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Meet the kidneys! (Overview)

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    0:01
    Voiceover: Imagine you're in a movie theater.
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    You're watching a really, really long movie.
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    And you've finished your entire bucket of popcorn.
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    You've guzzled down a giant soda
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    and all of a sudden, you have to pee.
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    And to make matters worse, you're watching a movie
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    about a whole bunch of people on a cruise ship
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    that hit an iceberg and so, there's a lot of water
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    in this movie and you freak out because
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    now you have to get up and go to the bathroom.
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    But then that should get you thinking,
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    well, how do my kidneys work?
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    How is it that I can make all this pee
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    that I have got to get rid of?
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    Well in the next few videos, we're gonna
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    talk about how the kidneys work.
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    And I'll give a quick overview here
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    before we delve more into the specifics.
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    As you can see, the kidneys sit
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    right here around your belly button.
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    They're about the size of a fist and you've got two of them.
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    And they sit a little closer
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    to the back, not really in the front.
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    So the kidneys receive blood from the heart.
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    So the heart goes on up here.
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    It's also about the size of a fist.
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    And it pumps blood throughout the body.
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    You know, you get some to your arms,
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    you have some that goes up to your brain,
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    and you have this branch that comes down
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    and it goes towards your legs, as well.
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    Well, what you can kind of see
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    in the picture of the kidneys right here,
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    is that they've got a little vessel right there
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    so sure enough, there's some blood that comes
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    from the heart into the kidneys.
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    Both of your kidneys, then, are going to
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    filter the blood and release urine,
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    which is just a collection of waste products
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    that your body wants to get rid of.
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    And the urine is gonna hang out
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    in your bladder that sits about right here,
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    until it's an appropriate time to go to the bathroom.
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    And that's kind of a broad overview.
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    But let's go into a little more detail
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    about what the kidneys do.
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    So I'm going to draw a box over here.
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    And this box is going to be what the kidneys do.
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    So I'm going to give just a really simplistic
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    overview of what the kidneys do.
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    And then in other videos, we'll go dive deeper into detail.
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    So as I mentioned, each of your kidneys
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    gets an oxygenated blood vessel,
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    or an artery that goes to them.
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    And your arteries hold onto all the things in your blood.
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    This can include things like your nutrients.
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    And so nutrients can be anything from say,
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    your electrolytes like your sodium ions.
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    They can be things like your proteins or your
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    amino acids or even glucose, as well,
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    things that build your carbohydrates.
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    So a lot of things that your body uses
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    as the building blocks, or things that help
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    other structures of your body work.
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    In addition to your nutrients, you've also got
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    oxygen hanging out in your arterial blood.
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    And your arteries also contain waste products.
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    So things your body has made through cellular respiration
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    and all these other processes that we undergo
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    that we don't need anymore, that we want to get rid of.
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    And they can include things like urea and other
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    toxic compounds that we don't want to build up.
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    And at the same time, it can also include
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    extra electrolytes, like sodium that we don't need.
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    Because if we hold onto a lot of sodium chloride,
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    which is just salt, we'll end up having high blood pressure.
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    So our kidneys also help us maintain our
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    blood pressure, as we'll talk about in other videos.
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    So, this just kind of underlines
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    the point that if you have too much
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    of your nutrients, they become waste products.
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    And so, your kidneys help to make sure you don't
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    build too much of this good stuff here.
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    So this is all the stuff you've got hanging out
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    in the artery that's coming over to your kidney, right here.
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    And as you might recall, whenever you have
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    an artery coming into an organ or a part of your body,
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    there should be a vein that takes the blood away
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    from it that's going to return it to the heart.
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    So this is your vein, right here.
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    And so the job of the kidneys then, is to make it so that
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    the nutrients you had in your arterial blood
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    are collected and maintained when we get to the vein.
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    So we want to hold on to our nutrients, right here.
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    So I'll just write "nutrients".
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    And it stands for all the stuff that I
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    gave examples for on the left side here.
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    And the kidneys, like every organ
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    in the body, need oxygen to do well.
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    So you'll have the oxygen go through the kidneys
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    and some of it will make it out.
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    Some of it will be used by the kidneys.
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    Because that's how we can maintain some of the tissue.
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    And so when we get to the other side,
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    where the vein is, we'll have less oxygen.
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    So I'll write it really tiny right here to show
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    that there's much less oxygen in your venous blood
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    than there was in your arterial blood.
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    And finally, the kidneys want to take all the
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    waste products your arterial blood brought
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    to the kidney and hold on to it, make it so that
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    this stuff does not end up in the venous outflow.
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    And by collecting these waste products,
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    the kidneys will effectively produce your urine.
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    Now, you might notice in this picture
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    that I am missing something.
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    What connects the artery to the vein?
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    Well actually what goes on here
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    is part of what makes the kidney so special.
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    And it answers the "how".
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    How is it that the kidneys are able to do this?
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    How is it that the kidneys can help us
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    maintain our nutrients in our body
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    while getting rid of waste into urine?
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    Well, the kidney is special
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    because it's got two capillary beds.
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    I think you might have heard
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    what a capillary is before, alright?
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    A capillary bed is just something that
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    connects the artery and the vein.
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    It's where you can have oxygen flow out.
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    You can have nutrients flow in.
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    So the way I'll draw it is that you've got one
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    capillary bed, right here, connecting your
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    artery to your vein, like that.
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    And you've got another one down here connecting those two.
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    And so these guys work together to deliver oxygen
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    to the kidney's tissue and, at the same time,
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    recollect these nutrients so that the vein can
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    take these nutrients elsewhere in the body for use.
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    And these capillary beds have two fancy names.
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    The first one is called the vasa recta.
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    The vasa recta.
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    And that's mainly to give oxygen to the kidneys.
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    The other set of capillaries are
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    called peritubular capillaries.
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    Peritubular capillaries, and we'll talk way more
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    into detail about these peritubular capillaries.
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    And these are the guys that are mainly
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    going to be responsible for collecting
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    nutrients that our kidneys will filter.
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    And we'll talk more about that
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    process in the next few videos.
Title:
Meet the kidneys! (Overview)
Description:

Learn what the kidneys do for our body. By Raja Narayan.
More free lessons at: http://www.khanacademy.org/video?v=mcQQGGShmLs

Visit us (http://www.khanacademy.org/science/healthcare-and-medicine) for health and medicine content or (http://www.khanacademy.org/science/mcat) for MCAT related content.

These videos do not provide medical advice and are for informational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any Khan Academy video.

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Video Language:
English
Duration:
06:24

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