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Renal Physiology Key Concepts

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Macula Densa

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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.

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Tubuloglomerular Feedback

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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.

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Nephron

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The functional unit of the kidney, composed of a renal corpuscle and renal tubule, responsible for filtering blood and forming urine.

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Aquaporins

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Water channel proteins found in the kidney tubules that facilitate water reabsorption; their regulation plays a key role in controlling urine concentration.

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Creatinine Clearance

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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.

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Counter-current Multiplier System

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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.

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Podocytes

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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.

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Renin-Angiotensin-Aldosterone System (RAAS)

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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.

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Glomerular Filtration Rate (GFR)

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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.

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Net Filtration Pressure (NFP)

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The total pressure that drives filtration at the glomerulus; calculated as the sum of hydrostatic and oncotic forces across the glomerular capillaries (PGC+ΠBCPBCΠGCP_{GC} + \Pi_{BC} - P_{BC} - \Pi_{GC}).

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