What are the functions of the kidney
-Filters metabolic products and toxins from blood, excreting them as urine
-Regulates the bodies fluid status, electrolytes and acid-base balance (Na, K, Ca, H and Cl)
-Humoral regulation of blood pressure and flow (as well as erythrogenesis, Ca metabolism)
Describe the organization of the urinary system
Describe the kidney
Describe renal vasculature
Describe the nephron
Describe the renal corpuscle
Describe the glomerular filtration barrier
Describe endothelial cells
Describe filtration slits
What are the determinants of filterability of solutes across glomerular filtration barrier
Describe glomerular filtration and the starling equation
Filtration rate exceeds other regions of the body due to:
-Greater starling forces (hydrostatic and colloid osmotic)
-Higher capillary permeability -> large fenestrations, 70-nm holes that provide no restriction to the movement of water and small solutes out of the lumen of the capillary
Explain filtration in other capillary beds and ultrafiltration
Describe glomerular filtration rate (GFR)
What are the forces affecting ultrafiltration in the glomerulus
How does increased glomerular plasma flow increase filtration
Describe renal microvasculature
How do afferent and efferent arterioles control GFR
Explain the function of peritubular capillaries
-Glomerular capillaries and efferent arteriole precede them
-Glomerular filtration concentrates the plasma proteins -> high oncotic pressure
-The resistance of the efferent arteriole -> low hydrostatic pressure
-Superficial glomeruli -> peritubular capillary network in the cortex
-Juxtamedullary glomeruli -> vasa recta
-They are responsible for taking up fluid from the interstitial space that the renal tubules reabsorb
-Also deliver oxygen and nutrients to the epithelial cells of the tubules
What is the effect of a sudden increase in ECF volume on peritubular capillary fluid dynamics
Explain autoregulation of renal blood flow and glomerular filtration
How can GFR be measured
If a substance:
-Is not synthesized, broken down, or accumulated by the kidney
-Is neither reabsorbed nor secreted by the renal tubules
-Is freely filterable in the golumeruli
-Then the amount of X that appears in the urine per unit time is the same as the amount of X that the glomerulus filters per unit time
How is the clearance of creatinine a useful index of glomerular filtration
-UCr = urine creatinine concentration
-V = volume of urine per unit time
-PCr = plasma creatinine concentration
What is the Cockcroft-Gault calculator for eGFR