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The collecting duct system of the kidney consists of a series of tubules and ducts that physically connect nephrons to a minor calyx or directly to the renal pelvis.The collecting duct participates in electrolyte and fluid balance through reabsorption and excretion, processes regulated by the hormones aldosterone and vasopressin (antidiuretic hormone).
Among the anomalies of kidney development are hypoplasia and dysplasia of the kidneys (dysplasia can be unilateral or bilateral), agenesis (absence) of one or both kidneys, polycystic kidney disease, simple renal cysts, perirenal pseudocysts, doubled or tripled renal arteries, malposition of the kidneys, horseshoe kidney and nephroblastoma. [184]
Renal physiology (Latin renes, "kidneys") is the study of the physiology of the kidney. This encompasses all functions of the kidney, including maintenance of acid-base balance; regulation of fluid balance; regulation of sodium, potassium, and other electrolytes; clearance of toxins; absorption of glucose, amino acids, and other small molecules ...
The severity of chronic kidney disease (CKD) is described by six stages; the most severe three are defined by the MDRD-eGFR value, and first three also depend on whether there is other evidence of kidney disease (e.g., proteinuria): 0) Normal kidney function – GFR above 90 (mL/min)/(1.73 m 2) and no proteinuria
A renal diet is a diet aimed at keeping levels of fluids, electrolytes, and minerals balanced in the body in individuals with chronic kidney disease or who are on dialysis. Dietary changes may include the restriction of fluid intake, protein , and electrolytes including sodium , phosphorus , and potassium . [ 1 ]
To achieve such balance between water and ions, the loop of Henle coordinates its function with the collecting duct to regulate the amount of water to reabsorb or to excrete. While the loop of Henle makes the medulla of the kidney salty, the collecting duct regulates the permeability of water that could be reabsorbed to such salty environment.
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