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Kidney Structure and Function

Jul 7, 2025

Overview

This lecture introduces the kidneys, covering their structure, main functions, and their critical role in filtering blood and maintaining homeostasis.

Kidney Anatomy & Blood Flow

  • Each kidney can hold about 22% of the body's blood at any time.
  • About 1.1 liters of blood flow through the kidneys per minute, circulating all blood every 5 minutes.
  • Blood enters the kidney via the renal artery and exits through the renal vein.
  • Urine exits the kidney through the ureter.

Main Kidney Functions

  • The kidneys regulate blood pH, osmolality (solute concentration), and waste removal.
  • Two main functions: filtration (removing waste and some useful molecules from blood) and collection (retaining important substances, excreting waste).
  • The smallest functional unit of the kidney is the nephron, which performs both filtration and collection.

Kidney Microanatomy

  • The renal cortex is the outer shell of the kidney, where part of the nephron is located.
  • The renal medulla is the inner region, also containing nephron segments.
  • The nephron transitions between cortex and medulla, influencing what gets reabsorbed or excreted.
  • The renal calyx (plural: calyces) is the first point where urine collects.
  • Multiple calyces drain into the renal pelvis, the central collecting region.
  • Urine flows from the renal pelvis into the ureter, which leads to the bladder.

Kidney Hilum

  • The renal hilum is the area where the renal artery, vein, and ureter exit the kidney.

Purpose: Homeostasis

  • Kidneys maintain homeostasis (stable internal environment) in the body.
  • They regulate blood pH by controlling hydrogen ions.
  • Kidneys regulate blood pressure by adjusting salt (sodium and chloride) excretion.
  • They maintain proper osmolality and remove waste products, mainly urea.

Key Terms & Definitions

  • Renal artery — Blood vessel that brings blood to the kidney.
  • Renal vein — Vessel carrying filtered blood away from the kidney.
  • Ureter — Tube carrying urine from the kidney to the bladder.
  • Nephron — Smallest functional unit of the kidney, responsible for filtration and collection.
  • Renal cortex — Outer layer of the kidney.
  • Renal medulla — Inner region of the kidney.
  • Renal calyx (calyces) — First area where urine collects in the kidney.
  • Renal pelvis — Central collecting area for urine in the kidney.
  • Renal hilum — Region where vessels and ureter exit the kidney.
  • Homeostasis — Maintenance of a stable internal environment.

Action Items / Next Steps

  • Review detailed nephron structure and function in the next lecture.