KROK 1 2012 – Question 138 · 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. Infarction
  3. C. Glomerulonephritis
  4. D. Pyelonephritis
  5. E. Nephrosis
Hint

Ask which nephron segment is most vulnerable to ischaemia after haemorrhage, and note that the glomeruli and straight tubules are still viable here.

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