PUROC, LIZA M.
1. Draw the Anatomical Structure of a Nephron and label the important anatomical
structures
(See attach picture)
2. Discuss Urine Formation Briefly
1) Glomerular filtration
2) Tubular re-absorption
3) Tubular secretion
The process of glomerular filtration begins when the blood passes through the glomerular
capillaries, the plasma is filtered through the filtration
surface of the capillaries and Bowman's capsule. Followed by tubular reabsorption, this occur when
water, glucose, amino acids and needed ions are transported out of the filtrate into the tubule cells and
then enter the capillary blood and this begins as soon as the filtrate enters the proximal convoluted
tubule. And last stage is the tubular secretion which we thought as reabsorption in reverse, this is when
H+, K+, creatinine, and drugs are removed from the peritubular blood and secreted by the tubule cells in
the filtrate (all substances not already in the filtrate). This secretion is important also in controlling blood
ph.
3. Discuss briefly how did the case of your patient start before he had reached a
diagnosis of ESRD based on what you drew.