Page 121 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Chronic Renal Failure
                                Compensated
                                renal failure
        Normal kidney                     GFR
                   GFR   700     RPF                 Creatinine
                        Plasma concentration (%)  500  V .  Urea
         RPF

         .
         V                                                             Failure I
                         300
                                                           2–
                                                        HPO 4 , Mg
                                                         Uric acids 2+  Renal
                                                            +
                         100                              Na , K +
                                                            2+
                                                          Ca
                           100            50             0             Chronic
                            Glomeruar filtration rate (% of normal rate)
                                                                       Plate 5.10
                                   Decompensated renal failure
                          Anemia         Erythropoietin
                                         Renin
                                                  Ischemia
                                         PGE 2
                                                     GFR





           Hypertension

                          Retention of:
                             VnO 4            Break-down of
        Abnormalities        NaCl             free fatty acids
            of               H 2 O    NH 3  production
         electrolyte       ‘middle
          balance          molecules’      Calcitriol
                           uremia toxins
                            uric acids
                             urea                       Hyperlipidemia
                                H +      Acidosis
                                K +
           Pruritus,       Phosphate
           arthritis,
           gout                         Plasma-Ca 2+
                                                     Demineralization
                   Neuropathy, gastroenteropathy,
                susceptibility to infection, coagulopathies           111

       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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