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| Introduction to the Kidney | |
| Physiology of Body Fluids | |
| Objectives | |
| Physicochemical Properties of Electrolyte Solutions | |
| Molarity and Equivalence | |
| Osmosis and Osmotic Pressure | |
| Osmolarity and Osmolality | |
| Tonicity | |
| Oncotic Pressure | |
| Specific Gravity | |
| Volumes of Body Fluid Compartments | ... MORE|
| Composition of Body Fluid Compartments | |
| Fluid Exchange Between Body Fluid Compartments | |
| Capillary Fluid Exchange | |
| Cellular Fluid Exchange | |
| Summary | |
| Key Words and Concepts | |
| Self-Study Problems | |
| Structure and Function of the Kidneys | |
| Objectives | |
| Structure of the Kidneys | |
| Gross Anatomy | |
| Ultrastructure of the Nephron | |
| Ultrastructure of the Glomerulus | |
| Ultrastructure of the Juxtaglomerular Apparatus | |
| Innervation of the Kidneys | |
| Summary | |
| Key Words and Concepts | |
| Self-Study Problems | |
| Glomerular Filtration and Renal Blood Flow | |
| Objectives | |
| Renal Clearance | |
| Glomerular Filtration Rate | |
| Glomerular Filtration | |
| Determinants of Ultrafiltrate Composition | |
| Dynamics of Ultrafiltration | |
| Renal Blood Flow | |
| Regulation of Renal Blood Flow and Glomerular Filtration Rate | |
| Sympathetic Nerves | |
| Angiotensin II | |
| Prostaglandins | |
| Nitric Oxide | |
| Endothelin | |
| Bradykinin | |
| Adenosine | |
| Natriuretic Peptides | |
| ATP | |
| Glucocorticoids | |
| Histamine | |
| Dopamine | |
| Summary | |
| Key Words and Concepts | |
| Self-Study Problems | |
| Renal Transport Mechanisms: NaCl and Water Reabsorption Along the Nephron | |
| Objectives | |
| General Principles of Membrane Transport | |
| General Principles of Transepithelial Solute and Water Transport | |
| NaCl, Solute, and Water Reabsorption Along the Nephron | |
| Proximal Tubule | |
| Henle's Loop | |
| Distal Tubule and Collecting Duct | |
| Regulation of NaCl and Water Reabsorption | |
| Summary | |
| Key Words and Concepts | |
| Self-Study Problems | |
| Regulation of Body Fluid Osmolality: Regulation of Water Balance | |
| Objectives | |
| Antidiuretic Hormone | |
| Osmotic Control of AVP Secretion | |
| Hemodynamic Control of AVP Secretion | |
| AVP Actions on the Kidneys | |
| Thirst | |
| Renal Mechanisms for Dilution and Concentration of the Urine | |
| The Role of Urea | |
| Vasa Recta Function | |
| Assessment of Renal Diluting and Concentrating Ability | |
| Summary | |
| Key Words and Concepts | |
| Self-Study Problems | |
| Regulation of Extracellular Fluid Volume and NaCl Balance | |
| Objectives | |
| Concept of Effective Circulating Volume | |
| Volume-Sensing Systems | |
| Volume Sensors in the Low-Pressure Cardiopulmonary Circuit | |
| Volume Sensors in the High-Pressure Arterial Circuit | |
| Hepatic Sensors | |
| Central Nervous System Na+ Sensors | |
| Volume Sensor Signals | |
| Renal Sympathetic Nerves | |
| Renin-Angiotensin-Aldosterone System | |
| Natriuretic Peptides | |
| AVP | |
| Control of Renal NaCl Excretion During Euvolemia | |
| Mechanisms for Maintaining Constant Na+ Delivery to the Distal Tubule | |
| Regulation of Distal Tubule and Collecting Duct Na+ Reabsorption | |
| Control of Na+ Excretion with Volume Expansion | |
| Control of Na+ Excretion with Volume Contraction | |
| Edema | |
| Alterations in Starling Forces | |
| The Role of the Kidneys | |
| Summary | |
| Key Words and Concepts | |
| Self-Study Problems | |
| Regulation of Potassium Balance | |
| Objectives | |
| Overview of K+ Homeostasis | |
| Regulation of Plasma [K+] | |
| Epinephrine | |
| Insulin | |
| Aldosterone | |
| Alterations of Plasma [K+] | |
| Acid-Base Balance | |
| Plasma Osmolality | |
| Cell Lysis | |
| Exercise | |
| K+ Excretion by the Kidneys | |
| Cellular Mechanisms of K+ Transport by Principal Cells and Intercalated Cells in the Distal Tubule and Collecting Duct | |
| Regulation of K+ Secretion by the Distal Tubule and Collecting Duct | |
| Plasma [K+] | |
| Aldosterone | |
| Arginine vasopressin (AVP) | |
| Factors that Perturb K+ Excretion | |
| Flow of Tubular Fluid | |
| Acid-Base Balance | |
| Glucocorticoids | |
| Summary | |
| Key Words and Concepts | |
| Self-Study Problems | |
| Regulation of Acid-Base Balance | |
| Objectives | |
| The HCO3- Buffer System | |
| Overview of Acid-Base Balance | |
| Renal Net Acid Excretion | |
| HCO3- Reabsorption Along the Nephron | |
| Regulation of H+ Secretion | |
| Formation of New HCO3- | |
| Response to Acid-Base Disorders | |
| Extracellular and Intracellular Buffers | |
| Respiratory Compensation | |
| Renal Compensation | |
| Simple Acid-Base Disorders | |
| Metabolic Acidosis | |
| Metabolic Alkalosis | |
| Respiratory Acidosis | |
| Respiratory Alkalosis | |
| Analysis of Acid-Base Disorders | |
| Summary | |
| Key Words and Concepts | |
| Self-Study Problems | |
| Regulation of Calcium and Phosphate Homeostasis | |
| Objectives | |
| Calcium | |
| Overview of Ca++ Homeostasis | |
| Ca++ Transport along the Nephron | |
| Regulation of Urinary Ca++ Excretion | |
| Calcium-Sensing Receptor | |
| Phosphate | |
| Overview of Pi Homeostasis | |
| Pi Transport along the Nephron | |
| Regulation of Urinary Pi Excretion | |
| Integrative Review of Parathyroid Hormone, Calcitriol, and Calcitonin on Ca++ and Pi Homeostasis | |
| Summary | |
| Key Words and Concepts | |
| Self-Study Problems | |
| Physiology of Diuretic Action | |
| Objectives | |
| General Principles of Diuretic Action | |
| Sites of Action of Diuretics | |
| Response of Other Nephron Segments | |
| Adequate Delivery of Diuretics to Their Site of Action | |
| Volume of the Extracellular Fluid | |
| Diuretic Braking Phenomenon | |
| Mechanisms of Action of Diuretics | |
| Osmotic Diuretics | |
| Carbonic Anhydrase Inhibitors | |
| Loop Diuretics | |
| Thiazide Diuretics | |
| K+-Sparing Diuretics | |
| Aquaretics | |
| Effect of Diuretics on the Excretion of Water and Other Solutes | |
| Solute-Free Water | |
| K+ Excretion | |
| HCO3- Excretion | |
| Ca++ and Pi Excretion | |
| Summary | |
| Key Words and Concepts | |
| Self-Study Problems | |
| Additional Reading | |
| Integrative Case Studies | |
| Normal Laboratory Values | |
| Nephron Function | |
| Answers to Self-Study Problems | |
| Answers to Integrative Case Studies | |
| Review Examination | |
| Table of Contents provided by Publisher. All Rights Reserved. |