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This illustration demonstrates the normal kidney physiology, including the Proximal Convoluted Tubule (PCT), Loop of Henle, and Distal Convoluted Tubule (DCT). It also includes illustrations showing where some types of diuretics act, and what they do. Renal physiology (Latin renes, "kidneys") is the study of the physiology of the kidney.
The kidneys are susceptible to toxic injury, since toxins are reabsorbed in the tubules along with most of the filtered substances. [47] The kidneys are able to restore their functionality after acute injury, but it also can progress into chronic kidney disease. Chronic kidney disease is characterised by loss of function of the kidney tissues ...
Increases in vasa recta flow wash away metabolites and cause the medulla to lose osmolarity as well. Increases in flow will disrupt the kidney's ability to form concentrated urine. [3] Overall the loop of Henle reabsorbs around 25% of filtered ions and 20% of the filtered water in a normal kidney. These ions are mostly Na +, Cl −, K +, Ca 2 ...
Unlike mammals, the kidneys of reptiles do not have a clear distinction between cortex and medulla. [43] The kidneys lack the loop of Henle, have fewer nephrons (from about 3,000 to 30,000), and cannot produce hypertonic urine. [3] [21] Nitrogenous waste products excreted by the kidneys may include uric acid, urea and ammonia. [55]
Only when the amount of functioning kidney tissue is greatly diminished does one develop chronic kidney disease. Renal replacement therapy , in the form of dialysis or kidney transplantation , is indicated when the glomerular filtration rate has fallen very low or if the renal dysfunction leads to severe symptoms.
The severity of chronic kidney disease (CKD) is described by six stages; the most severe three are defined by the MDRD-eGFR value, and first three also depend on whether there is other evidence of kidney disease (e.g., proteinuria): 0) Normal kidney function – GFR above 90 mL/min/1.73 m 2 and no proteinuria
The kidney maintains the electrolyte concentrations, osmolality, and acid-base balance of blood plasma within the narrow limits that are compatible with effective cellular function; and the kidney participates in blood pressure regulation and in the maintenance of steady whole-organism water volume [4]
The high hydrostatic pressure forces small molecules in the tubular fluid such as water, glucose, amino acids, sodium chloride and urea through the filter, from the blood in the glomerular capsule across the basement membrane of the Bowman's capsule and into the renal tubules.