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Renal medulla

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Renal medulla
1: Parenchyma
2: Cortex
3: Medulla
4: Perirenal fat
5: Capsule
6: Ureter
7: Pelvis of kidney
8: Renal artery and Renal vein
9: Hilus
10: Calyx
Vertical section of kidney. (Label "medullary sub." visible near top.)
Gray's subject #253 1221
MeSH Kidney+medulla

The renal medulla is the innermost part of the kidney. The renal medulla is split up into a number of sections, known as the renal pyramids. Blood enters into the kidney via the renal artery, which then splits up to form the arcuate arterioles. The arcuate arterioles each in turn branch into interlobar arterioles, which finally reach the glomeruli. At the glomerulus the blood reaches a highly disfavourable pressure gradient and a large exchange surface area, which forces a lot of the blood out of the vessel into the renal tubules. Flow continues through the renal tubules, including the proximal tubule, the Loop of Henle, and finally leaves the kidney by means of the collecting duct, leading to the renal urethra.

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Urinary system - Kidney - edit
Renal capsule | Renal cortex | Renal medulla (Renal sinusRenal pyramids) | Renal calyx | Renal pelvis
Nephron - Renal corpuscle (GlomerulusBowman's capsule) → Proximal tubule → Loop of Henle → Distal convoluted tubule → Collecting ducts

Juxtaglomerular apparatus (Macula densaJuxtaglomerular cells, Extraglomerular mesangial cells)

Renal circulation - Renal artery → Interlobar arteries → Arcuate arteries → Cortical radial arteries → Afferent arterioles → Glomerulus → Efferent arterioles → Vasa recta → Arcuate veinRenal vein

Renal physiology
Filtration - Ultrafiltration | Countercurrent exchange

Hormones effecting filtration - Antidiuretic hormone (ADH) | Aldosterone | Atrial natriuretic peptide

Endocrine - Renin | Erythropoietin (EPO) | Calcitriol (Active vitamin D) | Prostaglandins

Assessing Renal function / Measures of dialysis
Glomerular filtration rate | Creatinine clearance | Renal clearance ratio | Urea reduction ratio | Kt/V | Standardized Kt/V | Hemodialysis product
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