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Blood in urine - Coggle Diagram
Blood in urine
upsteam causes
DM ll
poorly controlled diabetes can cause damage to blood vessel clusters in your kidneys that filter waste from your blood. This can lead to kidney damage and cause high blood pressure.
high blood pressure
High blood pressure also damages the tiny filtering units in your kidneys. As a result, the kidneys may stop removing wastes and extra fluid from your blood. The extra fluid in your blood vessels may build up and raise blood pressure even more..
osteoporosis
Mineral/bone disorders occur when damaged kidneys and abnormal hormone levels cause calcium and phosphorus levels in a person's blood to be out of balance.
downstream effects
DM ll
The filtering units of the kidney are filled with tiny blood vessels. Over time, high sugar levels in the blood can cause these vessels to become narrow and clogged; If they are damaged, waste and fluids build up in your blood instead of leaving your body. Kidney damage from diabetes is called diabetic nephropathy
high blood pressure
uncontrolled high blood pressure can cause arteries around the kidneys to narrow, weaken or harden. These damaged arteries are not able to deliver enough blood to the kidney tissue. Damaged kidney arteries do not filter blood well.
osteoporosis
-mineral bone disorder (MBD) develops in association with secondary hyperparathyroidism due to phosphorus (P) accumulation in the circulating plasma, leading to an increase in the risk of cardiovascular disease and bone fracture
Anatomy
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general info on osteoporosis, DM ll, and hypertension
DM ll
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With type 2 diabetes, the body either doesn't produce enough insulin, or it resists insulin.
Symptoms include increased thirst, frequent urination, hunger, fatigue, and blurred vision. In some cases, there may be no symptoms.
hypertension
Usually hypertension is defined as blood pressure above 140/90, and is considered severe if the pressure is above 180/120.
High blood pressure often has no symptoms. Over time, if untreated, it can cause health conditions, such as heart disease and stroke.
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Physiology
general functions
tubular reabsorption
return of components from within tubular fluid to blood within peritubular capillaries and vasa recta
move by diffusion, osmosis, or active transport
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excess solutes, waste products, some water remaining in tubular fluid
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filtration
some water and solutes entering capsular space of renal corpuscle; due to pressure differences across the filtration membrane
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filtration, re absorption, and secretion of specific molecules
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sodium
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Atrial natriuretic peptide: hormone released from cardiac muscle cells; inhibits reabsorption of Na+ in PCT and collecting ducts; inhibits release of aldosterone
water
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aquaporins here constant = obligatory water reabsorption; aquaporis regulated by ADH at end of tubule
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Antidiuretic hormone increases water reabsorption; results in smaller volume of more concentrated urine
potassium
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principal cells secreting K+ at varying rates; based on aldosterone level which stimulates principal cells to secrete K+
calcium and phosphate
Parathyroid hormone regulates excretion of Ca2+' stimulates Ca2+ reabsorption in DCT; Ca 2+ blood levels increased
bicarbonate ions, hydrogen ions, and PH
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