Renal System Overview
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Questions and Answers

What is the primary function of kidneys in the excretion process?

  • Filter blood for pathogens
  • Store hormones
  • Excrete excess nutrients
  • Eliminate metabolic waste products (correct)
  • How do kidneys contribute to maintaining water balance in the body?

  • By producing urine regardless of fluid levels
  • By eliminating all fluids consumed
  • By directly absorbing water from the bloodstream
  • By changing urine volume in response to body fluid content (correct)
  • Which of the following waste products is NOT excreted by the kidneys?

  • Bile pigments (correct)
  • Creatinine
  • Urea
  • Uric acid
  • What hormone do kidneys secrete to stimulate erythrocyte production?

    <p>Erythropoietin (A)</p> Signup and view all the answers

    In response to a decrease in plasma sodium concentration, how do kidneys adjust their function?

    <p>Retain sodium in the body (B)</p> Signup and view all the answers

    Which hormone is primarily responsible for stimulating the production of thrombocytes?

    <p>Thrombopoietin (A)</p> Signup and view all the answers

    What is the primary structural and functional unit of the kidney?

    <p>Nephron (D)</p> Signup and view all the answers

    Which component of the nephron is responsible for the filtration of blood?

    <p>Renal corpuscle (C)</p> Signup and view all the answers

    How do the kidneys help regulate blood pressure in the long term?

    <p>Through the renin-angiotensin mechanism (B)</p> Signup and view all the answers

    Which layer of the kidney contains the renal columns?

    <p>Outer cortex (D)</p> Signup and view all the answers

    What is the primary function of the Bowman capsule?

    <p>To filter blood and collect glomerular filtrate (A)</p> Signup and view all the answers

    Which statement accurately describes the composition of the glomerular capillaries?

    <p>They are composed of a single layer of endothelial cells with fenestrae. (C)</p> Signup and view all the answers

    What is the estimated normal Glomerular Filtration Rate (GFR) in an adult human?

    <p>180 L/day (A), 125 mL/minute (C)</p> Signup and view all the answers

    Which of the following substances is NOT filtered through the glomerular capillaries?

    <p>Plasma proteins (B)</p> Signup and view all the answers

    What maintains glomerular filtration pressure?

    <p>Glomerular capillary pressure (C)</p> Signup and view all the answers

    Flashcards

    Excretion

    The elimination of unwanted substances and waste products from the body. Examples include removal of toxins, excess water, and metabolic byproducts.

    Kidneys

    The organs responsible for filtering waste products from the blood and producing urine.

    Urea

    A waste product formed from the breakdown of amino acids. It is filtered by the kidneys and excreted in urine.

    Homeostasis

    The primary function of the kidney to regulate various bodily processes through urine formation.

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    Hematopoietic function of the kidney

    The kidneys produce a hormone called erythropoietin, which stimulates the bone marrow to produce red blood cells.

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    What is a glomerulus?

    A tuft of blood capillaries within Bowman's capsule in the kidney. It's where filtration of blood occurs during urine formation.

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    What is Bowman's capsule?

    The first part of the nephron, a capsule-like structure that surrounds the glomerulus. It acts like a filter to capture waste products from the blood.

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    What is erythropoietin?

    A hormone produced by the kidneys that stimulates red blood cell production in the bone marrow. It helps maintain a healthy level of oxygen-carrying red blood cells in the body.

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    What is the proximal convoluted tubule?

    This convoluted tubule is found in the nephron. Its primary role is to reabsorb useful molecules like glucose, amino acids, and salts back into the bloodstream.

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    What is renin?

    An important enzyme produced in the kidneys that plays a key role in regulating blood pressure. It helps activate the renin-angiotensin system.

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    Afferent & Efferent Arterioles in Bowman's Capsule

    The afferent arteriole branches into smaller capillaries within the Bowman's capsule, which then reunite to form the efferent arteriole, leaving the capsule.

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    Bowman's Capsule Structure

    A cup-like structure enclosing the glomerulus, it has two layers: the inner visceral layer covering the capillaries and the outer parietal layer continuous with the tubular portion of the nephron.

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    Podocytes

    Specialized cells in the visceral layer of Bowman's capsule, they have foot-like projections called pedicles that interdigitate, forming filtration slits.

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    Glomerular Filtration Membrane

    The filtration membrane is comprised of three layers: the glomerular capillary membrane, the basement membrane, and the visceral layer of Bowman's capsule. It allows water and small solutes to pass through, but not larger molecules like plasma proteins.

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    Glomerular Filtrate

    The fluid filtered from the blood in the glomerulus, it contains all the substances present in plasma except for proteins. It is further processed to form urine.

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    Study Notes

    Renal System

    • The renal system is responsible for eliminating unwanted substances and metabolic waste from the body.
    • Other organs involved in excretion include the liver, lungs, skin, and gastrointestinal tract (GIT).
    • The renal system has a high excretory capacity. It eliminates water, salts, and wastes, and removes heat from the body.
    • The renal system consists of kidneys, renal arteries, renal veins, ureters, urinary bladder, and urethra.

    Introduction

    • Excretion is the process of eliminating unwanted substances and metabolic wastes from the body.
    • The liver excretes bile pigments, heavy metals, drugs, toxins, bacteria, etc., through bile.
    • The GIT excretes food residues in the form of feces.
    • The lungs remove carbon dioxide and water vapor.
    • The skin excretes water, salts, and some wastes; removes heat from the body.

    Renal System - Anatomy

    • The kidney is a tubular gland formed of 3 layers: outer cortex, inner medulla, and renal sinus.
    • The inner medulla contains medullary or Malpighian pyramids.
    • The renal sinus comprises the upper expanded portion of the ureter (renal pelvis), subdivisions of the pelvis (major and minor calyces), branches of nerves, arteries, and veins, and loose connective tissue and fat.

