RN,MA

.Kidneys /

.Ureters /

Kidneys

Ureters

.Urinary Bladder

Urinary bladder

Urethra

.Urethra /

retroperitoneal
T12 :L3 -
113-170
: 12- 10"
6"
2.5

renal v.

25% - 20%
renal artery
Abdominal aorta
glomerulus
afferent arteriole
efferent arteriole
glomerulus
Inferior vena cava

nephron

Nephron (1 )

glomerulus: Bowmans
capsule
proximal tubule :
(Henles loop: )
distal tubule :
collecting duct :

()Na, K, Ca, Mg

(,
)Cr,
( ,,
)
D

12
!!
24 180 ~ 1.5

:
70000
pora

glomerular filtration rate
GFR=125ml/min

 GFR

Angiotensin II
Renin
+ Aldosteron
efferent arteriole

( 50/ )

Renin-Angiotensin

Proximal tubule

:
S1 99%
S2 ( )
S3 :
,Na, Cl : , ,,
,
, Cr : ( ,Garamycin ,

 "

( =
)1200
Na

150 = distal tubule

Distal tubule

:
" )ph=4.5( H+
( K, Na, Ca )
:
Aldosteron Na K
)atrial nutriuretic peptide(ANP Na

Collecting duct

anti diuretic hormon -ADH

:



,

GFR

CR Clearance=UV/P
) mg/dl( U
) ml/min ( V
) mg/dl( P

1ml/min x 100mg/dl / 0.8mg/dl=125ml/min

GFR=~CR Clearance=125ml/min-200 ml/min

 " Cocroft

(140-age)BW/SCr72 :
0.85-

BW
SCr

CC1000-2000

Anuria
-
cc50cc/24h
OLIGURIA
500cc/24 h -

/
,
,
,

, ,

POLYURIA
,
2500cc/24 h -

,,
, ,

,
,
, ,,
,
,,
,
,

1.025-1.010
"/

900 - 300
+
mOsm/kg

) mg/dl0.6-1.2 (Cr :
( )mg/dl 17-45
) mg/dl 18 7( blood urea nitrogen BUN
BUN 1 : 10 - CR
()mg/dl 135-145
( ) mg/dl 3.5-5
() mg/dl8.6-10.6
( ) mg/dl 2.5-4.5
( ) mg/dl1.3-2.3

: ,
Lupus - anti DNA :
() C3, C4

- mg/24h 100 :
- mg/24h 22-30 :
- 0.2 = creatinin /
30-0 mg/24h Microalbumin
( )1.025 1.010 -
"/
900- 300'/

IVP
CT + CT Angiography

MRI

:



:

6-8

:
5 15


8-