Renal clearance

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Flashcards

Renal clearance

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Questions

USMLE® Step 1 style questions USMLE

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A researcher is studying the renal clearance of Drug A from a patient. Drug A has a urine concentration of U and plasma concentration of P. The urine flow rate is F. Which of the following best describes the rate at which Drug A is renally cleared from this patient?  

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First Aid

2024

2023

2022

2021

Clearance (CL) of drugs p. 229

Drug clearance p. 735

Glucose

clearance p. 602

Glucose clearance p. 602

Glucosuria

glucose clearance p. 602

Proximal convoluted tubules (PCT)

glucose clearance and p. 602

Renal clearance p. 600, 736

Splay (glucose clearance) p. 602

Spleen

bacterial clearance by p. 125

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Summary

Renal clearance is the rate at which certain substances are removed from the plasma by the kidneys. It helps to measure how well the kidneys are filtering waste products from the blood. A higher renal clearance suggests the substance may be cleared almost completely in one pass through the kidneys, whereas a low value suggests that a substance may not be eliminated by the kidneys at all. In calculations, the renal clearance (C) of a substance x �, will be directly proportional to the urine concentration of the substance x ([U]x) and the urine flow rate (V), and inversely proportional to x's plasma concentration ([P]x): C=[U]x V[P]x

Sources

  1. "Medical Physiology" Elsevier (2016)
  2. "Physiology" Elsevier (2017)
  3. "Human Anatomy & Physiology" Pearson (2018)
  4. "Principles of Anatomy and Physiology" Wiley (2014)
  5. "The development of the clearance concept" J Nephrol (2004)
  6. "Whither goest Kt/V?" Kidney International (2000)
  7. "The genesis of the square meter-hour hypothesis" Trans Am Soc Artif Intern Organs (1971)
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