Proximal Convoluted Tubule – Flashcards

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proximal convoluted tubule
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most tubular reabsorption occurs here
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sodium reabsorption
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creates an osmotic gradient and an electrical gradient to drive reabsorption of water and other solutes
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sodium ions
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reabsorbed by symporters in first portion of PCT along with glucose, amino acids, phosphate ions
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reabsorption continues..
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because of Na+/K+ pumps in the membrane
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chloride ions
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gets reabsorbed because they follow sodium ions due to electrical attraction
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water reabsorption
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raises chloride concentration in tubular fluid and creates a chloride gradient
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bicarbonate ions
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seem to be reabsorbed from the filtrate, but they really aren't; illusion
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bicarbonate ions are filtered out of the blood
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but urine is usually free of bicarbonate ions because they do not cross membrane of proximal convoluted tubule
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bicarbonate ions combine with hydrogen ions
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that are present in tubular fluid to form carbonic acid, which dissociates into water and carbon dioxide
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carbon dioxide
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enters tubules cells and combines with water to reform carbonic acid; dissociates into bicarbonate and hydrogen ions
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bicarbonate ions..
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pumped into blood and hydrogen ions are pumped back into tubular fluid
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one bicarbonate ion
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disappears from the tubular fluid as another appears in the blood
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glucose
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co-transported with sodium ions by sodium-glucose transport proteins
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glycosuria
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occurs when excess glucose remains in urine because glucose is not reabsorbed fast enough by symporters
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nitrogenous wastes
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reabsorbed into the capillaries
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urea
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40%-60% formed gets reabsorbed along with water
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uric acid
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almost all gets reabsorbed, but some will be secreted back into tubular fluid later
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creatinine
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isn't reabsorbed because it is too large
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water
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gets reabsorbed into the peritubular capillaries by obligatory water reabsorption
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about 2/3 of this water
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reabsorbed by aquaporins inn PCT
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reabsorption of sodium ions and chloride ions
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and other solutes make tissue fluid hypertonic to tubular fluid
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because the PCT reabsorbs proportionate amounts of water and solutes...
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osmolarity of tubular fluid remains relatively constant
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Tubular secretion in the PCT
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extracts urea, uric acid, ammonia, other wastes from blood and transfers them into tubular fluid
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secretion of uric acid
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compensates for its reabsorption and accounts for its presence in urine
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aspirin, penicillin, and other drugs
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secreted into tubular fluid and cleared from blood
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bicarbonate ions and hydrogen ions
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secreted into tubular fluid to regulate pH of body fluids
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