Page 129 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)

A. Hepatorenal Syndrome
Disorders of metabolism
Liver cirrhosis
Gut
Blood
Endotoxins
Substance P Leukotrienes
Syndrome
Abnormal inactivation

Decreased protein synthesis
Portal vein NO synthase
congestion Ammonia Hepatorenal
Hypoproteinemia
Vasodilation Abnormal amino
Capillary acid balance
pressure
Oncotic Plate 5.14
pressure Drop in
Ascites blood pressure
Abnormal transmitter
metabolism
Peripheral edemas
Activation of
CO sympathetic nerves Encephalopathy
Hypovolemia
Prostaglandin
synthesis inhibitor

Vasoconstriction

Renal perfusion
GFR Prostaglandin

Reabsorption of Renin
H 2 O and NaCl
Angiotensin

Aldosterone
ADH
Oliguria 119

Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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