Renal- Anatomical Terms Afferent Arteriole: the small artery that carries blood toward the capillaries of the glamorulus. Bowman’s Capsule: cup-shaped strucutre of the nephron of a kidney which encloses the glomerulus and which filtration takes place. Collecting Tubule: Distal Convoluted Tubule: The part of the kidney tubule that is targeted by aldosterone. Efferent Arteriole: The small artery that carries blood away from the capillaries of the glomerulus. Glomerular Capsule: Thin double membrane surrounding the glomerulus of a nephron Glomerlus: The filtration unit of the nephron. Kidneys: Organs that filter nitrogen wastes from blood to make urine. Loop of Henle: Section of the nephron tubule that conserves water and minimizes the volume of urine Nephron (renal tube): Tiny filtering unit of the kidney Proximal Convoluted Tuble: First part of the tubular portion of nephron Renal Cortex: Outer region of the kidney Renal Medulla: Inner portion of the kidney Renal Papillae: The apex of the pyramid in a kidney, where urine comes out of. Renal Pelvis: Funne;-shaped reservoir that collects the urine and passes it to the ureter Renal- Physiological Terms Aldosterone: "salt-retaining hormone" which promotes the retention of Na+ by the kidneys. Angiotension: Stimulates Adrenal cortex to release aldosterone- to attain Na and H2O and exrete K. Antidiuretic Hormone: Promotes retention of water by kidneys. Bicarbonate: a salt containing the anion HCO3Carbonic Acid: a very weak acid formed in solution when carbon dioxide dissolves in water Diuretic: Any substance that tends to increase the flow of urine. Erythropoietin: A glycoprotein secreted by the kidneys that stimulates the production of red blood cells. Glomerular Filtration Rate (gfr): Speed at which filtrate is made at gomerulus. Affected by blood pressure and blood volume. Renin: Enzyme that is produced by the kidney; important for blood pressure and volume regulation Renal- Symptomatic Terms Acetonuria: Excessive amounts of ketone bodies in the urine as in diabetes mellitus or starvation Acidemia: A blood disorder characterized by an increased concentration of hydrogen ions in the blood (which falls below 7 on the pH scale) Albuminuria: Protein in the urine. Anuria: Inability to urinate. Azotemia: Metabolic wastes in the blood Dysuria: Painful or difficult urination. Hematuria: The presence of blood in the urine. Hyperkalemia: Excessive potassium in the blood. Micturition: The process of urinating Nocturia: Excessive urination at night. Oliguria: Production of an abnormally small amount of urine. Proteinuria: Protein in the urine. Pyuria: Presence of white blood cells in the urine Renal Insufficiency: Insufficient excretion of wastes by the kidneys. Renal Osteodystrophy: Bone lesions due to secondary hyperparathyroidism due in turn to renal disease. Renal Diagnostic Terms Acidosis- reduced alkalinity of blood/tissues marked by sweet breath, headache, nausea/vomiting Arteriolar Nephrosclerosis- Occurs in hypertensive patients. their renal arteries undergo thickening with the glomeruli and tubules undergoing secondary degenerative changes. Glomerulonephritides- nephritis marked by inflammation of the capillaries of the renal glomeruli Hypertrophy of kidney- enlarged kidney Nephritic syndrome- inflammatory reaction injures the capillary walls, permitting escape of RBC into urine, and induces blood flow. Nephrolithiasis (renal calculi)- kidney stones Nephrosclerosis- hardening of blood vessels in kidneys Nephritic syndrome- definition of albumin in blood and excess excretion of protein in urine due to altered permeability of glomerular basement membranes Pyelonephriti- inflammation of parenchyma of a kidney and lining of its renal pelvis Uremia- accumulation in the blood of constituents normally eliminated in the urine that produces a severe toxic condition Renal Operative Terms Nephrectomy- surgical removal of kidney Nephrolithotomy- surgical removal of calculus from kidney Nephrostomy- surgical formation of an opening between the renal pelvis and the outside of the body Nephrotomy- surgical incision of a kidney (as for the extraction of a stone) Pyelolithotomy-surgical incision of the renal pelvis of a kidney for removal of a kidney stone Pyleoplasty- plastic surgery of the renal pelvis of a kidney Pyletomy- surgical incision into the renal pelvis of a kidney Renal Biopsy- Removal of kidney tissue for microscopic examination. Renal Transplantation- Surgical transfer of a kidney from a donor to a recipient. Renal-Special Procedures Arterio-venous shunt -the diversion of blood from an artery directly to a vein Dialysis- treatment for kidney failure that helps filter waste products from the blood when the kidneys are not working properly Hemodialysis- a process that uses a man made membrane (dialyzer) to remove wastes such as urea from the blood, restore the proper balance of electrolytes in the blood, and eliminate extra fluid from the body. Peritoneal dialysis- uses a membrane in the abdomen (the peritoneal membrane) as a natural filter to clear wastes and extra fluid from the body and to keep chemical levels in the body as close to normal as possible. Renal- Special Diagnostic Procedures Intravenous pyelography- a pyelogram in which radiographic visualization is obtained after intravenous administration of a radiopaque medium which collects in and is excreted by the kidney Nephrogram- xray of the kidney Nephrosonography- ultrasound procedure in which a kidney is imaged with the use of sound waves Pyleogram- imaging the renal pelvis Ultrasonic laminograms of kidney- renal ultrasound Urogram- xray of urinary tract Urography- Process of taking x-ray images of the urinary tract after injecting contrast. Renal- Abbreviations ADH- anti-diuretic 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-high dependency unit IVP-intravenous pyleogram KUB-kidney, ureter, bladder LSK-liver, spleen, kidneys NPNnon protein nitrogen PDUPulmonary Doppler Ultrasonography PSP-Parathyroid Secretory Protein 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 -otomy- incision -ostomy-opening