× Didn't find what you were looking for? Ask a question
Top Posters
Since Sunday
5
a
5
k
5
c
5
B
5
l
5
C
4
s
4
a
4
t
4
i
4
r
4
New Topic  
jock52 jock52
wrote...
Posts: 111
Rep: 3 0
12 years ago
A kidney stone (renal calculus) lodges in a ureter, blocking the flow of urine out of the kidney. Explain what effect this will have on glomerular filtration rate and why.
Read 12019 times
2 Replies

Related Topics

Replies
wrote...
12 years ago
Glomerular filtration rate: The total amount of plasma filtrate formed by all the nephrons of the kidneys per minute; it is determined physiologically by three factors:  (1) the total surface area available for filtration, (2) the permeability of the filtration membrane, and (3) the net filtration pressure; normally, (1) and (2) do not change in healthy individuals, though they can be changed by injuries and disease processes; therefore, the body normally adjusts GFR by adjusting net filtration pressure (see above calculations) in the kidneys; therefore, GFR is proportional to net filtration pressure; it is measured by a variety of clinical tests known as renal clearance studies, of which the creatinine clearance test is the most popular; a typical GFR in healthy individuals is 120-125 mL/min.

Renal calculi (kidney stones) will tend to decrease NFP as they increase in size or number because they will obstruct the outward flow of urine from the kidney and create a back pressure in the renal tubules and collecting ducts.  That back pressure will increase Capsular Hydrostatic Pressure (CHP).

NFP and GFR are directly proportional.  As NFP increases, GFR increases; as NFP decreases, GFR decreases.
wrote...
5 years ago
Depending on the size of the stone and where it is lodged, the effect can range from absolutely nothing (in other words, the GFR stays perfectly normal) to complete shut down of kidney function (the GFR drops to less than 10%, to the point where the person goes into kidney failure).

Most of us are born with two healthy kidneys, and either one can sustain the body's need on its own. So if a small kidney stone blocks off a small section of kidney, GFR as a whole will not change.

On the other hand, a stone lodged in the bladder neck (and thus blocking off urine from BOTH kidneys) is enough to cause enough back pressure for both kidneys to shut down. Often, the shut down is reversible, so dialysis is not needed if a urologist or interventional radiologist can restore urine flow (by removing the stone or putting in a nephrostomy drain).
New Topic      
Explore
Post your homework questions and get free online help from our incredible volunteers
  1225 People Browsing
Related Images
  
 692
  
 1460
  
 9306
Your Opinion
Which of the following is the best resource to supplement your studies:
Votes: 249