The kidneys filter ______ liters of ______ daily allowing toxins, metabolic wastes and excess ions to leave the body in _______ while returning needed substances to the ______
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fluid
urine
blood
Blood pressure regulation through renal hormones
___________________ of the juxtaglomerular complex of the _______ release ________
granular cells
kidneys
renin
Erythropoietin production
1. What is the stimulus for erythropoietin production?
Hypoxia, inadequate oxygen delivery from decreased RBCs
Erythropoietin production
2. Where is erythropoietin produced?
Mostly kidneys
liver
Erythropoietin production
3. What does erythropoietin do?
- Stimulates ___________________
- enhanced _________ increases ________________
- ___________ carrying ability of ________ rises
red bone marrow
erythropoiesis
RBC count
oxygen
blood
Role of kidneys in Vitamin D synthesis (1/2)
_____________________ produce the hormone ______________ (provitamin D3)
epidermal cells
cholecalciferol
Role of kidneys in Vitamin D synthesis (2/2)
____________________ is activated by the ____________ in response to _____________ _____________ , this activates ______________ (Vitamin d3)
cholecalciferol
kidneys
parathyroid hormone
calcitriol
Glomerulus Function
specialized ___________ ____ that is adapted for __________
capillary bed
filtration
Porous membrane filter that lies between the blood in the glomerulus and the filtrate in the capsular space
Filtration Membrane
Three layers of the filtration membrane (1/3)
1. _______________ _________________ of the _____________ ___________
fenestrations allow all ________ components except ______ ______ to pass through
fenestrated endothelium
glomerular capillaries
blood
blood cells
Three layers of the filtration membrane (2/3)
2. _______________ ______________
forms a _______ __________ that blocks all but the smallest ________ while still permitting most other _______ to pass
______________ give the ___________ a negative charge to repel many negatively charged macromolecular anions like ________ ________
basement membrane
physical barrier
proteins
solutes
glycoproteins
membrane
plasma proteins
Three layers of the filtration membrane (3/3)
3. _______ ___________ of ________________ of the _____________ ___________
traps any _________________ that make it past the ________ _________ in slit diaphragms, thin membranes that extend across the filtration slits of the podocytes
foot processes
podocytes
glomerular capsule
macromolecules
basement membrane
The glomerulus is fed and drained by ___________
arterioles
The ________ ____________ is _______ has less ________ ___________ and __________ each _____________
afferent arteriole
wider
peripheral resistance
supplies
glomerulus
The ______ ___________ is __________ has more ____________ ____________ and ___________ each ___________
efferent arteriole
narrower
peripheral resistance
drains
glomerulus
Why the blood pressure in the glomerulus is high
The _______ passage and less _________ _________ causes more ______ to enter the __________ which causes the blood pressure to be ___ mm Hg compared to the average __ mm Hg in other capillary beds
wider
peripheral resistance
blood
glomerulus
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The structural and functional units of the kidneys
Nephron
Each nephron consists of a _______ _________ and a _______ ________
renal corpuscle
renal tubule
The two major groups of nephrons are the ________ and _________________ nephrons
cortical
juxtamedullary
Nephron structure
The renal corpuscle is composed of two structures, the _____________ and the _____________ ____________
glomerulus
glomerular capsule
Nephron structure
The _____________ ________ is continuous with the ____ ______ and completely surrounds the glomerulus
glomerular capsule
renal tubule
Nephron structure
The glomerular capsule has two layers, the ________ ________ and the ________ _________
parietal layer
visceral layer
Nephron structure
The parietal layer of the glomerular capsule is composed of the ______ ___________ ____________ tissue
simple squamous epithelium
Nephron structure
The visceral layer of the glomerular capsule clings to __________ ___________ and is formed from modified branching epithelial cells called ____________
glomerular capillaries
podocytes
Nephron structure
The _______ ________ begins in the kidney ______ and pass into the ________ before returning to the _______
renal tubule
cortex
medulla
cortex
Nephron structure
The three layers of the renal tubule are the:
1.
2.
3.
