minor calyx/renal pelvis
the papillary duct (duct of bellini)
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the collecting duct system is impermeable to what
water (unless exposed to ADH) and a portion of the duct is permeable to urea
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microanatomy of the collecting tubule
cuboidal epithelium (stain poorly) Intercalated cells high number of mitochondria and microvilous surface help control acid/base balance by transport of hydrogen ions
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micro anatomy of the collecting duct
Columnar epithelium intercalated cells (less numerous in collecting ducts
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microanatomy of the ducts of bellini
(also known as papillary ducts) columnar epithelium no intercalated cells
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parts of the juxtaglomerluar (JG) apparatus
Macula densa of the distal tubule Juxtaglomerular cells of the afferent glomerular arteriole Extraglomerular(EG) mesangial cells (aka polkissen or lacis cells)
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macula densa microanatomy
Appers as a dense spot due to tall closely packed simple columnar epithelial cells
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what is the function of the macula densa
this is not known, though to have sensory function with JG cells
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functions of the JG Apparatus include
functions of the JG cells and EG mesangial cells
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what are JG cells and what is their function
Modified smooth muscle cells these grandular cells secrete the proteolytic enzyme renin
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where are the EG mesangial cells found
occupies the space borders by the affernt and effernt arteriole, macula densa, and the vascular pole of the renal corpusle. it is contiguous with intraglomerular mesangial cells
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what is the function of EG mesangial cells
the precise function is not understood
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what is the main purpose for ureters, urinary bladder, urethra
conduit for and storage of urine waste
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the ureters and urinary bladder are lined by what epithelium
transitional epithelium
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the urethra is lined by what type of epithelium
transitional epithelium near bladder gradually turning into stratified squamous non-keratinizing along the remainder of it's length
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the ureters propel urine from the
kidneys to the urinary bladder
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true or false the ureters have an additional smooth muscle layer at its distal 3/4.
False it dose have an additional smooth muscle layer at its distal 1/3
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the urinary bladder is
hollow, muscular (detrusor), Distensible (elastic) and has an internal and external sphincter (these are at the junction between the urinary bladder and urethra)
in the neck region of the embryo, this is nonfunctional as a kidney but soon transforms into a ligament
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The pronephros attaches to
pronephric ducts, then the cell aggregates of pronephros degenerate
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the promesonephric ducts are used in the next stage of kidney development, they end in the
cloacal region caudal to the mesenchymal cell aggregates of the pronephros
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mesonephros are
large and elongated, functional interim kidneys producing urine which is released into amniotic fluid. they lie caudal to pronephros
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mesonephros begins development
late in fourth week
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mesonephros consist of
glomeruli and mesonephric tubules which open into mesonephric duct, a continuation of the pronephric duct
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mesonephric duct opens in to
the cloaca
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true or false the mesonephros proper degenerates but tubules and ducts have derivatives in adult males
true the tubules form ductuli efferent and ducts form a number of reproductive structures like the mesonephric duct becomes the wolfian duct in the male
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metanephros begin there development in
early fifth week
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metanephros is the \_______ kidney
permanent
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the metanephros develops from the
ureteric bud and the metanephric mesenchyme
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the metanephros is functional at
nine weeks
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the urine produced by the meanephros is released into