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Foundations · AnatomyFoundations / Anatomy

Kidney Anatomy

Cortex (with columns of Bertin) over medullary pyramids draining into calices, and an end-artery vasculature (segmental → interlobar → arcuate → interlobular) that makes Brödel's line the safe access plane.

Orientation

The big picture

Lie on the psoas, obliquely; right kidney lower than left (liver). Outer cortex (with columns of Bertin dipping between pyramids) + medulla (pyramids → papillae → minor calices). Functional unit = nephron (glomerulus → proximal tubule → loop of Henle → distal tubule → collecting duct → papilla → minor calyx).

Golden rule

Renal arteries are end arteries; Brödel's line ≈ 1 cm from the convex border is the relatively bloodless access plane.

Pathophysiology

Mechanism pathway

Tap any step to see why it happens.

Illustration

The kidney — coronal cross-section

Kidney — coronal section
Coronal section of the kidney — collecting system and intrarenal arterial tree. Leading urology references.
Exam

Board traps

Renal arteries are end arteries; Brödel's line ≈ 1 cm from the convex border.

Branching order: segmental → interlobar (columns of Bertin) → arcuate (over pyramid bases) → interlobular → afferent → glomerulus.

Test yourself

Quiz

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