Page 21 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
P. 21

A.  Homeostasis of Volume and Electrolytes in the Cell
              H 2 O           Na +
            1             3
                                           +
                                             +
                                          Na /K -ATPase
                            Na +
              H 2 O   ATP
                                       2
                                        K +
                   Amino acids,  +   4
                   glucose, etc.  K
                                       5                 In nerve and
                                                         muscle cells:
                            Cl –                         Na  channels
                                                           +
                                     6         2+  +     +
                                            1Ca   H    Na
                                      7     8    9        10
                   Metabolism
                                          Na +  3Na +  Na +            Necrosis
                                   Amino acids,
                                   glucose, etc.                 K +
                                                     K +               Plate 1.5
                                                     Cl –


        B.  Necrosis
                                      Poisoning  Endogenous substances
                                     (e.g. oxidants)  (e.g. glutamate)
           Hypoglycemia  Hypoxia, ischemia
                                                         Cell activity
                                                         (excitation,
                                                          transport)
                                 Phospho-
                Glucose  O 2  deficiency  lipase A 2
               deficiency
          Lactate
               H +       Mitochondrial  Ca 2+
                         respiration
                                               Na +
                                   ATP
              Anaerobic glycolysis
                                                K +
                            Oxidants      H 2 O   Depolarization
                                    Macromolecules
                                                Cl –

                       Membrane destruction
                                              Cell swelling
                                    Inflammation
                                                      Cell death      11

       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
   16   17   18   19   20   21   22   23   24   25   26