| The Kidneys (Renes). The kidneys are situated in the posterior part of the abdomen, one on either side of the vertebral column, behind the peritoneum, and surrounded by a mass of fat and loose areolar tissue. Their upper extremities are on a level with the upper border of the twelfth thoracic vertebra, their lower extremities on a level with the third lumbar. The right kidney is usually slightly lower than the left, probably on account of the vicinity of the liver. The long axis of each kidney is directed downward and lateralward; the transverse axis backward and lateralward. Each kidney is about 11.25 cm. in length, 5 to 7.5 cm. in breadth, and rather more than 2.5 cm. in thickness. The left is somewhat longer, and narrower, than the right. The weight of the kidney in the adult male varies from 125 to 170 gm., in the adult female from 115 to 155 gm. The combined weight of the two kidneys in proportion to that of the body is about 1 to 240. The kidney has a characteristic form, and presents for examination two surfaces, two borders, and an upper and lower extremity. Relations. The anterior surface (facies anterior) of each kidney is convex, and looks forward and lateralward. Its relations to adjacent viscera differ so completely on the two sides that separate descriptions are necessary. (adapted from Gray's Anatomy of the Human Body) | Error: (4) can't find GraysGrossKidneyInAbdomen.gif in Main.UrinarySystem6 |
| General Structure of the Kidney. The kidney is invested by a fibrous tunic, which forms a firm, smooth covering to the organ. The tunic can be easily stripped off, but in doing so numerous fine processes of connective tissue and small bloodvessels are torn through. Beneath this coat a thin, wide-meshed net-work of unstriped muscular fiber forms an incomplete covering to the organ. When the capsule is stripped off, the surface of the kidney is found to be smooth and even and of a deep red color. In infants fissures extending for some depth may be seen on the surface of the organ, a remnant of the lobular construction of the gland. The kidney is dense in texture, but is easily lacerable by mechanical force. If a vertical section of the kidney be made from its convex to its concave border, it will be seen that the hilum expands into a central cavity, the renal sinus, this contains the upper part of the renal pelvis and the calyces, surrounded by some fat in which are imbedded the branches of the renal vessels and nerves. The renal sinus is lined by a prolongation of the fibrous tunic, which is continued around the lips of the hilum. The renal calyces, from seven to thirteen in number, are cup-shaped tubes, each of which embraces one or more of the renal papillę; they unite to form two or three short tubes, and these in turn join to form a funnel-shaped sac, the renal pelvis. The renal pelvis, wide above and narrow below where it joins the ureter, is partly outside the renal sinus. The renal calyces and pelvis form the upper expanded end of the excretory duct of the kidney. The kidney is composed of an internal medullary and an external cortical substance.The cortical substance (substantia corticalis) is reddish brown in color and soft and granular in consistence. It lies immediately beneath the fibrous tunic, arches over the bases of the pyramids, and dips in between adjacent pyramids toward the renal sinus. The parts dipping in between the pyramids are named the renal columns (Bertini), while the portions which connect the renal columns to each other and intervene between the bases of the pyramids and the fibrous tunic are called the cortical arches. If the cortex be examined with a lens, it will be seen to consist of a series of lighter-colored, conical areas, termed the radiate part, and a darker-colored intervening substance, which from the complexity of its structure is named the convoluted part. The rays gradually taper toward the circumference of the kidney, and consist of a series of outward prolongations from the base of each renal pyramid. (adapted from Gray's Anatomy of the Human Body) | Error: (4) can't find GraysGrossKidneXSection.gif in Main.UrinarySystem6 |
| Minute Anatomy. The renal tubules (Fig. 1028), of which the kidney is for the most part made up, commence in the cortical substance, and after pursuing a very circuitous course through the cortical and medullary substances, finally end at the apices of the renal pyramids by open mouths, so that the fluid which they contain is emptied, through the calyces, into the pelvis of the kidney. If the surface of one of the papillę be examined with a lens, it will be seen to be studded over with minute openings, the orifices of the renal tubules, from sixteen to twenty in number, and if pressure be made on a fresh kidney, urine will be seen to exude from these orifices. The tubules commence in the convoluted part and renal columns as the renal corpuscles, which are small rounded masses of a deep red color, varying in size, but of an average of about 0.2 mm. in diameter. Each of these little bodies is composed of two parts: a central glomerulus of vessels, and a membranous envelope, the glomerular capsule (capsule of Bowman), which is the small pouch-like commencement of a renal tubule. The glomerulus is a lobulated net-work of convoluted capillary bloodvessels, held together by scanty connective tissue. This capillary net-work is derived from a small arterial twig, the afferent vessel, which enters the capsule, generally at a point opposite to that at which the latter is connected with the tubule; and the resulting vein, the efferent vessel, emerges from the capsule at the same point. The afferent vessel is usually the larger of the two. The glomerular or Bowman's capsule, which surrounds the glomerulus, consists of a basement membrane, lined on its inner surface by a layer of flattened epithelial cells, which are reflected from the lining membrane on to the glomerulus, at the point of entrance or exit of the afferent and efferent vessels. The whole surface of the glomerulus is covered with a continuous layer of the same cells, on a delicate supporting membrane. Thus between the glomerulus and the capsule a space is left, forming a cavity lined by a continuous layer of squamous cells; this cavity varies in size according to the state of secretion and the amount of fluid present in it. In the fetus and young subject the lining epithelial cells are polyhedral or even columnar. (adapted from Gray's Anatomy of the Human Body) | Error: (4) can't find GraysNephron.gif in Main.UrinarySystem6 |
-- AshleyLPistorio - 06 Jun 2007