ovcmt, ap3- lec. 6

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  • 8/9/2019 OVCMT, AP3- lec. 6

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    Kidney anatomyKidney anatomy-- reviewreview

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    Nephron anatomyNephron anatomy-- reviewreview

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    Urine formationUrine formation-- overviewoverview

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    GlomerulusGlomerulus

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    Net filtration pressueNet filtration pressue

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    GFR regulationGFR regulation-- autoregulationautoregulation

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    GFR regulationGFR regulation-- hormonalhormonal

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    GFR regulationGFR regulation-- neuralneural

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    Tubular reabsorptionTubular reabsorption-- blood vesselsblood vessels

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    Tubular reabsorptionTubular reabsorption-- PCTPCT

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    Tubular reabsorptionTubular reabsorption-- PCTPCT

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    Tubular reabsorptionTubular reabsorption-- loop of Henleloop of Henle

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    Tubular reabsorptionTubular reabsorption-- DCT and CDDCT and CD

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    Tubular secretion of KTubular secretion of K++-- CDCD

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    Tubular secretion of HTubular secretion of H++-- PCTPCT

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    Body fluid compartmentsBody fluid compartments

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    Water gain and lossWater gain and loss

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    Mechanism of dehydration stimulationMechanism of dehydration stimulation

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    ElectrolytesElectrolytes

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    pH scalepH scale

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    Maintaining pHMaintaining pH-- renal excretion of Hrenal excretion of H++

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    Maintaining pHMaintaining pH-- buffer systemsbuffer systems

    CO2 + H2O H2CO3 HCO3- + H+

    leftward shift causes CO2 and H2O to be exhaled

    rightward shift causes H+ to be buffered by bicarbonate ion and

    secreted by the kidney

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    Metabolic acidosis and respiratory compensationMetabolic acidosis and respiratory compensation

    changes in ventilation compensate for

    metabolic induced pH disturbance

    changes in kidney secretion of H+ and

    reabsorption of HCO3- compensate for

    respiratory induced pH disturbances