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Understanding Kidney Function and Osmolarity

May 23, 2025

Urinary System: Concentration of Dissolved Particles

Introduction

  • Focus on maintaining constant concentration of dissolved particles in blood (osmolarity).
  • Osmolarity: Number of particles per liter. Different from molarity, which is the number of molecules in a solution.
    • Example:
      • Glucose: 1 mole = 1 osmole (doesn't dissociate in water).
      • Sodium chloride (NaCl): 1 mole = 2 osmoles (dissociates into Na+ and Cl- ions).
  • Blood osmolarity: ~300 milliosmoles (mOsm).
  • Control System: Maintains osmolarity despite perturbations (e.g. water intake, diarrhea).

Osmolarity and Urine

  • Kidneys modulate urine concentration to maintain blood osmolarity.
  • Urine color indicates osmolarity:
    • Dark urine = High osmolarity.
    • Clear urine = Low osmolarity.

Comparison with Lungs

  • Lungs: Simple exchange organ using diffusion to equalize pressure of gases in blood and inspired air.
  • Kidneys: More complex, dealing with different osmolarity inside the body vs. in urine.

Kidney Function Overview

  1. Filtration: Removes water and waste products from the blood, creating filtrate.
  2. Reabsorption: Nutrients are reabsorbed from filtrate.
  3. Secretion: Further toxins are deposited into the urine.
  4. Tuning: Adjusts concentration to maintain blood osmolarity.
  5. Excretion: Elimination of urine.

Filtration in Kidneys

  • Filtration Mechanism:
    • Semi-permeable membrane allows water movement towards higher dissolved particle concentration.
    • Osmotic Pressure: Mechanical pressure from water movement across membrane.

Hydrostatic Pressure

  • Hydrostatic Pressure: Pressure exerted by weight of water column.
  • Balance between hydrostatic and colloid osmotic pressure determines filtration or absorption.

Filtration and Absorption in Capillaries

  • Capillary Dynamics:

    • Higher hydrostatic pressure on arterial side favors filtration.
    • Collard osmotic pressure (from proteins) resists water expulsion.
    • Downstream, lower hydrostatic pressure favors absorption.
  • Lymphatic System: Manages water balance and supports roles like fat transport.

Kidney Anatomy

  • Nephrons: Functional units of the kidney, responsible for filtration and reabsorption.
    • Bowman's Capsule: Captures filtrate from glomerulus.
    • Glomerulus: Capillary network facilitating filtration.

Filtration Process in Kidneys

  • Glomerular Filtration:
    • Driven by high hydrostatic pressure.
    • Podocytes: Support structures for capillaries.
    • Filtration resisted by colloid osmotic pressure.

Kidney Structure

  • Kidney: Factory of nephrons and capillaries.
  • Cortex and Medulla: Organizational zones of the kidney.

Conclusion

  • Filtration driven by hydrostatic pressure, aided by kidney anatomy.
  • Filtration is a critical step in maintaining blood osmolarity.