Dr. D. Yordy

 

                    Course Outline, Part 4

                                            

                         


                         

Respiratory physiology

    General discussion of gases, pressures and partial pressures

    Movement of gases- general

    Anatomy of the respiratory system -reviewed

    The bronchioles - smooth muscle                                          

    Alveolar structure

    The respiratory "membrane"

    Ventilation- definitions

    Effect of pressure gradients and airway resistance

    Boyle's Law: pressure-volume relationships

    Expiration and inspiration

        Respiratory muscles

        Changes in the volume of the thoracic cavity

    Factors that affect ventilation

        Lung compliance

        Lung elasticity

       Surface tension- the role of lung surfactant

    Definitions    

       Eupnea

       Dyspnea

       Apnea

       Hyperpnea

       Hyperventilation

       Hypoventilation                                                                  

     Obstructuve and restrictive lung diseases

    Gas exchange and transport

        Oxygen

            reactions with hemoglobin

            loading and unloading and controls over

        Carbon dioxide

            modes of transport

                dissolution

                carbaminohemogloboin                      

                bicarbonate formation

                    chloride shift

                    bicarbonate as a buffer

         Hemoglobin as a buffer

        (Bohr effect, again)

        Respiratory acidosis and alkalosis                 

    Voluntary and involuntary respiration    

    Extrinsic and intrinsic controls over respiration

                chemo receptors:

                peripheral

                central

            Medullary respiratory neurons

            Pulmonary stretch receptors: Hering-Breuer reflex

The urinary system

    Functions

    Components

    Kidney structure

    The nephron 

        Structure

        Structure as related to function

            the peri-tubular capillaries

            the nephron tubules

            the macula densa and the JGA (juxtaglomerular apparatus)

     Urine formation

        Filtration  and filtration pressures and rates

        Controls over filtration

        Reabsorption, countercurrent multiplication

        Secretion

    Controls over water and salt content

        Anti-diuretic hormone (ADH) and blood volume

        Aldosterone and blood osmolality

        Salt and blood pressure

    Potassium levels: hyper- and hypokalemia

    Hydrogen ion levels

    Renal plasma clearance

    Micturition

        Stretch receptors and reflex control over

        Voluntary control