Patty, aged 55, is awakened by excruciating pain that radiates from her right abdomen to the loin and groin regions on the same side. The pain is not continuous but recurs at intervals of 3 to 4 minutes. Diagnose her problem, and cite factors that might favor its occurrence.

Explain why the filtrate becomes hypotonic as it flows through the ascending limb of the nephron loop. Also explain why the filtrate at the bend of the nephron loop (and the interstitial fluid of the deep portions of the medulla) is hypertonic.
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Key Concepts
Function of the Ascending Limb of the Nephron Loop
Countercurrent Multiplier Mechanism
Osmolarity Changes Along the Nephron Loop
Trace the pathway a creatinine molecule takes from a glomerulus to the urethra. Name every microscopic or gross structure it passes through on its journey.
Explain the important differences between blood plasma and glomerular filtrate, and relate the differences to the structure of the filtration membrane.
While repairing a frayed utility wire, Kevin, an experienced lineman, slips and falls to the ground. Medical examination reveals a fracture of his lower spine and transection of the lumbar region of the spinal cord. How will Kevin's micturition be controlled from this point on? Will he ever again feel the need to void? Will there be dribbling of urine between voidings? Explain the reasoning behind all your responses.
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How does aldosterone modify the chemical composition of urine?
