KROK 1 2017 – Question 28 · KROK (Medicine) · Pathomorphology

Section shows significant enlargement of the patient’s right kidney. There is a nephrolith at the place of incision. Renal pelvic lumen is distended with accumulating urine. Renal parenchyma is acutely thinned out. What is the most correct diagnosis?

  1. A. Hydronephrosis
  2. B. Nephroblastoma
  3. C. Renal cyst
  4. D. Pyelectasis
  5. E. Hydroureteronephrosis
Hint

Think about what a stone does to the outflow of urine, and what the thinned parenchyma adds beyond mere widening of the pelvis.

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