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Waste
any substance that is useless to the body or present in excess of the body's needs
Urea Formation
proteins broken down to amino acids, nitrogen removed forming ammonia liver then converts to final product
Uric Acid
Waste product of nucleic acid catabolism
Creatine
Waste product of creatine phosphate catabolism
Excretion
Separation of wastes from body fluids eliminating metabolic wastes, toxins, drugs, hormones, salts, hydrogen, and water
Renal Corpuscle
Consists of the glomerulus and two-layered glomerular capsule that encloses glomerulus
Renal Tubule
A duct that leads away from the glomerular capsule and ends at the tip of the medullary pyramid
Nephron Flow of Fluid
Glomerular Capsule > Proximal Convoluted tubule > Nephron Loop > Distal Convoluted Tubule > Collecting Duct > Papillary Duct > Minor Calyx > Major Calyx > Renal Pelvis > Ureter > Urinary Bladder > Urethra
Cortical Nephrons
Make up 85% of all nephrons; short loops with efferent arterioles branching into peritubular capilaries around PCT and DCT
Juxtamedullary Nephrons
Make up 15% of all nephrons; very long loops, that maintain salinity gradient in the medulla and helps conserve water; efferent arterioles branch into vasa recta around long nephron loops
Glomerular filtrate
Fluid in the capsular space of kidney that is formed from blood plasma but has no protein.
Tubular Fluid
fluid from the proximal convoluted tubule through the distal convoluted tubule that has been reabsorbed from glomerular filtrate
Urine
Secreted fluid that enters the collecting duct that has undergone littler alteration from tubular fluid except changes in the water content. `
Glomerular Filtration Rate
(GFR) the amount of filtrate formed per minute by the 2 kidneys combined; total amount of filtrate produced equals 50 to 60 times the amount of blood in body. 99% reabsorbed 1-2 liters urine excreted a day.
Renal Autoregulation
The ability of the nephrons to adjust their own blood flow and GFR without external control; enables them to maintain a relatively stable GFR in spite of changes in systemic arterial blood pressure.
Macula Densa
Patch of slender, closely spaced epithelial cells at end of the nephron loop; senses variations in flow or fluid composition and secretes a paracrine that stimulates JG cells
Juxtaglomerular Cells
(JG) Enlarged smooth muscle cells in the afferent arteriole; when stimulated by macula dilation or constriction occurs, they contain granules of renin which is secreted in response to drop in blood pressure.
Mesangial Cells
In the cleft between the afferent and efferent arterioles and among the capillaries of the glomerulus; They communicate by means of paracrines and build supportive matrix for glomerulus, constrict or relax capillaries to regulate blood flow.
Negative Feedback of GFR
High GFR means rapid flow of filtrate in renal tubules which is sensed by the macula densa, paracrine is secreted to cause constriction of afferent arteriole to reduce the GFR.
Sympathetic Control of GFR
Sympathetic nervous system and adrenal epinephrine contstrict the afferent arterioles in strenuous exercise or acute conditions like circulatory shock; reduces GFR/Urine output, redirects blood from kidneys, GFR may be as low as few milliliters per min.
Renin
Secreted by juxtaglomerular cells if BP drops dramatically; converts angiotensinogen into in angiotensin I
Angiotensin II
Stimulates adrenal cortex to secrete aldosterone promoting Na and H2O reabsorption in DCT and collecting duct; stimulates thirst & H2O intake also constricts efferent arterioles raising GFR.
Proximal Convoluted Tubule
(PCT) reabsorbs about 65% of glomerular filtrate, removes some substances from the blood, and secretes them into tubular fluid for disposal in urine; account for 6% of resting ATP.
Sodium Chloride
Creates an osmotic and electrical gradient that drives the reabsorption of water and other solutes, moste abundant cation in filtrate, and creates steep concentration gradient that favors its diffusion into epithelial cells.
Tubular Secretion
Process in which the renal tubule extracts chemicals from the capillary blood and secretes them into tubular fluid; two purposes: waste removal and acid-base balance.
Function of Nephron Loop
Primarily functions to generate salinity gradient that enables collect duct to concentrate the urine and conserve water; electrolyte reabsorption from filtrate (25% absorbs Na, K, and Cl)
Aldosterone
Hormone acting on DCT and collecting duct that is secreted when blood Na concentration falls, when K concentration rises, or drop in BP. "Salt-retaining" hormone.
Artial Natriuretic Peptide
(ANP) Results in the excretion of more salt and water in urine because it dilates afferent arterioles , increasing GFR, inhibits renin/aldosterone secretion, inhibits ADH, and inhibits NaCl reabsorption; THUS REDUCING BLOOD VOLUME AND PRESSURE.
