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Exam questionKROK 1Medicine ยท 2015

Acute renal impairment caused death of a patient with hemorrhage. Autopsy revealed enlarged kidneys with broad pale-pink cortical layer expressively demarcated from dark-red renal pyramids. Macroscopic examination revealed lack of epithelial nuclei of convoluted tubules, tubulorrhexis, phlebostasis. The cell nuclei of choroid glomus and straight tubules were present. What pathology is it?

Answer options

  1. Nephrosis
  2. Infarction
  3. Glomerulonephritis
  4. Pyelonephritis
  5. Necronephrosis
Correct answer

Necronephrosis

Explanation

Acute renal impairment caused death of a patient with hemorrhage. Autopsy revealed enlarged kidneys with broad pale pink cortical layer expressively demarcated from dark red renal pyramids. Macroscopic examination revealed lack of epithelial nuclei of the convoluted tubules, tubulorrhexis, phlebostasis. The cell nuclei of the choroid glomus and straight tubules were present. What pathology is it?Necrotic nephrosis occurs due to venous- congestion. The pale edematic renal cortex is well demarcated from the red medulla (hemorrhage).

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