drk1980 Forum Guru

Topics: 147 Posts: 1,038
| | 12/25/05 - 12:21 AM  
 
   
 
|   #1 |
In hypovolemic shock, which part of the kidney is affected first by ischemia?
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| Doc2378 Forum Guru

Topics: 46 Posts: 688
| | 12/25/05 - 12:53 AM  
 
   
 
|   #2 |
Medulla> cortex...normally receives 10% of the blood flow Specific sites of ischemic damage: straight segment of PCT and thick ascending segment of loop of Henle (medullary portion) Please correct me if I am wrong...
___________________ Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
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| drk1980 Forum Guru

Topics: 147 Posts: 1,038
| | 12/25/05 - 01:08 AM  
 
   
 
|   #3 |
yup, thts wht i heard from Goljan too. but i hv also read some conflicting data so i wanted to clarify, In what conditions is the Cortex(or inner cortex) more prone to ischemia/infarction than the medulla?
Edited by drk1980 on 12/25/05 - 08:34 AM
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| Doc2378 Forum Guru

Topics: 46 Posts: 688
| | 12/25/05 - 12:30 PM  
 
   
 
|   #4 |
Sickling?
___________________ Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
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| drk1980 Forum Guru

Topics: 147 Posts: 1,038
| | 12/25/05 - 01:15 PM  
 
   
 
|   #5 |
if you are talking sickle trait infarctions...i think tht ws also mentioned by Goljan to be medulla. how abt thromboembolism, for cortex?
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| ssrpk Forum Fanatic

Topics: 154 Posts: 2,819
| | 12/26/05 - 11:55 AM  
 
   
 
|   #6 |
Well, for thromoboembolism, when the emboli gets lodged in an artery, it will lead to ischemic changes distal to that segment, which will include cortex as well as medulla.
___________________ life is guud
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| drk1980 Forum Guru

Topics: 147 Posts: 1,038
| | 12/26/05 - 01:57 PM  
 
   
 
|   #7 |
Is the cortex the part without any collateral blood circulation? if so, is it the most likely to be infarcted first and more severely than the medulla maybe in such cases?
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