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This Concept Map, created with IHMC CmapTools, has information related to: Ned Kendle, proximal tubule will diminish Reabsorption of Na, CL, HCO3-, K+, H20, history of poor compliance, Ned Kendle 54 yo Caucasian Male Presents with Kidney Symptoms, with reduced ATP affects Na+/H+ ATPase pumps which results in higher Na+ excreted fraction, a decrease in the delivery of NaCl to macula densa cells signals to juxtaglomerular cells to release Renin, Acute Kidney Injury and Tubular necrosis which damages Renal tubular epithelium, and diminishes ATP dependent reabsorbtion of filtered substances, due to the lack of blood flow, Stenosis in the LAD which was treated with percutaneous coronary intervention with stenting, Coranary Artery Disease specifically Stenosis in the LAD, Reabsorption of Na, CL, HCO3-, K+, H20 has the potentail to disrupt countercurrent multiplication, Na+ reabsorption via Na+,K+,2CL- transporter has the potentail to disrupt countercurrent multiplication, Diagnosed with Angiogram with contrast which in some people causes renal artery vasoconstriction Particularly medullary portions, chest pain and hypertension caused by Stenosis in the LAD, Kidney Symptoms elevated serum levels of creatinine, decreased renal blood flow will lead to ischemic damage to the nephrons, simple metabolic acidosis which can be compensated for by respiratory compensation, Renal tubular epithelium, and diminishes ATP dependent reabsorbtion of filtered substances, due to the lack of blood flow In the Thick Ascending limb, Decreased glomerular filtration rate leads to increased serum BUN, history of high lipid levels, Cardiac Symptoms Arterial Blood Gases acidic pH, increased excretion of bicarbonate ion in the urine which is seen as reduced renal bicarbonate reabsorption