KROK 1 2012 – Question 84 · KROK (Medicine) · Pathomorphology

A 63 year old male patient who had been suffering from chronic diffuse obstructive disease, pulmonary emphysema, for 15 years died from cardiac insufficiency. Autopsy revealed nutmeg liver cirrhosis, cyanotic induration of kidneys and spleen, ascites, edemata of lower limbs. These changes of internal organs are typical for the following disease:

  1. A. Acute right-ventricular insufficiency
  2. B. Chronic left-ventricular insufficiency
  3. C. Acute left-ventricular insufficiency
  4. D. Chronic right-ventricular insufficiency
  5. E. General cardiac insufficiency
Hint

Look at which organs show congestion, and how it has changed them over a long period, to decide which circulation is backed up.

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