Renal System Overview
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The filters have fenestrations, basement membrane and the foot processes forming filtration ______.

slits

Podocytes are visceral epithelial cells that form the inner wall of ______ capsule.

Bowman’s

The small gaps formed by foot processes of podocytes are the actual filtration ______.

slits

Mesangial cells are specialised smooth muscle cells that regulate blood flow through the ______ capillaries.

<p>glomerular</p> Signup and view all the answers

Circulating immune complex deposition can disrupt the glomerular ______.

<p>wall</p> Signup and view all the answers

Anti-glomerular basement membrane antibodies interact with the basement ______, disrupting filtration.

<p>membrane</p> Signup and view all the answers

Podocytes wraps around the capillary blood vessels of the ______.

<p>glomerulus</p> Signup and view all the answers

Disruptions in glomerular filtration can lead to kidney ______.

<p>disease</p> Signup and view all the answers

Renal disease is a wide umbrella term for ______ diseases.

<p>glomerular</p> Signup and view all the answers

Acute tubular necrosis (ATN) is classified under ______ diseases.

<p>tubulointerstitial</p> Signup and view all the answers

Uraemia is the accumulation of waste product ______ within the body.

<p>urea</p> Signup and view all the answers

Nephrotic syndrome is characterized by the appearance of ______ in urine.

<p>protein</p> Signup and view all the answers

Blood supply to the glomerulus enters via the ______ arteriole.

<p>afferent</p> Signup and view all the answers

Symptoms of GN include ______ and haematuria.

<p>proteinuria</p> Signup and view all the answers

An impairment of the blood supply is called ______.

<p>ischaemia</p> Signup and view all the answers

The efferent arteriole is responsible for draining blood away from the ______.

<p>glomerulus</p> Signup and view all the answers

Nephritic syndrome involves the appearance of ______ in urine.

<p>RBCs</p> Signup and view all the answers

A reduced circulating volume can occur due to acute ______.

<p>haemorrhage</p> Signup and view all the answers

Cystic diseases include conditions like polycystic kidney disease and renal ______.

<p>cysts</p> Signup and view all the answers

The result of marked changes is a reduction in ______ filtration rate (GFR).

<p>glomerular</p> Signup and view all the answers

Intra renal failure results in damage to kidney ______.

<p>cells</p> Signup and view all the answers

The most common cause of intra renal failure is acute tubular ______.

<p>necrosis</p> Signup and view all the answers

Damage to tubular cells can be caused by ______ or toxic chemicals.

<p>ischaemia</p> Signup and view all the answers

As necrotic cells break down, they become debris blocking the ______.

<p>nephron</p> Signup and view all the answers

Immunofluorescence staining is a good way to look at different patterns within ______ nephritis.

<p>glomerular</p> Signup and view all the answers

Accumulation of ag-ab complexes underneath the foot processes characterizes ______ syndrome.

<p>Goodpasture</p> Signup and view all the answers

Deposits underneath the endothelium can clog the filtration ______.

<p>slits</p> Signup and view all the answers

Most types of glomerulonephritis are caused by injury due to antigen-______ complexes.

<p>antibody</p> Signup and view all the answers

Chronic conditions can lead to irreversible fibrosis around the glomerular ______.

<p>walls</p> Signup and view all the answers

Anything blue in the image is ______, which indicates scarring in glomerular tissue.

<p>collagen</p> Signup and view all the answers

Glomerulonephritis can arise as a result of allergic reactions to toxins released by ______ bacteria.

<p>streptococci</p> Signup and view all the answers

If glomeruli changes become permanent, this can lead to acute or chronic ______ failure.

<p>renal</p> Signup and view all the answers

Heavy metals include elements such as ______, Pt, and Hg.

<p>Au</p> Signup and view all the answers

Acute tubular necrosis (ATN) mainly affects the proximal convoluted tubule, specifically Na+ and ______ reabsorption.

<p>HCO3-</p> Signup and view all the answers

GFR decreasing leads to macroalbuminuria and overt ______.

<p>proteinuria</p> Signup and view all the answers

Advanced nephropathy can result in nephrotic proteinuria of greater than ______ g/day.

<p>3.5</p> Signup and view all the answers

Progressive renal failure can lead to end-stage renal disease with GFR reduced to ______ ml/min or lower.

<p>15</p> Signup and view all the answers

Post renal failure often occurs due to obstructions like calculi and ______.

<p>tumours</p> Signup and view all the answers

Lack of bladder control may result from damage to the brain, spinal cord, or ______.

<p>nerves</p> Signup and view all the answers

Myeloma and ______ can cause issues leading to post renal failure.

<p>myoglobin</p> Signup and view all the answers

Acute renal failure can possibly lead to chronic renal failure which inevitably leads to end-stage renal failure resulting in renal replacement therapy such as ______.

