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Pathophysiology of Chronic Kidney Disease: Predisposing Factors: Precipitating Factors

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Pathophysiology of Chronic Kidney Disease

Precipitating Factors:
Predisposing Factors:
Hypertension
Family History
DM
Older Age
Smoking

Unhealthy diet

Thickening of blood vessels which leads to narrowing of the


lumen.

Decrease blood flow to the kidney, the nephrons.

The afferent arterial blood vessel brings blood towards the head of the
nephrons but with less blow flowing through the due to thickening and
narrowing of the lumen, there is a decrease infiltration thus decrease in GFR.

Cells affected in the area stops producing RENIN that leads to activation of
RAAS system. Leading to increased HR and further HTN.

The kidney thinks that by increasing BP, the kidney will receive more blood. It may
work sometime but cycle will continue and there will be vessel thickening and
narrowing.

Glumerulosis (thickening and hardening of the vessels)

Leads to ischemic injury or loss of nephrons.

Since the loss of nephrons is irreversible, the blood flow will got he functional
nephrons.

More blood flow will enter the functional nephron leading to glumelular
hyperfiltration

Leading to increase in GFR. In early stage of this disease, this is tolerated. But
overtime can lead to glumerosclerosis due to so much pressure and can lead to
loss of the other functional nephrons.

Late Stage: Loss of so much kidney functions. Decreased GFR, decreased UO, begin
to retain waste and clinical manifestations of CKD.

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