What condition occurs due to ischemia of the medullary pyramids?

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Papillary necrosis is a specific condition that occurs due to ischemia of the renal medullary pyramids, leading to the necrosis of the renal papillae. The renal pyramids are located in the inner part of the kidney, and they play a crucial role in the concentration of urine and the renal function. Ischemia, or a lack of blood supply, can result from various factors, including obstruction of blood flow, systemic vasoconstriction, or conditions that lead to a decrease in renal perfusion pressure.

In cases of papillary necrosis, the lack of adequate blood supply to the medullary pyramids can lead to cellular damage and cell death in the papillary region. This can cause severe renal implications, often manifesting with symptoms like hematuria (blood in urine), flank pain, and possibly renal colic due to sloughing of necrotic tissue.

Understanding the context of renal conditions is essential as well. Acute tubular necrosis largely relates to the damage of the renal tubules rather than the papillae. Renal ischemia, while related as it indicates decreased blood flow, does not specifically refer to the necrosis of the renal pyramids themselves. Similarly, interstitial nephritis

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