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Urinary Systems and Electrolytes V

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  1. 1Function of CC multiplierConcentrate urine in LOH
  2. 2Initial concentration of CCMWalls of AL impermeable to water
    Walls of DL permeable
    Osmotic gradient
  3. 3Single effect generationA.T./Diffusion of NaCl out of AL to ISF
    Dilutes tubule fluid, conc.'s ISF
    H2O from DL to hyperosmotic ISF
    Diffusion of Na/Cl to DL
  4. 4The single effectDif in OSP and [Nacl]
    btw. ALF/DLF/ISF
    H2O moves out of DL to ISF until =
  5. 5How does OSP' change in nephronOSP' increases as depth into medulla increases
  6. 6What does length of LOH determine?OSP' size and conc. of urine
  7. 7What is the vasa recta?Specialised capillary of juxtamedullary nephron
  8. 8What is the function?Creates a hyperosmotic ISF to draw as much water out of nephron as possible
    Especially during antidiuresis
  9. 9Salt diffusion from VRDVR:
    plasma ~300 mOsm
    Encounters ^ osmotic ISF as it descends
    Salt diffuses from ISF to plasma, ^ its conc
    AVR:
    Conc. blood flows towards cortex from papilla
    loses salt to increasingly dilute medullary ISF
  10. 10SummarySalt reabsorbed from LOH trapped+recycled within medulla by CC flow of blood in vasa recta
  11. 11Water reabsorption in VRDVR:
    Dilute blood flow into medulla loses H2O to ^ conc. medullar ISF
    AVR:
    Conc. blood flow from tip of papilla towards cortex gains H2O from ^ dilute medullary ISF
  12. 12SummaryWater tends to short circuit from DVR-> AVR
    helps preserve conc. of medullary ISF
  13. 13Diagram of urea movementah
  14. 14Where is [urea] highinterstitium of inner medulla
  15. 15Why does inner medulla have a steep osmotic '?Facilitate constant reabsorption of H2O from DL
    This maintains a high conc. of tubular fluid in DCT/CD, concentrating urine
  16. 16Urea UniportersExpressed in CD
    facilitates diff of urea from intertubular -> ISF
    Further ^ OSP of ISF of inner medulla
    Further ^ H2O reabsorption
  17. 17Hormonal control Vasopressin (ADH)Upregulates urea uniporter expression of UT-A1/UT-A3
  18. 18UT-A2Expressed in LOH, passes urea from ISF to intertubular fluid
  19. 19VasopressinProduced in hypothalamus
    Released by pituitary gland
    ^ H2O permeability of DCT/CD
    ^ BP as more h2o reabsorped
    Decreases blood plasma osmolarity
  20. 20How does ADH do this?Upregulates translocation of AQP channels to apical PCM of DCT/CD cells
  21. 21What happens when dehydratedWhen dehydrated less H2O available to be reabsorbed, urine more conc., more ADH released to ^ H2O reabsorption
  22. 22ReninCreates Angiotensin I from angiotensin
    Converted to Angiotensin II
    Stimulates adrenal cortex to produce aldosterone
    Aldosterone ^ Na+ reabsorption
    Angiotensin II also stimulates General Systemic Vasoconstriction
  23. 23Stimulators of renin secretionLow BP
    Low Na+ in DCT, sensed by Maculla Densa
    SNS

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El usuario ha eliminado su información de asignaturas Fichas sobre Urinary Systems and Electrolytes V, creado por Usuario eliminado el 31/03/2018.
Creado por
Usuario eliminado · mar 2018
Actualizado
31 mar 2018
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  • Creado por J yadonknow · 31 mar 2018
  • Copiado por J yadonknow · 31 mar 2018
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