<p>dialysis</p> Signup and view all the answers

Chronic renal failure develops in three stages starting from diminished renal reserve to renal insufficiency and finally ______ renal failure.

<p>end-stage</p> Signup and view all the answers

In chronic renal failure, the remaining nephrons must work harder and increase in size, which causes an increase in the individual ______.

<p>GFR</p> Signup and view all the answers

If more than ______% of the nephrons are lost, the individual loses the balance between GFR and reabsorption.

<p>75</p> Signup and view all the answers

In renal insufficiency, there is a greater drop in GFR and an increased blood ______ wastes.

<p>N</p> Signup and view all the answers

When approximately ______% of nephrons are destroyed, GFR drops to ~10% of the normal rate.

<p>90</p> Signup and view all the answers

The increased blood flow and pressure in chronic renal failure can further damage the remaining ______.

<p>nephrons</p> Signup and view all the answers

Chronic kidney disease outcomes include both dialysis and renal ______.

<p>replacement</p> Signup and view all the answers

Flashcards

Renal disease

A broad term encompassing various disorders affecting the kidneys. These include glomerular, tubulointerstitial, vascular, and cystic diseases.

Glomerular diseases

A group of kidney diseases primarily affecting the glomeruli, the tiny filters in the kidneys.

Glomerulonephritis

A type of glomerular disease marked by inflammation of the glomeruli, leading to damage and leakage.

Nephrotic syndrome

A condition characterized by significant protein loss in the urine, leading to swelling and other complications.

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Nephritic syndrome

A condition characterized by red blood cells present in the urine, often accompanied by high blood pressure and inflammation.

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Tubulointerstitial diseases

A group of kidney diseases affecting the tubules and interstitial tissues, the spaces between the tubules.

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Acute tubular necrosis (ATN)

Severe damage to the kidney tubules, often caused by toxins or prolonged lack of blood flow.

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Impaired renal blood flow

A condition where blood flow to the kidneys is impaired, leading to damage and potential failure.

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Chronic Renal Failure (CRF)

A condition where the kidneys lose their ability to function properly over time, leading to a gradual decline in filtration and waste removal.

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Diminished Renal Reserve

The initial stage of Chronic Renal Failure where some nephrons are damaged, but the remaining nephrons compensate by working harder and increasing in size.

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Renal Insufficiency

A stage of Chronic Renal Failure where the GFR (glomerular filtration rate) drops significantly, leading to an increase in blood waste products.

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End-Stage Renal Failure

The final stage of Chronic Renal Failure where most nephrons are destroyed, leading to severe waste buildup and a drastic drop in GFR.

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Renal Replacement Therapy (RRT)

The process of filtering and removing waste products from the blood when the kidneys are no longer able to do so on their own.

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Uremia

A buildup of waste products in the blood, a common consequence of Chronic Renal Failure.

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Oliguria

A condition where urine output is very low, often associated with advanced Chronic Renal Failure.

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Glomerular Filtration Rate (GFR)

The process of kidneys filtering waste products from the blood.

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Acute Renal Failure

A condition where the kidneys are not able to filter waste products from the blood effectively, leading to a buildup of toxins in the body.

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Pre-Renal Failure

A decrease in blood flow to the kidneys, which can lead to acute renal failure. This is a common cause.

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Intra-Renal Failure

Damage to the filtering units of the kidneys (nephrons), leading to a decrease in their ability to filter waste products.

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Proteinuria

A condition characterized by the presence of excess protein in the urine.

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Haematuria

A condition characterized by the presence of blood in the urine.

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Acute Tubular Necrosis

A type of kidney damage that results in injury to the cells lining the tubules of the kidneys.

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Waste Products

The substances that are normally filtered out by the kidneys and excreted in urine.

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Podocytes

Specialized cells that line Bowman's capsule and wrap around glomerular capillaries, forming "filtration slits" for filtering blood.

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Filtration Slits

Small gaps between the foot processes of podocytes, allowing for ultrafiltration of blood.

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Glomerulus

The structure that filters blood in the kidneys, composed of glomerular capillaries, Bowman's capsule, and podocytes.

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Bowman's Capsule

The structure that surrounds the glomerular capillaries, collecting the filtered fluid.

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Mesangial Cells

Specialized smooth muscle cells within the glomerulus that regulate blood flow.

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Circulating Immune Complex Deposition

Immune complexes (antigen-antibody complexes) accumulate under the capillary endothelium, disrupting the filtration process.

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Anti-Glomerular Basement Membrane (anti-gbm) Disease

Antibodies target proteins in the glomerular basement membrane, leading to its disruption and impaired filtration.

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Post-renal failure

Damage to the kidneys caused by factors outside of the kidney, affecting urine flow and function.

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Intrinsic renal failure

Kidney damage caused by issues directly within the kidney, such as inflammation, infection, or autoimmune attacks.

