OutlinesofKidneyDisease英文版医学资料.pptx

OutlinesofKidneyDiseasePanLing第1页

Whatistheurinarysystemcomposedof?kidneyureterbladder/cysturethralassociatedvesselsandnervesAReviewofUrinarySystem第2页

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Thefunctionalunitofthekidneyisthenephron.Thenephroninclude：therenalcorpuscle（glomerulusBowmancapsule)thetubule第4页

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Anabilitytomaintainfluid,electrolyteandacid-basebalanceAnabilitytoexcretemetabolicsubstance(mainlynitrogenouswastes)EndocrinefunctionKidneyfunction第6页

1strucure:endothelialbasementmembraneepithelial2character:size-selectivebarriercharge-selectivebarrier3function：anultrafiltrateofplasma.Glomerolar第7页

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ProximalTubules:reabsorption100%Glucose,aminoacid90%bicarbonate70%water,natriumsecretehydrogenDistalTubule:secretehydrogen,potassium,ammoniaTheLimbsofHenle’sLoop:urineinspissationanddilutionTubularfunction第11页

Vasoactivesubstance:Vasoconstriction:renin,angiotensinⅡVasodilatation:kinin,prostaglandinNon-vasoactivesubstance:erythropoietincalcitriolEndocrinefunction

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APPROACHTOTHEPATIENTWITHRENALDISEASE第13页

Apatientwillpresentwithrenaldiseaseinoneoftwoways:discoveredincidentallywithevidenceofrenaldysfunctionGeneralconsiderations第14页

thediseaseevaluationincludes:anestimationofdiseasedurationacarefulurinalysisglomerularfiltrationrateGeneralconsiderations第15页

DISEASEDURATIONrenaldiseasemaybeacuteorchronic,forinstance,Acuterenalfailure:worseningofrenalfunctionoverhourstodayschronicrenalfailure:alossofrenalfunctionovermonthstoyears第16页

尿液检查

（uronoscopy）第17页

Itinclude:dipstickexamination:gravity,pH,protein,hemoglobin,nitrites,ketones,etc.mic