Renal system 1: the anatomy and physiology of the kidneys

  • Taylor, James
Nursing Times 119(2):p 30-34, February 2023.

Abstract

The kidneys are central to the filtration of waste products from blood in the production of urine. Alongside this primary role are several other homeostatic roles, vital to wider physiology. This article examines the external and internal anatomy of the kidneys, and discusses the process of urine production and homeostasis of blood volume and pressure through examination of nephron structure. It explores the kidneys’ contribution to wider homeostasis of red blood cell and platelet regulation and bone density. This is the first in a series of articles about the renal system.

This article has been double-blind peer reviewed

In this article…

  • The anatomy and function of the kidneys, including the structure of the nephrons

  • An overview of the urinary system and the kidneys’ role in urine production

  • How the kidneys contribute to homeostasis of various systems

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Key points

The kidneys are central to urine production and have several other homeostatic roles

Each kidney is surrounded by a renal capsule, an adipose capsule and renal fascia

Production of renin activates the renin-angiotensin-aldosterone system in the regulation of blood pressure

Erythropoietin is central to the regulation of red blood cell production in bone marrow

The kidneys have a key role in vitamin D activation, which is crucial to bonedensity maintenance

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