Page 137 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Deranged Magnesium Metabolism

                              Renal retention
                         Mg 2+                 Diabetes mellitus
                                   Mg 2+
            Excess supply                       Insulin                Balance


                                                         Mg 2+
          Mg 2+
                    6                                                  Abnormalities of Magnesium

                GFR                                       Uptake
                                            Mg 2+  7      into cells
                           Hypermagnesemia
          8
             Cardiac arrhythmias
             Neuromuscular                    Tachycardia
             excitability                     Arrhythmias    5
             Hyporeflexia                     Blood                    Plate 5.18
             Respiratory arrest               pressure
             Constipation                     Neuromuscular
                                              excitability
             Vomiting
                                              – Hyperreflexia
                                              – Cramps
                                                 PTH
                                             Ca 2+
               Hyperaldosteronism
               Salt-losing nephritis  Hypomagnesemia
          2    Loop diuretics
               Alcoholism
               Bartter’s syndrome          Insulin  Mg 2+
               Osmotic diuresis                            Mg(FA) 2
                                       3               –
                       K +                            FA      TG
                   K +                                  Lipases
                                            Mg 2+    4
                      Na +
         Mg 2+        Cl –              Uptake         Pancreatitis
            Ca 2+                       into cells
                                                    1

             H +                       Malabsorption  Mg 2+  Deficient
                Pars ascendens  Blood                      supply
                       Renal loss
                                              Intestinal loss
                                                                      127
       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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