UPSC MainsANI-HUSB-VETER-SCIENCE-PAPER-I202415 Marks
Q15.

Give the diagrammatic representation of kidney.

How to Approach

This question requires a diagrammatic representation of the kidney, followed by a detailed explanation of its structure and function. The approach should be to first provide a labeled diagram, then describe the macroscopic and microscopic anatomy. Key areas to cover include the cortex, medulla, pelvis, nephrons, and associated blood vessels. The answer should be structured logically, progressing from the overall structure to the finer details of the functional units. A table summarizing the key functions of different parts would enhance clarity.

Model Answer

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Introduction

The kidneys, vital organs in the human urinary system, are primarily responsible for filtering waste products from the blood and maintaining homeostasis. They play a critical role in regulating blood pressure, electrolyte balance, and red blood cell production. Located retroperitoneally (behind the abdominal lining), the kidneys receive approximately 20-25% of the cardiac output, highlighting their high metabolic demand. Understanding the kidney's structure is crucial to comprehending its complex functions and the pathologies that can arise from its dysfunction. This response will detail the anatomical structure of the kidney, accompanied by a descriptive diagram.

Diagrammatic Representation of the Kidney

Unfortunately, I cannot directly generate a visual diagram. However, the following description will allow you to sketch a labeled diagram. Imagine a bean-shaped organ. The key structures to label are: Renal Capsule, Cortex, Medulla (with Renal Pyramids), Minor Calyx, Major Calyx, Renal Pelvis, Ureter, Renal Artery, and Renal Vein. Also, indicate the location of a Nephron (cross-section to show Bowman's capsule, glomerulus, proximal convoluted tubule, loop of Henle, distal convoluted tubule, and collecting duct).

Macroscopic Anatomy

The kidney’s external structure reveals several key features:

  • Renal Capsule: A fibrous layer that provides protection and structural support.
  • Cortex: The outer, granular region containing the renal corpuscles and convoluted tubules. It appears reddish-brown due to the presence of blood vessels.
  • Medulla: The inner region composed of cone-shaped structures called renal pyramids. The medulla is paler in color than the cortex.
  • Renal Pyramids: These triangular structures are responsible for concentrating urine.
  • Renal Pelvis: A funnel-shaped structure that collects urine from the major calyces.
  • Minor Calyces: Cup-shaped structures that collect urine from the renal pyramids.
  • Major Calyces: Formed by the merging of several minor calyces; they drain into the renal pelvis.
  • Ureter: The tube that carries urine from the renal pelvis to the urinary bladder.
  • Renal Artery & Vein: The renal artery brings blood to the kidney for filtration, while the renal vein carries filtered blood away.

Microscopic Anatomy – The Nephron

The functional unit of the kidney is the nephron. Each kidney contains approximately 1 million nephrons.

  • Renal Corpuscle: Composed of the glomerulus (a network of capillaries) and Bowman's capsule (a cup-shaped structure that surrounds the glomerulus). Filtration of blood occurs here.
  • Proximal Convoluted Tubule (PCT): Reabsorbs approximately 65% of the filtered water and solutes.
  • Loop of Henle: A hairpin-shaped structure crucial for concentrating urine. It creates a concentration gradient in the medulla.
  • Distal Convoluted Tubule (DCT): Further reabsorption and secretion occur here, regulated by hormones like aldosterone and ADH.
  • Collecting Duct: Collects urine from multiple nephrons and transports it to the renal pelvis. The permeability of the collecting duct is regulated by ADH.
Structure Function
Renal Cortex Contains glomeruli and convoluted tubules; site of initial filtration and processing.
Renal Medulla Contains loops of Henle and collecting ducts; responsible for urine concentration.
Nephron (Glomerulus) Filtration of blood
Nephron (Loop of Henle) Concentration of urine
Nephron (Collecting Duct) Final urine concentration and transport

Blood Supply

The kidney has a rich blood supply. Blood enters via the renal artery and leaves via the renal vein. The afferent arteriole carries blood to the glomerulus, while the efferent arteriole carries blood away. The peritubular capillaries surround the tubules and are involved in reabsorption and secretion.

Clinical Significance

Understanding the kidney's anatomy is vital for diagnosing and treating various conditions, such as kidney stones (nephrolithiasis), glomerulonephritis (inflammation of the glomeruli), and chronic kidney disease (CKD). Imaging techniques like ultrasound, CT scans, and MRI are often used to visualize the kidney's structure and identify abnormalities.

Conclusion

In conclusion, the kidney is a complex organ with a highly organized structure that allows for efficient filtration and urine concentration. The macroscopic features provide a framework for understanding the overall function, while the microscopic anatomy of the nephron reveals the intricate processes involved in maintaining homeostasis. Continued research into the kidney’s structure and function is essential for developing improved diagnostic and therapeutic strategies for kidney diseases.

Answer Length

This is a comprehensive model answer for learning purposes and may exceed the word limit. In the exam, always adhere to the prescribed word count.

Additional Resources

Key Definitions

Retroperitoneal
Located behind the peritoneal cavity (the space containing abdominal organs). The kidneys are retroperitoneal organs, meaning they lie outside the peritoneal sac.
Glomerulus
A network of capillaries within the renal corpuscle, responsible for filtering blood and producing the filtrate that will become urine.

Key Statistics

Each kidney contains approximately 1 million nephrons, the functional units responsible for urine production.

Source: Guyton and Hall Textbook of Medical Physiology

Approximately 65% of the water and solutes filtered by the glomerulus are reabsorbed in the proximal convoluted tubule.

Source: Berne & Levy Physiology

Examples

Kidney Stone Case Study

A 45-year-old male presented with severe flank pain. Imaging revealed a 5mm kidney stone in the ureter, obstructing urine flow. The stone was successfully removed via ureteroscopy, highlighting the importance of understanding the anatomy to guide treatment.

Frequently Asked Questions

What is the difference between the cortex and medulla?

The cortex is the outer layer involved in initial filtration, while the medulla is the inner layer responsible for concentrating urine. The medulla contains the Loops of Henle and collecting ducts.