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Figure 1. Normal adult kidney. Measurement of kidney length on the US image is illustrated by ‘+’ and a dashed line. *Column of Bertin; ** pyramid; *** cortex; **** sinus. [1] The length of the adult kidney is normally 10–12 cm, and the right kidney is often slightly longer than the left kidney.
The renal cortex is the outer portion of the kidney between the renal capsule and the renal medulla. [1] In the adult, it forms a continuous smooth outer zone with a number of projections ( cortical columns ) that extend down between the pyramids .
Renal cortical necrosis (RCN) is a rare cause of acute kidney failure. The condition is "usually caused by significantly diminished arterial perfusion of the kidneys due to spasms of the feeding arteries, microvascular injury, or disseminated intravascular coagulation " and is the pathological progression of acute tubular necrosis . [ 1 ]
The renal columns, Bertin columns, or columns of Bertin, a.k.a. columns of Bertini are extensions of the renal cortex in between the renal pyramids. They allow the cortex to be better anchored. (Cortical extensions into the medullary space.) Each column consists of lines of blood vessels and urinary tubes and a fibrous material.
The cortex and medulla of the kidney contain nephrons, [21] each of which consists of a glomerulus and a complex tubular system. [22] The cortex contains glomeruli and is responsible for filtering the blood. [7] The medulla is responsible for urine concentration [23] and contains tubules with short and long loops of Henle. [24]
Diagram of the circulation related to a single glomerulus, associated tubule, and collecting system The renal corpuscle in the cortex (outer layer) of the kidney. At the top, the renal corpuscle containing the glomerulus. The filtered blood exits into the renal tubule as filtrate, at right. At left, blood flows from the afferent arteriole (red ...
Diagram outlining movement of ions in nephron, with the collecting ducts on the right. The collecting duct system is the final component of the kidney to influence the body's electrolyte and fluid balance. In humans, the system accounts for 4–5% of the kidney's reabsorption of sodium and 5% of the kidney's reabsorption of water. At times of ...
Kidney ischemia [1] is a disease with a high morbidity and mortality rate. [2] Blood vessels shrink and undergo apoptosis which results in poor blood flow in the kidneys. More complications happen when failure of the kidney functions result in toxicity in various parts of the body which may cause septic shock, hypovolemia, and a need for surgery. [3]