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PART 13: Disorders of the Kidney and Urinary Tract

278 Adaption of the Kidney to Renal Injury
Raymond C. Harris / Eric G. Neilson

Figure 278-1  Progression of chronic renal injury. Although various types of renal injury have their own unique rates of progression, one of the best understood is that associated with type I diabetic nephropathy. Notice the early increase in glomerular filtration rate, followed by inexorable decline...
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Figure 278-2  Mechanisms of renal progression. The general mechanisms of renal progression advance sequentially through six stages that include hyperfiltration, proteinuria, cytokine bath, mononuclear cell infiltration, epithelial-mesenchymal transition, and fibrosis. (Modified...
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Figure 278-3  The "Trade-off Hypothesis" for Ca2+/PO42– homeostasis with progressively declining renal function. A. How adaptation to maintain Ca2+/PO42– homeostasis leads to...
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