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Renal Physiology Key Concepts
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Macula Densa
A cluster of cells in the distal convoluted tubule that detect sodium concentration and signal to the juxtaglomerular cells to regulate blood pressure and filtration rate.
Tubuloglomerular Feedback
A feedback mechanism involving the juxtaglomerular apparatus that regulates GFR by adjusting afferent arteriole resistance based on the sodium chloride concentration in the distal tubule.
Nephron
The functional unit of the kidney, composed of a renal corpuscle and renal tubule, responsible for filtering blood and forming urine.
Aquaporins
Water channel proteins found in the kidney tubules that facilitate water reabsorption; their regulation plays a key role in controlling urine concentration.
Creatinine Clearance
A measure of GFR based on the clearance of creatinine from the blood; used as a practical means to estimate kidney function since creatinine is steadily produced and freely filtered.
Counter-current Multiplier System
A mechanism in the kidney that creates a concentration gradient in the medulla allowing for regulation of urine concentration by the loop of Henle; essential for the production of concentrated or dilute urine.
Podocytes
A specialized cell type in the glomerulus that forms part of the filtration barrier, with foot processes that wrap around capillaries preventing the passage of large molecules into the filtrate.
Renin-Angiotensin-Aldosterone System (RAAS)
A hormone system that regulates blood pressure and fluid balance; when blood volume is low, kidneys release renin, triggering a cascade that leads to increased sodium retention, water uptake, and blood pressure.
Glomerular Filtration Rate (GFR)
The rate at which the kidneys filter blood, measured in milliliters per minute; a critical indicator of renal function used to assess kidney health and diagnose stages of kidney disease.
Net Filtration Pressure (NFP)
The total pressure that drives filtration at the glomerulus; calculated as the sum of hydrostatic and oncotic forces across the glomerular capillaries ().
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