Page 119 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
P. 119
A. Acute Renal Failure
Reduced
renal perfusion,
Glomerular inflammation, especially in shock
1 poisoning, etc.
2+
[Ca ]
intracellular
Fibrin deposition Vasoconstriction
GFR
Renin
Angiotensin Failure
Leak Adenosine
Renal
Obstruction of Acute
tubular lumen
Plate 5.9
Obstruction
Sludge
Hypothetic
mechanism Ischemia
(see text)
2
Acute phase
GFR 3
Re- Secondary phase
absorption 4
GFR Recovery
Re-
absorption
Reabsorption and GFR
normalized
Urine volume
100
% Oliguria
0
100 GFR
% Polyuria
0
2 14 Days 26
Hyperhydration,
hyperkalemia, Dehydration,
ascending hypokalemia
pyelonephritis 109
Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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