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Walk the Even Hospital Database by book and chapter — the raw source passages that ground Ask, DDx, and the rest.
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©2013 UpToDate ® Print Email Circulatory, vascular, functional, and biochemical abnormalities in patients with cirrhosis and ascites Circulatory Reduced systemic vascular resistance Reduced arterial pressure Increased heart rate Increased cardiac index Increased plasma volume Reduced renal blood flow Increased portal blood flow Vascular Splanchnic vasodilation Renal artery vasoconstriction Pulmonary vasodilation Functional Activation of systemic vasodilator factors Activation of systemic vasoconstrictor factors Activation of renal vasodilator factors Reduced glomerular filtration rate Biochemical Sodium retention Water retention Increased systemic nitric oxide Increased systemic prostaglandins Increased renal nitric oxide and prostaglandins