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RENAL Embryology and Anatomy - Coggle Diagram
RENAL Embryology and Anatomy
Anatomy
Kidney
Renal Cortex
Glomerulus
Juxtaglomerular Cells
Secrete Renin
Mesangial Cells
Remove Debris
Bowman Capsule
Disease
Nephritic Syndrome
Autoimmune
HSR
Infection-Related Glomerulonephritis
Rapidly Progressive (Crescentic) Glomerulonephritis
IgA Nephropathy (
Nephrotic Syndrome
Nephritic-Nephrotic Syndrome
Proximal Convoluted Tubule
Tissue Type
Brush Border Cells
Isotonic Reabsorption
Ions
HCO3
Na+
Cl-
PO4^3
K+
H2O
Macromolecules
Glucose
Amino Acids
Secrete
NH3
H+
Hormones
PTH
MOA
Inhibits Na+/PO4^3 counter transport
Increases PO4^3 Excretion
AT II
MOA
Stimulates Na+/H+ Exchange
Increases Na+, H2O, HCO3 Reabsorption
Disease
Fanconi Syndrome (Reabsorption Defect)
Defects
Effects
Causes
Hereditary
Wilson Disease
Tyrosinemia
Glycogen Storage Disease
Secondary Causes
Ischemia
Multiple Myeloma
Drugs
Ifosamide
Cisplatin
Tenofovir
Distal Convoluted Tubule (Impermeable to H2O
Function
Reabsorption
Cl-
Na+
Makes urine fully dilute (Hypotonic)
Hormone
PTH
Increases Ca+/Na+ exchange
Increases Ca+2 Reabsorption
Disease
Gitelman Syndrome (Reabsorption Defect)
Renal Medulla
Loop of Henle
Ascending Loop (Active Reabsorption) (H2O Impermeable)
Function
Reabsorption
Na+
K+
Cl-
Paracellular (+ Lumen Potential Generated by K+ backleak)
Mg+2
Ca+2
Dilutes Urine
Disease
Batter Syndrome (Reabsorption Defect) AR
Descending Loop (Passive reabsorption) Na+ Impermeable
Function
Concentrating segment (makes urine Hypertonic)
Reabsorbs H2O via Medullary Hypertonicity
Collecting Duct
Function/Hormones
Aldosterone
Reabsorbs Na+ in exchange for secreting K+ and H+
Acts on mineralocorticoid Receptor
ADH
Acts on V2 Receptors
Insertion of Aquaporin H2O Channels on Apical Side
Disease
Liddle Syndrome (GOF) AD
Syndrome of Apparent Mineralocorticoid Excess (SAME) (LOF) AR
Bladder
Tissue
Transitional Epithelium
Sphincters
Internal Urethral Sphincter (Involuntary)
External Urethral Sphincter (Voluntary)
Embryology
Week 4
Pronephros
Mesonephros
Function
Interim Kidney (first trimester)
Forms into male structures
Wolffian Duct
Ductus Deferens
Epididymis
Week 5 - 36
Metanephros (completed at 36 weeks)
Ureteric Bud (Canalized at 10 Weeks)
Derived from
Caudal End of Mesonephric Duct
Give Rise to
Ureter
Pelvise
Calyces
Collecting Ducts
Disease
Renal Agesis
Metanephric Mesenchyme
Interaction with Ureteric Bud induces differentiation and Formation of .....
Glomerulus
Disease
Multicystic Dysplasia
Wilm's Tumor (Metanephric Blastema)
Last to canalized
Ureteropelvic Junction
Disease
Prenatal Hydronephrosis
Risk Factors
Kidney Stones
UTI
Associations
Duplex Collecting System
Disease
Potter Sequence and Associations
P
Pulmonary Hypoplasia
Lack of amniotic fluid aspiration
Compression of the chest
O
Oligohydramnios
Presentation
Limb Deformities
Facial Anomalies
Cause
Compression of the Fetus
Associations
Posterior Urethral Valves
T
Twisted Face
T
Twisted face
E
Extremity Defects
R
Renal Failure
Main Causes
Chronic Placental Insufficiency
Reduced renal output
ARPKD
Obstructive Uropathy
Bilateral Renal Agenesis
Multicystic Dysplastic Kidney
Horseshoe Kidney
Congenital Solitary Functioning Kidney
Unilateral Renal Agenesis
Vesicoureteral Reflux