The Kidneys

Topics: Kidney, Kidney anatomy, Renal vein Pages: 10 (2927 words) Published: February 25, 2013
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For other uses, see Kidney (disambiguation).
Human kidneys viewed from behind with spine removed|
Latin| Ren (Greek: nephros)|
Artery| renal artery|
Vein| renal vein|
Nerve| renal plexus|
The kidneys are organs that serve several essential regulatory roles in most animals, including vertebrates and some invertebrates. They are essential in the urinary system and also serve homeostatic functions such as the regulation of electrolytes, maintenance of acid–base balance, and regulation of blood pressure (via maintaining salt and water balance). They serve the body as a natural filter of the blood, and remove wastes which are diverted to the urinary bladder. In producing urine, the kidneys excrete wastes such as urea and ammonium, and they are also responsible for the reabsorption of water, glucose, and amino acids. The kidneys also produce hormones including calcitriol, erythropoietin, and the enzyme renin. Located at the rear of the abdominal cavity in the retroperitoneum, the kidneys receive blood from the paired renal arteries, and drain into the paired renal veins. Each kidney excretes urine into a ureter, itself a paired structure that empties into the urinary bladder. Renal physiology is the study of kidney function, while nephrology is the medical specialty concerned with kidney diseases. Diseases of the kidney are diverse, but individuals with kidney disease frequently display characteristic clinical features. Common clinical conditions involving the kidney include the nephritic and nephrotic syndromes, renal cysts, acute kidney injury, chronic kidney disease, urinary tract infection, nephrolithiasis, and urinary tract obstruction.[1] Various cancers of the kidney exist; the most common adult renal cancer is renal cell carcinoma. Cancers, cysts, and some other renal conditions can be managed with removal of the kidney, or nephrectomy. When renal function, measured by glomerular filtration rate, is persistently poor, dialysis and kidney transplantation may be treatment options. Although they are not severely harmful, kidney stones can be painful and a nuisance. The removal of kidney stones involves ultrasound treatment to break up the stones into smaller pieces, which are then passed through the urinary tract. One common symptom of kidney stones is a sharp pain in the medial/lateral segments of the lower back. Contents * 1 Anatomy * 1.1 Location * 1.2 Structure * 1.3 Blood supply * 1.4 Histology * 1.5 Innervation * 2 Functions * 2.1 Excretion of wastes * 2.2 Acid-base homeostasis * 2.3 Osmolality regulation * 2.4 Blood pressure regulation * 2.5 Hormone secretion * 3 Development * 4 Evolutionary adaptation * 5 Related terms * 6 Diseases and disorders * 6.1 Congenital * 6.2 Acquired * 7 In other animals * 8 History * 9 Animal kidneys as food * 10 See also * 11 Additional Images * 12 References * 13 External links| Anatomy


Surface projections of the organs of the trunk, showing kidneys at the level of T12 to L3.

A CT scan in which the kidneys are shown

In humans the kidneys are located in the abdominal cavity, more specifically in the paravertebral gutter and lie in a retroperitoneal position at a slightly oblique angle. There are two, one on each side of the spine.[2] The asymmetry within the abdominal cavity caused by the liver typically results in the right kidney being slightly lower than the left, and left kidney being located slightly more medial than the right.[3][4] The left kidney is approximately at the vertebral level T12 to L3,[5] and the right slightly lower. The right kidney sits just below the diaphragm and posterior to the liver, the left below the diaphragm and posterior to the spleen. Resting on top of each kidney is an adrenal gland. The upper (cranial) parts of the kidneys are...
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