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cirrhosis Increased resistance to portal flow Portal hipertension Increased in splanchnic capillary pressure Lymph formation that exceeds

lymph return ascites Splanchnic vasodilatation

Pere Gins, M.D., et al. Management of Cirrhosis and Ascites. n engl j med 2004, 350;16

Arterial underfilling
Activation vasocontrictor and antinatriuretic factor Impaired free water excretion Dilutional hiponatremi Arterial and cardio pulmonary receptor

Sodium and water retention Expansion of plasma volume

Renal vasocontriction Hepatorenal syndrome

Pere Gins, M.D., et al. Management of Cirrhosis and Ascites. n engl j med 2004, 350;16

Pere Gins, M.D., et al. Management of Cirrhosis and Ascites. n engl j med 2004, 350;16

Pere Gins, M.D., et al. Management of Cirrhosis and Ascites. n engl j med 2004, 350;16

Guadalupe Garcia-Tsao, M.D., and Jaime Bosch, M.D.. Management of Varices and Variceal Hemorrhage in Cirrhosis. n engl j med 2010 362;9

Guadalupe Garcia-Tsao, M.D., and Jaime Bosch, M.D.. Management of Varices and Variceal Hemorrhage in Cirrhosis. n engl j med 2010 362;9

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