KROK 1 2011 – Question 109 · KROK (Medicine) · Pathomorphology

Acute renal impairment caused death of a bleeding patient. Autopsy revealed enlarged kidneys with a 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?

  1. A. Necronephrosis
  2. B. Nephrosis
  3. C. Infarction
  4. D. Pyelonephritis
  5. E. Glomerulonephritis
Hint

Think about which parts of the nephron suffer most from hypoperfusion after major blood loss, and what the preserved nuclei in the glomeruli and straight tubules say about how widespread the damage is.

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