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Question
Answer
show recieve 20% of bld from heart  
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show 1.Renal Corpuscle-Glomerulus, Bowmans capsule.2.Renal tubule-proximal,loop of henle,distal,collecting  
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show area that the artery/veins,nerves,lymphatic vessels,and ureter pass through tto enter the kidney  
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show outer region  
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show inner region  
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show project into hollow space of the renal pelvis  
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urine forms in   show
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show renal pelvis and ureter  
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Nephron physiology   show
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urinine production   show
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Filtration pressure   show
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show 180L/day (125 cc/min)1-2L urine/day  
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Proximal tubules   show
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Descending loop pf Henle   show
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show protein pumps and mitochondria-allow for absorbption of Na+/Cl-  
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show baroreceptors monitor osmolarity of filtrate-absorb(H2O,Na++,HCO3)-secrete -low osmolarity(urea,K+,H+,some drugs)  
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show respond to hormones-aldosterone/ADH,monitor acid base balance of fluid  
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show formed by release of renin,stimulates release of aldosterone,(target tissue)distal tubule/collecting duct,Effects-increased reabsorption of Na+,Cl,H20  
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Aldosterone   show
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ADH   show
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(ANF) atrial natiuretic factor   show
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SNS stimulation   show
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show SIMPLE DIFFUSION(high to low) and OSMOSIS (moves towards highest osmolarity,FACILITATED DIFFUSION 9high-low),ACTIVE TRANSPORT (low -high)  
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show is almost completely reabsorbed in the proximal tubule-maintained until 180mg/dL-Type 1DM(so much sugar enters,reabsorption becomes inefficient=osmotic diuresis  
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Urea   show
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show checks blood urea nitrogen-normal BUN=8-21 mg/dl  
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show waste product of metabolism within muscle cells-normal level=0.6-1.2 mg/dL, larger than urea so its not reabsorbed  
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Direct indicator of GFR   show
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Renin angiotensin system   show
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ACE-Angiotensin converting enzyme   show
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show potent vasoconstrictor-stimulates production of aldosterone=kidneys reabsorb Na+=intravascular volume is maintained  
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show released in kidneys-causes increase in production/maturation of RBC in bone marrow of Vertebra,proximal long bons,pelvis,ribs and sternum  
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show contains 350-500cc  
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show voiding  
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show inflammation,distention,ischemia-transmits pain signals from veseral afferent nerve fibers back to spinal cord-DIFFUSE,DULL or CRAMPY,tachu,n/v, diaphoresis  
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show pain originates in a region other then where it is felt  
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Acute Renal Failure (ARF)   show
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1.Prerenal ARF   show
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show hypovolemia,hemmorrage,dehydration, burns,cardiac failure,shock, sepsis  
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show caused by problems that originate inside the kidney-small vesse/glom damage,tubular cell/interstitial damage-often immune mediated,Type 1DM,systemic lupus,  
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show Caused by organ problems on back side of kidneys-obstruction of both ureters,bladder,urethra(rapid edema,retention of K+, acidosis)  
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Renal ARF steps   show
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show increased WBC,proteinuria,glycosuria,abd distention,HYPOTENSION  
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BUN to Creatine ratio   show
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Too much ammonia s/s   show
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show progressive, irreversible systemic dx-instability noticed when 80% of nephrons are dead-dialysis or transplant needed-requires dialysis every 2-3 days-most cases caused by systemic diseases,HYPOTENSION,HEPERKALEMIA,QT PROLONGATION  
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CRF causes   show
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Outcomes of CRF   show
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show HTN,edema,fatigue,pasty yellow skin,thin extremities,Uremic frost (late sign),anemia  
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show works like osmosis and equalizes osmolarity across a semipermeable membrane-3-5hr, 3x a wk-flows into dialysate, it cleans it and is returned back to pt  
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Hemodyalisis complications   show
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show uses peritoneal membrane,dialysate is put in peritoneal cavity, absorbs toxins and then returns out-takes 10-12 hrs-reduces risk of fluid and elctrolyte shifts  
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show crystal aggregation in kidneys collecting system,>men,hereditary.Causes=immobilization,meds,dehydration,cns disorders,gout,hyperparathyroidism-made of calcium oxalate and calcium phosohate  
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Lithrotripsy   show
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show Ca/ammonium/phos,triphosphate-associated with UTI's,bladder caths  
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show not common,common in men,runs in families,1/2 have gout  
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show least common (sulfur containing amino acid) due to cystine in filtrate/hereditary  
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s/s   show
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show affects urethra,bladder,kidney,prostate gland-caused by bacteris,viruses and fungi-Bld(hematogenous infection)not common,Urethra (ascending infection)most common-lower UTI's most common  
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show >males,symptom of gonnorhea,herpes or chlamydia,associated with cystisis,  
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show inflammation secondary to bacterial infection, bowel bacteria are involved,usualy due to catherizations  
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show spread towards kidneys,effects 1 or both,Infllammation of the kidney, more common in women,abcess may develop  
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Intrarenal abcesses   show
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Epididymitis   show
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show True emergency,testicle twists on spermatic cord,disrupts bld flow.  
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Nephron   show
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show produces the urge to void  
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Hemasite   show
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Diuril would MOST likely be prescribed to a patient with:   show
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When triggered by changes in the blood pressure, the juxtaglomerular cells release:   show
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When the solute concentration of the blood increases   show
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The glomerular filtration rate is MOST accurately defined as the:   show
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show inhibiting sodium resorption in the kidneys  
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Disequilibrium syndrome is a condition in which   show
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show glomerulus  
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Azotemia is defined as   show
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show A marked decrease in urinary output  
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