BIOL 031 Lecture Notes - Lecture 31: Proximal Tubule, Baroreceptor, Collecting Duct System

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Increased urine flow is the result of a primary increase in solute excretion. Urine is concentrated in the medullary collecting ducts of the kidney. Fluid flows down the proximal tubule through the descending limb of the loop of henle and then upwards through ascending limb (impermeable to h2o) of the loop of henle. The opposing flows in the two limbs are called the countercurrent flows, and the entire loop of henle functions as a countercurrent multiplier system (juxtamedullary nephrons only) to create a hyperosmotic medullary interstitial fluid. Because the proximal tubule always reabsorbs na+ and h2o at approximately the same rate, the fluid entering the descending limb of the loop has the same osmolarity as the plasma. Events in the ascending limb of the loop determine events in the descending limb: along ascending limb, Na+ and cl- are reabsorbed from the lumen into the medullary interstitial fluid.

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