    Kidney Function

    • Kidneys maintain homeostasis through:
      • excreting metabolic waste products (urea, uric acid, creatinine, bilirubin).
      • maintaining water balance regulating urine volume.
      • maintaining electrolyte balance, specifically sodium concentration in relation to water balance.
      • maintaining acid-base balance eliminating metabolic acids (sulfuric and phosphoric acids).

    Kidney - Hematopoietic Function

    • The kidney secretes erythropoietin (stimulates red blood cell production) and thrombopoietin (stimulates thrombocyte production).

    Kidney - Endocrine Function

    • Hormones secreted include: erythropoietin, thrombopoietin, renin, and 1,25-dihydroxycholecalciferol (calcitriol).

    Kidney - Regulation of Blood Pressure

    • Kidneys play a crucial role in long-term regulation of blood pressure.
    • Regulation is achieved by regulating the volume of extracellular fluid and via the renin-angiotensin mechanism.

    Kidney - Regulation of Blood Calcium Level

    • Kidneys activate 1,25-dihydroxycholecalciferol into vitamin D, which is necessary for calcium absorption from the intestines.

    Nephron

    • The nephron is the structural and functional unit of the kidney.
    • Each kidney contains approximately 1 to 1.3 million nephrons.
    • Each nephron has two parts:
      • The renal corpuscle or Malpighian corpuscle, which filters blood and initiates urine formation. It further divides into glomerulus and Bowman's capsule.
      • The renal tubule, which continues from the Bowman's capsule, is comprises of the proximal convoluted tubule, loop of Henle, and distal convoluted tubule.

    Glomerulus

    • The glomerulus is a tuft of capillaries enclosed by Bowman's capsule.
    • Glomerular capillaries arise from the afferent arteriole.
    • The afferent arteriole branches into smaller capillaries which rejoin to form the efferent arteriole that leaves Bowman's capsule.

    Bowman's Capsule

    • Bowman's capsule is a capsular structure surrounding the glomerulus.
    • It has two layers: inner visceral layer and outer parietal layer.
    • The visceral layer covers the glomerular capillaries.
    • Parietal layer is continuous with the wall of the tubular portion of the nephron.
    • The space between the visceral and parietal layers forms the lumen of the tubular portion.

    Functional Histology of Malpighian Corpuscle

    • Glomerular capillaries are made up of a single layer of endothelial cells containing pores (fenestrae or filtration pores), with a diameter of 0.1 μm.
    • Both layers of Bowman's capsule comprise a single layer of flattened epithelial cells with cytoplasmic extensions called pedicles or foot processes, resting on the basement membrane.
    • Epithelial cells with pedicles are called podocytes.
    • Podocyte pedicles are separated by cleft-like spaces called slit pores.

    Urine Formation

    • Glomerular filtration is the process by which blood is filtered through the glomerular capillaries.
    • The filtration membrane comprises the glomerular capillary membrane, basement membrane, and visceral layer of Bowman's capsule.
    • The filtered fluid is called glomerular filtrate.

    Glomerular Filtration Rate (GFR)

    • GFR is the sum total of filtrate formed by all the nephrons in both kidneys within a specific time.
    • Normal GFR is about 125 mL/minute or 180 L/day.
    • GFR depends on three pressures: glomerular capillary pressure (PGC), colloidal osmotic pressure (πGC), and hydrostatic pressure in the Bowman's capsule (PBC).

    Factors Affecting Glomerular Filtration

    • Increased systemic arterial blood pressure and renal blood flow increases GFR.
    • Increased plasma proteins concentration and urinary tract obstruction decrease GFR.

    Tubular Reabsorption

    • Definition: The process by which water and other substances are reabsorbed from the renal tubules back into the blood.
    • Essential substances (glucose, amino acids, vitamins) are completely reabsorbed.
    • Unwanted substances (metabolic wastes) are not reabsorbed and are excreted.
    • Reabsorption occurs in almost all parts of the nephron's tubular portion.
      • Proximal convoluted tubule reabsorbs 88% of the filtrate
    • The process depends on absorption forces.

    Mechanisms of Tubular Reabsorption

    • Active transport: Substances move against the electrochemical gradient, requiring energy (ATP).
    • Passive transport: Substances move along the electrochemical gradient without needing energy.
    • Bulk flow through pressure gradients.
      • Hydrostatic pressure in peritubular capillaries (Pc)
      • Hydrostatic pressure in renal interstitium (Pif)
      • Colloid osmotic pressure in peritubular capillaries (πc) (proteins)
      • colloid osmotic pressure in the renal interstitium (πif) (proteins)

    Regulation of Tubular Reabsorption

    • Glomerulotubular balance: Balance between filtration and reabsorption of solutes and water.
    • Nervous factors: Activation of the sympathetic nervous system (vasoconstriction of efferent arterioles), increasing reabsorption, and influencing renin production (indirectly).
    • Hormonal factors: Various hormones (aldosterone, angiotensin II, antidiuretic hormone) affecting sodium and water reabsorption.

    Tubular Secretion

    • Substances are transported from blood into the renal tubules.
    • Examples: Potassium, ammonia, hydrogen ions, and urea.

    Tubular Excretion

    • The final product of tubular processing (containing wastes, and water) passes through the renal collecting ducts, ureters, and the urinary bladder—awaiting elimination from the body.

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    Renal System Physiology PDF

    Description

    This quiz covers the functions and anatomy of the renal system, including the excretion processes and the role of various organs. Test your knowledge on how the kidneys and associated structures contribute to waste elimination in the body.

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