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Lecture notes

Renal System

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  • January 30, 2024
  • 7
  • 2022/2023
  • Lecture notes
  • N/a
  • All classes
  • semester 2
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Renal System
Anatomy/ Kidney Function
Describe main functions of the kidneys
 Homeostatic regulation of water and ion content of blood
o Regulation of extra-cellular fluid volume
o Regulation of osmolarity
o Maintenance of [Na+], [K+], [Ca2+], [Cl-] within normal range
o Homeostatic regulation of pH- [H+]/[HCO3-]
 Excretion of wastes and foreign substances
o By-product of metabolism-e.g. Creatinine
o Drugs and environmental toxins
 Production of hormones
o Not endocrine glands… but can play important roles in endocrine pathways

Label main structures of urinary system, kidney and Nephron




Describe key processes of Nephron
1. Bowman’s Capsule- 180L/day filters through
2. Proximal Tubule
a. 70% fluid reabsorbed
b. 54L/ day left
c. Solutes reabsorbed
d. Water follows by osmosis
3. Loop of Henle
a. 90% fluid reabsorbed
b. 18L/day left
c. More solutes reabsorbed
d. Not much water follows
4. Distal loop/ collecting duct
a. 99% fluid reabsorbed
b. 1.5L/day left
c. Solutes reabsorbed if need
d. Water reabsorbed if needed

, Volume and Osmolarity change as fluid flows
through nephron


Summary
1. Kidney regulate ECF vol. and osmolarity- maintains ionic
balance, regulates pH, excretes wastes and foreign substances
and participates in endocrine functions
2. Nephron is functional unit of kidney
3. Nephron carries out FILTRATION, ABSORPTION, SECRETION and EXCRETION


Filtration
What drives filtration?
Force
Filter

Filter
 Filtrate has to pass through 3 barriers:
o 1st- Glomerular capillary endothelium
o 2nd – Basal lamina- separates capillary endothelium from
epithelium
o 3rd – Epithelium of Bowmans capsule




Glomerulus is high-pressure filtration system




1. List forces which influence glomerular filtration

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