KROK 1 2015 – Question 72 · KROK (Medicine) · Pathomorphology

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?

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

Think about which portions of the nephron have lost their nuclei and which are preserved, and what kind of insult after haemorrhage spares the glomeruli.

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