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PMID: 25016 Published · ppublish English Journal Article Research Support, U.S. Gov't, P.H.S. Review

The nature of the renal response to chronic disorders of acid-base equilibrium.

The American journal of medicine ·Vol. 64 ·No. 3 ·1978-03-00 ·Pages 417-28

Schwartz WB, Cohen JJ

Abstract

The rate of acid excretion by the kidney appears to be determined by factors regulating the site and the rate of sodium reabsorption, rather than by a homeostatic mechanism that responds to systemic pH. This hypothesis, although unconventional, is supported by much experimental evidence, and it accounts for a wide variety of clinical and physiologic findings that heretofore have been difficult or impossible to explain.

MeSH Terms
Absorption Acid-Base Imbalance/physiopathology,urine Acidosis Alkalosis/metabolism Ammonia/metabolism Animals Bicarbonates/metabolism Carbon Dioxide/blood Cations/metabolism Chronic Disease Dogs Homeostasis Humans Hydrogen-Ion Concentration Hypercapnia/metabolism Kidney/physiopathology Kidney Tubules/physiopathology Minerals Nephrons/physiopathology Sodium/metabolism Vasopressins/metabolism
Chemicals
Bicarbonates Cations Minerals Vasopressins Carbon Dioxide Ammonia Sodium
Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Schwartz W B
Cohen J J
Article Info
Journal
The American journal of medicine
Abbr.
Am J Med
ISSN
0002-9343
Published
1978-03-00
Pages
417-28
Language
English
Region
United States
NLM ID
0267200
Subset
IM
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