Guyton and Hall Textbook of Medical Physiology

Blood Types; Transfusion; and Tissue and Organ Transplantation

Antigenicity Causes Immune Reactions of Blood When blood transfusions from one person to another were first attempted, immediate or delayed agglutination and hemolysis of the red blood cells (RBCs) often occurred, resulting in typical transfusion reactions that frequently led to…

Diuretics and Kidney Diseases

Diuretics and Their Mechanisms of Action Diuretics increase the rate of urine volume output, as the name implies. Most diuretics also increase the urinary excretion of solutes, especially sodium and chloride. In fact, most diuretics that are used clinically act…

Acid–Base Regulation

The regulation of hydrogen ion (H + ) balance is similar in some ways to the regulation of other ions in the body. For example, there must be a balance between the intake or production of H + and the…

Renal Tubular Reabsorption and Secretion

As the glomerular filtrate enters the renal tubules, it flows sequentially through the successive parts of the tubule—the proximal tubule, loop of Henle, distal tubule, collecting tubule, and collecting duct— before it is excreted as urine. Along this course, some…

Glomerular Filtration, Renal Blood Flow, and Their Control

Glomerular Filtration—The First Step in Urine Formation The first step in urine formation is filtration of large amounts of fluid through the glomerular capillaries into Bowman’s capsule—almost 180 L Most of this filtrate is reabsorbed, leaving only about 1 liter…