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Download MBBS Physiology Presentations 20 Excretory System Lecture Notes

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This post was last modified on 08 April 2022

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chemicals

? Regulation of water and electrolyte balances
? Regulation of body fluid osmolality and

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electrolyte concentrations

? Regulation of arterial pressure

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Functions of Kidneys

? Regulation of acid-base balance
? Secretion, metabolism and excretion of

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hormones

? Gluconeogenesis


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Mesangial Cells

? Stellate cells located between endothelium

and basal lamina

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? Common in between capillaries
? They are contractile
? Secrete extracellular matrix, take up

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immune complexes and involved in

diseases

? They regulate GFR

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Physiologic control of GFR and

Renal blood flow

? Sympathetic nervous system activation

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decreases GFR

? Norepinephrine, Epinephrine and

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Endothelin constricts renal blood vessels
and decrease GFR

? NO, Prostaglandins and Bradykinin

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increase GFR

? Total blood flow through both kidneys is

1100 ml/min or 22% of cardiac output

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? Kidneys consume twice the rate of the

brain but receives 7 times the blood flow

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as brain

Tubulo-glomerular feedback mechanism

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