Rejected at 10:41 p.m. Oct, 31, 2023 ] by dollajas
Author: thomas.holmes
Related Note: 1572623455160 1
Rationale for change

Endothelin-1 is a vasoconstrictor, not vasodilator. Additionally, the mechanism appears to be wrong (according to Amboss). Amboss lists the mechanism as occuring due to reduced metabolism of endotoxins from GI bacteria, stimulating production of cytokines and NO (vasodilator). See Hepatopulmonary Syndrome in Amboss for full mechanism.

Rejection reason

endothelin 1 is still increased according to amboss

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If vasodilation is severe enough, the lungs can lose their ability to effectively transfer oxygen to the body
Currently, the only known cure for HPS is a liver transplant
Lecture Notes
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Pathoma
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Boards and Beyond
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First Aid
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Sketchy
* NO and endothelin-1 (ET-1) cause pulmonary vasodilatation



Watch Cirrhosis Pathogenesis & Clinical Manifestations
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OME

Additional Resources
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#AK_Step1_v12::^Systems::GI::JBadds #AK_Step1_v12::#Bootcamp::Gastroenterology::06_Hepatic_Pathology::05_Cirrhosis #AK_Original_Decks::Step_1::Zanki_Step_Decks::Zanki_GI::GI_Pathology #AK_Step1_v12::#FirstAid::09_Gastrointestinal::04_Pathology::31_Cirrhosis_and_portal_hypertension::*Hepatopulmonary_Syndrome #AK_Step1_v12::#SketchyPath::06_Hepatobiliary::02_Liver_Disease::01_Cirrhosis_-_Pathogenesis_&_Clinical_Manifestations #AK_Step1_v12::^Systems::GI::pathology #AK_Step1_v12::$AnKingAdds::USMLE_Rx #AK_Step1_v12::!FLAG_THESE_CARDS::SketchyPathAdds #AK_Step1_v12::#OME_banner #AK_Step1_v12::^Other::^HighYield::4-LowerYield #AK_Step1_v12::^Other::^EXPN::JBadd !AK_UpdateTags::Step1decks::Zanki-Step-Decks::Zanki-GI::GI-Pathology #PANCE::EOR::Family_med #AK_Step1_v12::#NBME::25 #AK_Step1_v12::$AnKingUpdates::$Errata::v09