Antidiuretic Hormone
(ADH) Secreted in response to dehydration and rising blood osmolarity to make the collecting duct mroe permeable to water; water in the tubular fluid reenters the tissue fluid and bloodstream rather than being lost in urine.
Countercurrent Multiplier
Nephron loop continually recaptures salt and returns it to extracellular fluid of medulla which multiplies the salinity in adrenal medual; because of gluild flowing in opposite directions in adjacent tubules of nephron loop.
Urinalysis
The examination of the physical and chemical properties of urine.
Diabetes Insipidus
ADH hyposecretion causing not enough water to be absorbed in the collecting duct so more water passes in urine.
Glycosuria
Glucose in the urine.
Diuretics
Any chemical that increases urine volume; commonly used to treat hypertension and congetive heart failure by reducing the body's fluid volume and blood pressure.
Renal Calculus
(kidney stone) hard granuale of calcium phosphate, calcium oxalate, uric acid, or a magnesium salt called struvite
Body Water Content
Infants: 73% or more water Adult Males: 60% water Adult Females: 50% water (higher fat content, less muscle mass) Old Age: down to 45%.
Nonelectrolytes
Most are organic however, glucose, lipids, creatinine, and urea do not dissociate in water.
Electrolytes
Determine the chemcial and physical reactions of fluids and have greater osmotic power than nonelectrolytes; PROTIENS, ACID AND BASES, INORGANIC SALTS DISASSOCIATE.
Extracellular Fluid
(ECF) Similar to plasma; except higher protein content; major cation is Na and anion is Cl.
Intracellular Fluid
(ICF) Low Na and Cl content. Major cation is K and anion is HPO4
Electrolyte Balance
Salts enter the body by ingestion and are lost via perspiration, feces, and urine; they control fluid movments, excitability of cells, secretory activity, and membrane permeability.
Central Role of Sodium
In the ECF it contributes to 280 osmotic pressure of the total 300 ECF solute concentration. Leaks into cells and is pumped out against electrochemical gradient.
Potassium Balance
Affects RMP in neurons and muscle cells; Increase in ECF leads to decreased RMP, depolarization, and reduced excitiability. Decrease in ECF leads to hyperpolarization and nonresponsiveness
Regulation of Calcium
In ECF IS IMPORTANT for neuromuscular excitability, blood clotting, cell membrane permeability, and secretory activities; controlled by parathyroid hormone and calcitonin
Regulation of Anions
Cl major anion in ECF to help maintain the osmotic pressure of the blood 99% of cl is reabsorbed under normal pH conditions.
Acid-Base Balance
pH affects all functional proteins and biochemical reactions; concentration of hydrogen ions is regulate by chemical buffer systems, brain stem respiratory centers, and renal mechanisms.
Bicarbonate Buffer System
Buffers ICF and ECF to resist pH changes when strong acid or base is added. Mixture of Weak Acid - H2CO3 and Weak Base - HCO3.
Phosphate Buffer System
Action is identical to bicarbonate buffer system. Effects the buffer in urine and ICF when phosphate concentrations are high. Weak acid - H2PO4 Weak Base - HPO4
Protein Buffer System
Intracellur proteins are the most plentiful and power buffers; plasma proteins are also important; these molecules are AMPHOTERIC pH rises = COOH pH falls = NH2
Respiratory Acidosis
Pco2 above 45 mmHg; most common cause of acid-base imbalances due to decrease in ventilation or gas exchange.
Respiratory Alkalosis
Pco2 below 35 mmHg; common result of hyperventilation due to stress or pain.
Metabolic Acidosis
Indicated by HCO3 levels; caused by ingestion of to much alcohol, excessive loss of HCO3, and accumulation of lactic acid
Metabolic Alkalosis
Indicated by rising blood pH and HCO3 caused by vomiting of acid contents of the stomach or by intake of excess base
Scrotum
Superficial Fascia hanging outside the abdominopelvic cavity containing testes; 3 degree lower than core body temperature is necessary for sperm production.
Epididymis
Nonmotile sperm enter this organ and pass slowly through, and become motile; during ejaculation the epididymis contracts, expelling sperm into the ductus deferens
Seminal Vesicles
Produces viscous alkaline seminal fluid; 70% of the volume of semen
Prostate
Encircles part of the urethra inferior to the bladder; secretes milky, slightly acid fluid playing a role in the activation of sperm
Spermatogenesis
Sequence of events that produces sperm in the seminiferous tubules of the testes. Spermatids lose excess cytoplasm and form tail, becoming spermatozoa.
Meiosis
Gamete formation; nucleardivision in the gonads in which the number of chromosomes is halved 2n > n. Introduces genetic variation

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