Proximal convoluted tubule
Nephron loop
Distal convoluted tubule
Nephron structure
In the _____ ______, proximal convoluted tubule is composed of __________ __________ _____ with large mitochondria, their apical surfaces bear dense __________ to increase the ________ _____
cuboidal epithelial cells
renal tubule
cuboidal epithelial cells
microvilli
surface area
Nephron structure
In the _____ ______, the proximal descending limb of the nephron loop is continuous with the PCT and contains ________ __________ _____, the rest contains ______ ________ __________, in the ascending nephron loop the epithelium becomes _____________ ___________ ______
renal tubule
cuboidal epithelial cells
simple squamous epithelium
cuboidal epithelial cells
Nephron structure
In the _____ ______, the distal convoluted tubule contains __________ ___________ _____ confined to the cortex
renal tubule
cuboidal epithelial cells
Nephron classes
____________ _____________ account for 85% of the nephrons in the kidneys and are located entirely in the _________
cortical nephrons
cortex
Juxtamedullary Nephrons
originate close to the ________-_______ ________, long nephron loops enter _________ and ascending limbs have _____ and _____ segments
cortex-medulla junction
medulla
thin
thick
Nephron function
The nephron creates a ______ and _______-_____ _______ from the _____
cell
protein free filtrate
blood
Nephron function
The ____________ recovers chemicals the body needs while also _______________ into the _____________ selected chemicals the body needs to ___________
nephron
secreting
filtrate
eliminate
____________ _______ collect and convey nephron __________ which then becomes the _______ into the ________ _________
collecting ducts
filtrate
urine
renal pelvis
Filtrate contains __________ found in _______ ________ except _________
everything
blood plasma
proteins
Urine contains ___________ substances such as ________ ____ and ____________ _______
unneeded
excess salts
metabolic wastes
Passage of a solvent with dissolved substances through a membrane or filter
filtration
Process by which needed substances are moved from the filtrate and returned to blood
Reabsorption
Passage of a material formed by a cell to its exterior
Secretion
The ___________ __________ ___________ of the renal tubule is lined with __________ which contributes to the brush border, this increases the surface area for ______________ of ________ and _________ from the __________ and increases the surface area for ___________ of substances
proximal convoluted tubule
microvilli
reabsorption
water
solutes
filtrate
secretion
The __________ ____________ ___________ of the renal tubule has no ________ because it empties the ______from the _______ into the __________ _______
distal convoluted tubule
microvilli
urine
filtrate
collecting duct
The ___________ ___________ is reported in mg/min and reflects the number of _________ _________ in the ________ _________ available to ferry a particular substance
transport maximum
transport proteins
renal tubules
Transport maximum
there are a lot of _________ _________ for substances like _________ that need to be ____________ and few or no ___________ _________ for ______ substances
transport proteins
glucose
retained
transport proteins
waste
Transport maximum
When __________ __________ are ___________ and bound to all the substances they transport the ______ is _________ in ______
transport proteins
saturated
excess
excreted
urine
Transport maximum
_____________ individuals with uncontrolled __________ _________ contain higher amounts of _________ in _______ due to lack of ________ carrier protein to ferry glucose
hyperglycemic
diabetes mellitus
glucose
urine
insulin
_______________ ____________ inhibits diuresis which is ______ _______
Causes the body to produce a concentrated urine to allow us to survive for a limited time without water
ADH increases number of aquaporins (water channels) in collecting duct
Increases water reabsorption from collecting duct
Creates a small volume of concentrated urine
antidiuretic hormone
urine output
_____________ __________ causes the body to produce a ______ volume of _______________ ______ to allow us to survive for a limited time without water, this hormone increases the number of __________ or water channels in the ________ _________ which increases ____________ ____________
antidiuretic hormone
small
concentrated urine
aquaporins
collecting duct
water reabsorption
Incoming ______ distends the ________ and stimulates its muscularis to ________, propelling urine into the _________ , the strength and frequency of ___________ depends on the rate of _________ __________
urine
ureters
contract
bladder
peristalsis
urine formation
Smooth collapsible muscular sac that stores urine temporarily
bladder
Three layers of the bladder
1. ________ containing ____________ ________
2. Thick muscular layer called the __________
3. __________ __________ except on _________ surface where it is covered by the _____________
mucosa
transitional epithelium
detrusor
fibrous adventitia
superior
peritoneum
micturition refers to
urination
The _______ __________ _________ inhibits voiding
pontine storage center
The ________ ________ __________ promotes voiding
pontine micturition center
UTI
Location of the female ________ near the _____ predisposes it to colonization by ______ __________
urethra
anus
fecal bacteria
UTI
_________ _______ of the __________ _______ being continuous from the _________ to the __________ can cause the __________ to ascend to the kidney causes _____________
Fever
Back pain
Other systems of systemic illness
mucosal lining
urinary tract
urethra
kidneys
infection
pyelonephritis
________________ ___________ takes place in the renal corpuscle and produces a cell- and protein-free _______
glomerular filtration
filtrate
_______________ ____________ is the process of selectively moving substances from the filtrate back into the blood, it takes place in the _________ ________ and ____________ __________, it reclaims almost everything filtered all of the _________ and ________ ____ and 99% of the ________, _____ and other components, anything that is not reabsorbed becomes _____
tubular reabsorption
renal tubules
collecting ducts
glucose
amino acids
water
salt
urine
_____________ __________ is the process of selectively moving substances from the _______ into the _________, like tubular reabsorption is occurs along the length of the ________ and the ______________ ________
tubular secretion
blood
filtrate
tubule
collecting duct