34. Ischemic and nephrotoxic tubulonephrosis. Chronic copper toxicosis in sheep. Flashcards
Is kidney sensitive to ischaemia?
yes
causes of ischaemic tubulonephrosis
- decrease in perfusion
- damage to basal membrane
why is regeneration not good in case of basal membrane damage?
normally cells regenerate from basement membrane
causes of a decrease in perfusion
- decrease circulating volume
- decrease systolic volume (cardiac failure)
- altered systemic or renal vessel wall resistance (anaphylaxis)
- increase of blood viscosity
why can regeneration is usually possible in case of toxic tubulonephrosis
basal membrane is usually intact
regressive changes of toxic tubulonephrosis
- loss of brush border
- hazy swelling, vacualor deganeration
- apoptosis or necrosis
toxic tubulonephrosis due to clostridium perfigens toxins
Pulpy kidney disease (PKD)
which part of kidney is most & least resistant?
glomerules are more resistant
tubules are more susceptible to damage
conditions for a regeneration in kidney?
- basal membrane is intact
- enough intact cells
- pathogen is removed
how long does a complete regeneration of tubules take?
21-56 days
predisposing factor of cooper toxicosis
stress
what happens in copper toxicosis
- released in circulation from hepatocytes
- hemolysis
- hemoglobin nephrosis
- hypoxia
- regressive changes of tubular epith
organs suffering in copper toxicosis
- liver
- spleen
- kidney (dark gunmetal color)
all swollen
which is causative agent of pulpy kidney disease
Clostridium perfingens D
where can we find the highest conc of toxins in kidney
glomerulus