Renal Terms: Afferent arteriole – blood vessel supplying the nephron Bowman’s capsule – a capsule shaped sac surrounding the glomerulus of each nephron Collecting tubule – a tubular segment of the collecting duct that connects the distal convoluted tubule to the cortical collecting duct Distal convoluted tubule – portion of the kidney between the loop of Henle and the collecting duct Efferent arteriole – the blood vessel which drains the nephron Glomerular capsule – aka Bowman’s capsule; capsule shaped sac surrounding the glomerulus Glomerulus – cluster of capillaries around the end of a kidney tubule, where waste products are filtered from the blood Kidneys – excretory organs which filter wastes from the blood and excrete them in the urine Loop of Henle – part of a kidney that forms a long hairpin turn, with a descending and ascending limb from which water and salts are reabsorbed into the blood Nephron – the functioning unit of the kidney Proximal convoluted tubule – portion of the nephron which leads from the Bowman’s capsule to the loop of Henle Renal cortex – outer portion of the kidney which contains the glomeruli and convoluted tubules Renal medulla – innermost part of the kidney Renal papillae – location where the medullary pyramids empty the urine Renal pelvis – the basin into which the urine formed by the kidneys is excreted Aldosterone – stimulates the absorption of sodium by the kidneys and regulates water/salt balance Angiotensin – a protein which promotes aldosterone secretion and tends to raise blood pressure Antidiuretic hormone – aka vasopressin; reduces urine flow by affecting reabsorption of water by the kidney tubules Bicarbonate – acts as a buffer to maintain normal acid/base balance Carbonic acid – weak acid Diuretic – causing increased passing of urine Erythropoietin – a hormone secreted by the kidneys that increases the rate of production of RBC’s in response to falling levels of oxygen in the tissues Glomerular filtration rate – measure of the kidney’s ability to filter and remove waste products Renin – an enzyme secreted by and stored in the kidneys that promotes the production of the protein angiotensin Acetonuria – a form of ketonuria characterized by the presence of acetone in the urine Acidemia – an abnormally high level of acid in the blood (<7.35) Albuminuria – the presence of albumin in the urine Anuria – the failure of the kidneys to produce urine Azotemia – accumulation in the blood of nitrogenous waste products Dysuria – painful or difficult urination Hematuria – the presence of blood in the urine Hyperkalemia – higher than normal levels of potassium in the blood Micturition – the discharge of urine; urination Nocturia – excessive urination at night Oliguria – the production of abnormally small amounts of urine Proteinuria – the presence of abnormal quantities of protein in the urine Pyuria – the presence of pus in the urine Renal insufficiency – insufficient excretion of wastes by the kidneys Renal osteodystrophy – a weakening of bones caused by kidney disease Acidosis – an excessively acidic condition of the body fluids or tissues Arteriolar nephrosclerosis – renal scarring caused by arteriolar sclerosis resulting from longstanding hypertension Glomerulonephritis – acute inflammation of the kidney Hypertrophy of kidney – a general increase in the bulk of the kidney due to an increase in cell volume Nephritic syndrome – a collection of signs associated with disorders affecting the kidneys Nephrolithiasis – the presence of kidney stones in the kidney Nephromegaly – the process whereby a kidney or both kidneys become enlarged Nephrosclerosis – kidney disease usually associated with hypertension Nephrotic syndrome – edema and large amounts of protein in the urine, usually accompanied by increased blood cholesterol Pyelonephritis – inflammation of the substance of the kidney as a result of bacterial infection Uremia – a raised level in the blood of urea and other nitrogenous waste compounds that are normally eliminated by the kidneys Nephrectomy – surgical removal of both kidneys Nephrolithotomy – standard surgical procedure in which the kidney is opened and a stone is removed Nephrostomy – surgically created opening allowing for drainage of the urine directly from the renal pelvis Nephrotomy – surgical procedure in which the kidney is cut Pyelolithotomy – removal of a stone from the pelvis of the kidney through an incision Pyeloplasty – repairative surgery on the pelvis of the kidney Pyelotomy – incision into the pelvis of the kidney Renal biopsy – removal of a sample o the kidney tissue Renal transplantation – organ transplant of a kidney into a patient with end-stage renal disease Arteriovenous shunt – a device allowing patients with kidney failure to be connected to dialysis machines for long term treatment Dialysis – the process of clinical purification of blood as a substitute for the normal function of the kidney Hemodialysis – the use of a machine to clean wastes from the blood Peritoneal dialysis – cleaning of the blood by using the abdomen as a filter Intravenous pyelography – a radiological procedure used to visualize abnormalities of the urinary system Nephrogram – radiographic examination of the kidney after an intravenous injection of contrast material Nephrosonography – imaging procedure of the kidney using sound Pyleogram – an x-ray of the kidneys and ureters Ultrasonic laminograms of kidney Urogram – a radiological procedure used to visualize abnormalities of the urinary system Urography – radiography of any part of the urinary tract ADH – antidiuretic hormone A/G – albumin globulin ratio Alb - albumin BUN – blood urea nitrogen CAPD – continuous ambulatory peritoneal dialysis cath - catheter chr – chronic CRF – chronic renal failure ERPF – effective renal plasma flow ESRD – end stage renal disease fld - fluid GBM – glomerular basement membrane GFR – glomerular filtration rate HDU – hemodialysis unit IVP – intravenous pyelography KUB – kidneys, ureters, bladder LSK – liver, spleen, kidneys NPN – nonprotein nitrogen PDU – predialyzed uremics PSP – paralytic secretory ptoein PTH – parathyroid hormone RER – renal excretion rate RPF – renal plasma flow RTA – renal tubular acidosis SUN – standard unit of nomenclature ??? UA – uric acid UTI – urinary tract infection