Page 631 - First Aid for the USMLE Step 1 2020, Thirtieth edition [MedicalBooksVN.com]_Neat
P. 631

Renal  ` RENAL—PhysioLogy                                            Renal  ` RENAL—PhysioLogy        SeCTIOn III      587




                  Relative                                       1.90
                  concentrations along   [TF/P] > 1              1.85                 PAH       Creatinine
                  proximal convoluted    when solute is
                                         reabsorbed less quickly
                  tubules                than water or when solute   1.80                          Inulin
                                         is secreted             1.75                              clearance = GFR
                                                                                                   Urea
                                         [TF/P] = 1              1.50
                                         when solute             1.25                              Cl −
                                         and water are    [Tubular                                 K +
                                         reabsorbed at the   fluid]  1.00
                                         same rate        [Plasma]                                 Osmolarity, Na +
                                                                 0.75          HCO  –
                                         [TF/P] < 1                               3
                                         when solute            0.50
                                         is reabsorbed more     0.25           Amino acids
                                         quickly than water          Glucose
                                                                 0.0
                                                                   0%         25%        50%         75%        100%
                                                                                 % Distance along PCT length

                                         Tubular inulin  in concentration (but not amount) along the PCT as a result of water reabsorption.
                                                                                                                      +
                                                                                +
                                         Cl  reabsorption occurs at a slower rate than Na  in early PCT and then matches the rate of Na
                                           −
                                          reabsorption more distally. Thus, its relative concentration  before it plateaus.


























































          FAS1_2019_14-Renal.indd   587                                                                                 11/7/19   5:42 PM
   626   627   628   629   630   631   632   633   634   635   636