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How is the nephron affected by ATN?

Acute Tubular Necrosis (ATN) mainly affects the proximal convoluted tubule and the loop of Henle, leading to impaired reabsorption and urine concentrating ability.

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What are the common causes of intrinsic renal failure?

Kidney problems caused by substances entering the bloodstream through the liver, such as toxins, heavy metals, and certain medications.

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What are the progressive stages of kidney damage?

Kidney damage characterized by a decrease in glomerular filtration rate, increased protein leakage, hypertension, and worsening glomerulosclerosis.

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What are common causes of post-renal failure?

Calculi, carcinomas, congenital defects, myeloma, myoglobin, and blood clots are common causes of post-renal failure as they affect the urinary tract downstream from the kidneys, causing obstruction.

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What is the cause of lack of bladder control?

Loss of bladder control due to damage to the brain, spinal cord, or nerves.

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Immunofluorescence Staining

A type of staining that helps visualize different patterns within the glomeruli, often used to diagnose glomerulonephritis.

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Immune Complex Glomerulonephritis

An immune system response where antibodies attack antigens, forming complexes that can lodge within the glomeruli, leading to damage.

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Glomerulonephritis (GN)

An inflammation of the glomeruli, often caused by immune complex deposition.

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Glomerular Sclerosis

A condition where the glomeruli become clogged with collagen, leading to scarring and fibrosis.

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Ag-Ab Complex Deposition

The deposition of antigen-antibody complexes between the foot processes of the podocytes, obstructing the filtration slits in the glomeruli.

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Tubulointerstitial Fibrosis

The process of fibrosis and scarring that develops in the glomeruli and tubules due to long-term inflammation. This can lead to irreversible kidney damage.

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Masson Trichrome Stain

A type of staining technique that highlights collagen in blue, allowing visualization of fibrosis and scarring in tissues.

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Renal Failure

A condition where the kidneys fail to filter waste effectively, leading to an accumulation of toxins in the blood.

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Study Notes

Renal System

  • Renal disease is a broad term encompassing various conditions
  • Glomerular diseases include glomerulonephritis, nephrotic syndrome, and nephritic syndrome
  • Tubulointerstitial diseases encompass acute tubular necrosis (ATN) and interstitial nephritis
  • Renal vascular diseases include hypertensive nephrosclerosis and renal vascular occlusion (impaired renal blood flow)
  • Cystic diseases involve polycystic kidney disease and renal cysts

Renal Physiology

  • Renal disease involves impairments in blood flow through the kidneys, often due to issues in the blood supply
  • Uremia, the accumulation of urea, is a significant outcome of renal disease
  • Nephrotic syndrome is characterized by the presence of protein in the urine
  • Nephritic syndrome is characterized by the presence of red blood cells (RBCs) in the urine

Glomerulus

  • Blood flows through capillaries within the glomerulus, which filters and accumulates fluid into Bowman's capsule
  • Blood exits through the efferent arteriole
  • Glomeruli contain both podocytes and mesangial cells
  • The structure is important for the filtering ability.

Glomerular Filtration Disruption

  • Immune-complex deposition can disrupt the glomerular filtration
  • Antiglomerular basement membrane antibodies can interact with the basement membrane
  • The resulting disruption is in the glomerular wall
  • Heymann is an experimental model

Glomerulonephritis (GN)

  • Inflammation of glomeruli, commonly caused by immune complex deposition in glomerular capillary walls
  • Longer-duration GN can lead to irreversible fibrosis

Intrarenal Failure

  • Damage to kidney cells
  • Impaired blood supply, toxic chemicals, and certain agents can cause damage leading to acute tubular necrosis (ATN)

Other Renal Diseases

  • Rhabdomyolysis, vasculitis, disseminated intravascular coagulation (DIC), and multiple myeloma are other conditions affecting the renal system
  • These conditions can result in various symptoms and complications
  • The conditions discussed can cause significant damage impacting the body. 

Post-renal Failure

  • Damage occurs downstream from the kidneys, often due to urinary tract blockages or obstructions
  • This can be caused by calculi, tumors, congenital defects, myeloma, or blood clots.

Diabetic Nephropathy

  • High prevalence in people with diabetes, possibly affecting 50%
  • Characterized by albuminuria/proteinuria, decreased GFR, and hypertension

Kidney Disease Stages

  • Five stages of kidney disease exist, with progression characterized by changes in glomerular filtration rate (GFR) and albumin excretion
  • Hyperfiltration, silent, incipient, overt nephropathy, and ESRD are involved.

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Description

This quiz covers key concepts of the renal system, including various types of renal diseases, their physiological implications, and the role of the glomerulus in kidney function. Test your knowledge on conditions such as glomerulonephritis, nephrotic syndrome, and the impact of impaired blood flow on renal health.

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