A renal papilla is the tip of a renal pyramid, projecting into the receiving space of a renal calyx. The converging collecting duct system opens at this surface, allowing urine to leave the medullary tissue and enter the collecting passages. A papilla is a region of the kidney itself; the surrounding calyx is part of its drainage route.[ref]
Longitudinal section through Kidney by the Manipal Museum of Anatomy and Pathology. voiceover and labeled specimen: pyramid apex opening into minor calyx
Trace a drop of tubular fluid toward this boundary. Before it exits the collecting duct, exchange across the lining epithelium can still modify its composition. After it enters the renal calyx, it has left that microscopic tubular pathway and moves into a larger collecting passage. This spatial distinction prevents confusion between making urine and routing the already collected output.
The renal papilla also marks the deep end of the renal medulla's concentrating environment. A section through the kidney connects the broad base of a renal pyramid, facing the renal cortex, to its narrower papillary outlet. The shape helps organize many converging passages, but shape alone does not explain the membrane transport that concentrates their contents.[ref]
Anatomy and Physiology 2e by J. Gordon Betts and others. Section25.3: internal anatomy and renal pyramids
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