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Renal System
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Gross structure of the kidneys cortex, medulla, pyramids, renal calyxes and pelvis, ureter.
Gross size and weight (300~400 g) of kidneys (about 0.5% of body weight) in humans
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Anatomy of the Kidney
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The nephron is the basic unit of renal structure and functions.
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Nephron Glomerulus Bowman’s Capsule Proximal Convoluted Tubule
Loop of Henle Distal Convoluted Tubule
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Tubular Secretion and Reabsorption
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Role of kidney Apart from urine formation
Blood pressure from Renin production RBC production from Erythropoietin
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Combining form Cyst/o urinary bladder Urethr/o urethra Ureter/o ureter Pyel/o renal pelvis Nephr/o kidney Vesic/o urinary bladder Ren/o kidney
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Pathology of the Kidney
Nephrolithiasis - Kidney stones (renal calculi) Nephrotic syndrome - A group of symptoms caused by excessive protein loss in the urine (also called nephrosis) Polycystic kidneys - Multiple fluid-filled sacs (cysts) within and upon the kidney Pyelonephritis - Inflammation of the renal pelvis and renal medulla Glomerulonephritis - Inflammation of the kidney glomerulus (Bright disease)
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Polycystic kidneys
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Pathology of the Kidney
Renal cell carcinoma - Cancerous tumor of the kidney in adulthood Renal failure - Failure of the kidney to excrete urine Renal hypertension - High blood pressure resulting from kidney disease Wilms tumor – Malignant tumor of the kidney occurring in childhood Diabetes mellitus - Inadequate secretion or improper utilization of insulin Anuria: abnormal condition of no urine production
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Investigation Kidneys, ureters, bladder (KUB): X-ray image of the kideys and urinary tract without the use of contrast. Cystoscopy: Blood urea nitrogen (BUN): measures the amount of urea in the blood. retrograde pyelogram (RP): x-ray film of the urinary tract with contrast material injected via a cather into the urethra. Urography:
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Treatment procedures Dialysis: seperation of waste material from blood by a machine. Lithotripsy: shock waves are beamed into a patient to crush urinary tract stones. Urinary catheterization: passing of a catheter through the urethra and bladder for drainage of urine. Renal transplantation:
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Noct (night) Olig (few) Tripsy (crushing) BUN (blood urea nitrogen) KUB (kidney, ureter, bladder) ADH (anti-diuretic hormone) UTI (urinary tract infection) CRF (chronic renal failure?, corticotropin releasing factor?) ARF (acute renal failure?)
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