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Questions and Answers
The renal pelvis is a part of the medulla.
False
The calyces collect urine, which drains continuously from the ______________________.
papillae
What is the function of the smooth muscle in the walls of the calyces, pelvis, and ureter?
The right renal artery is shorter than the left renal artery.
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What is the name of the arteries that branch from the interlobar arteries at the cortex-medulla junction?
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The renal arteries exit at right angles from the ______________________.
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What is the function of the afferent arterioles in the kidney?
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Match the following structures with their corresponding functions:
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Study Notes
Kidneys – Blood and Nerve Supply
- Renal veins exit from the kidneys and empty into the inferior vena cava, with the left renal vein being about twice as long as the right.
- The renal plexus provides the nerve supply of the kidney and its ureter.
- Sympathetic vasomotor fibers regulate renal blood flow by adjusting the diameter of renal arterioles and influence the formation of urine by the nephron.
Nephrons
- Nephrons are the structural and functional units of the kidneys.
- Each kidney contains over one million nephrons, which carry out the processes that form urine.
- Each nephron consists of a renal corpuscle and a renal tubule.
- The renal corpuscles are located in the renal cortex, while the renal tubules begin in the cortex and then pass into the medulla before returning to the cortex.
Renal Corpuscle
- Each renal corpuscle consists of a tuft of capillaries called a glomerulus and a cup-shaped hollow structure called the glomerular capsule (or Bowman's capsule).
- The glomerular capsule completely surrounds the glomerulus and is continuous with its renal tubule.
- The endothelium of the glomerular capillaries is fenestrated, making these capillaries exceptionally porous.
Regulation of Glomerular Filtration
- The sympathetic nervous system controls neural renal controls, which serve the needs of the body as a whole.
- When the volume of the extracellular fluid is normal, the renal blood vessels are dilated, and renal autoregulation mechanisms prevail.
- When the extracellular fluid volume is extremely low, neural controls may override autoregulatory mechanisms, reducing renal blood flow to the point of damaging the kidneys.
Extrinsic Controls: Neural and Hormonal Mechanisms
- The renin-angiotensin-aldosterone mechanism is the body's main mechanism for increasing blood pressure.
- Low blood pressure causes the granular cells of the juxtaglomerular complex to release renin.
Urine Formation – Step 2: Tubular Reabsorption
- Tubular reabsorption is a selective transepithelial process that begins as soon as the filtrate enters the proximal tubules.
- Virtually all organic nutrients such as glucose and amino acids are completely reabsorbed to maintain or restore normal plasma concentrations.
Kidneys – Internal Gross Anatomy
- The renal fascia, an outer layer of dense fibrous connective tissue, anchors the kidney and the adrenal gland to surrounding structures.
- The perirenal fat capsule, a fatty mass, surrounds the kidney and cushions it against blows.
- The fibrous capsule, a transparent capsule, prevents infections in surrounding regions from spreading to the kidney.
- A frontal section through a kidney reveals three distinct regions: cortex, medulla, and pelvis.
- The calyces collect urine, which drains continuously from the papillae, and empty it into the renal pelvis.
- The urine then flows through the renal pelvis and into the ureter, which moves it to the bladder to be stored.
- The walls of the calyces, pelvis, and ureter contain smooth muscle that contracts rhythmically to propel urine by peristalsis.
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