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What’s Left of Physiology

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Presentation on theme: "What’s Left of Physiology"— Presentation transcript:

1 What’s Left of Physiology
Sign up for exam day and time & HD survey Turn in Revised Abstracts Bio 342 Wofford Course Evaluation CURE Survey Link in an soon Test Folders available 2-5 Friday afternoon here in The Pit. No pencils, paper, book.

2 Figure 14.31 Normally, all filtered bicarbonate is “reabsorbed”

3 Diagram respiratory response to:
Vomiting Diarrhea.

4 % Water Excreted NaCl Excreted Urinalysis Lab 2012 Dilute Salt 77 17
Category Mean% Excreted St. Error N= Difference Dilute Salt 77 17 14 B Strong Salt 289 38 18 A Water 104 9 28 Category Mean Excreted St. Error N= Difference Dilute Salt 2.0 g 0.2 14 A, B Strong Salt 2.4 g 0.3 18 A Water 1.5 g 28 B

5 For 2012, the winner of the Peebody Award produced 1845 ml of urine from 800 ml of water. And the winner is….

6 For 2012, the winner of the The Sahara Award produced a pitiful 0 ml of urine after drinking the “Strong Salt Solution” And the winner is….

7 Filtration is controlled by aa and ea diameters!

8 Consider a substance that in filtered only, no reabsorption, no secretion.
Excretion of this substance = GFR Clearance of this substance = GFR

9 Clearance = volume of plasma from which a substance is completely removed (cleared) by the kidneys per unit time. Clearance of Inulin is 120 ml/min Cinulin or Ccreatinine = Glomerular Filtration Rate

10 Calculating clearance
Clearance of s = Urine concentration of s X Urine Volume Plasma concentration of s “24 hour urine catch” + blood sample Special cases: Clearance of Inulin and creatinine (filtered only; use to measure Glomerular Filtration Rate.) Para Amino Hippurate (filtered and completely secreted, use to measure Renal Plasma Flow)

11 Renal Handling of Substances
Filtration + complete Secretion Ex: Para AminoHippurate (PAH) Measure Renal Plasma Flow Filtration + partial reabsorption Ex: Sodium Ex: Water Filtration Reabsorption Ex: Glucose Ex: Amino Acids

12 Clearance of Inulin is 120 ml/min
Clearance = volume of plasma from which a substance is completely removed (cleared) by the kidneys per unit time. Clearance of Inulin is 120 ml/min Cinulin or Ccreatinine = Glomerular Filtration Rate If C x is greater than GFR ( which is Cinulin) then that substance undergoes NET TUBULAR SECRETION If C x is less than GFR ( which is Cinulin) then that substance undergoes NET TUBULAR REABSORPTION

13 A little more on Clearance:
Clearance of glucose = 0 ml/min which means…. Clearance of X = 120 ml/min which means…. Clearance of antibiotic XXX = 500 ml/min which means…

14 Who Cares?

15 S 17 pp X P?

16 Polycystic Kidney Disease
Fig Fluid-filled cysts Polycystic Kidney Disease Symptoms? Genetics? Prognosis & Treament? When Ccreatinine = GFR becomes less than 120 ml/min….? 14.04.jpg

17 The End? “Reincarnation” by Wallace McRae


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