Filtration at the glomerulus

Blood enters the glomerulus at high pressure. Water and small dissolved substances, including glucose, mineral ions and urea, pass through the filtration barrier into Bowman’s capsule. Blood cells and large plasma proteins remain in the blood because they are too large.

Filtration is not the same as active transport and does not selectively choose only waste molecules.

Selective reabsorption

Useful substances move from the nephron back into surrounding capillaries. All glucose is normally reabsorbed, along with required mineral ions and much of the water. Active transport contributes to glucose and ion reabsorption; water follows by osmosis.

“Selective” means the amount reabsorbed depends on what the body needs, not that the original filtration included only selected substances.

What becomes urine

Urine contains urea, excess water and excess mineral ions. It should not normally contain blood cells, large proteins or glucose. The collecting ducts carry urine toward the renal pelvis and ureter.

Do not confuse urea with urine. Urea is a nitrogenous waste molecule made in the liver; urine is the liquid containing urea and other substances.

Dialysis as an application

Dialysis removes urea and balances water and ions when kidneys fail. Blood flows beside dialysis fluid across a partially permeable membrane. The fluid has normal glucose and ion concentrations so useful substances are not lost by a steep gradient, while urea diffuses out.