KROK 1 2014 – Question 137 · KROK (Medicine) · Pathomorphology
Tissue sampling of a 37-year-old male patient with chronic renal disease has revealed the following: sclerosis, lymphocytic and plasmocytic infiltration of renal pelvis and calices walls, dystrophy and atrophy of tubules. Remaining tubules are enlarged and stretched with colloid masses, epithelium is flattened out ("scutiform" or "shield-shaped" kidney). What is the most likely diagnosis?
- A. Glomerulonephritis
- B. Tubular interstitial nephritis
- C. Acute pyelonephritis
- D. Nephrosclerosis
- E. Chronic pyelonephritis
Hint
Pay attention to which parts of the urinary tract wall are involved in addition to the tubules, and whether the picture is acute or chronic.
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