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Understanding Kidney and Nephron Anatomy

Apr 18, 2025

Lecture Notes: Kidney and Nephron Anatomy

Introduction

  • Lecture by Earth, RN
  • Focus on kidney and nephron anatomy
  • Part of the INLEX review series on the renal system

Overview of Kidneys

  • Number of Kidneys: Two (right and left)
    • Right kidney is lower due to the liver's position
  • Functions:
    • Filtration, absorption, secretion, and excretion
    • Produce filtrate, which becomes urine
    • Blood supply via renal artery and renal vein
    • Urine pathway: kidney ➔ ureter ➔ bladder ➔ urethra

Kidney Anatomy

  • Renal Capsule: Protective outer layer
  • Renal Cortex: Outer layer
  • Renal Medulla: Inner layer
    • Contains renal pyramids, which contain parts of the nephron
  • Renal Pyramids
    • Striped appearance due to nephron arrangement

Renal Drainage Pathway

  • Urine flows from renal pyramids to:
    • Renal PapillaCalyces (minor and major) ➔ Renal PelvisUreterBladderUrethra
  • Renal Columns: Areas between pyramids containing blood vessels

Nephron Anatomy

  • Functional Unit of Kidney
    • Each kidney contains millions
  • Parts of a Nephron:
    • Renal Corpuscle: Filtration
      • Includes Bowman's capsule and glomerulus
    • Renal Tubule: Reabsorption and secretion

Nephron Blood Supply

  • Afferent Arteriole: Brings blood to glomerulus
  • Glomerulus: Network of capillaries for filtration
  • Efferent Arteriole: Carries blood away, forms peritubular capillaries
    • Peritubular Capillaries: Surround renal tubule for exchange
    • Vasa Recta: Associated with the loop of Henle

Filtration and Urine Formation

  • Filtrate Components: Water, ions, waste
  • Reabsorption and Secretion:
    • Reabsorption: Movement back into blood
    • Secretion: Movement from blood into tubule

Nephron Segments

  • Proximal Convoluted Tubule: Major site of reabsorption
  • Loop of Henle
    • Descending limb: Water reabsorption
    • Ascending limb: Ion transport
    • Located in the hypertonic renal medulla
  • Distal Convoluted Tubule: Further reabsorption and secretion
  • Collecting Duct: Final concentration of urine

Urine Flow

  • From collecting duct through renal papilla ➔ calyces ➔ renal pelvis ➔ ureter ➔ bladder ➔ urethra

Conclusion

  • Importance of nephron in urine formation
  • Reminder to watch the next video on nephron physiology
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