KROK 1 2017 – Question 120 · KROK (Medicine) · Pathomorphology
After mushroom poisoning the patient developed signs of acute hepatic failure leading to his death. On autopsy the liver is diminished, flaccid; the capsule is wrinkled; the tissue is ochre-yellow on section. Microscopically: fatty degeneration of hepatocytes, necrotic central segments of the hepatic lobes. These changes are characteristic of:
- A. Hepatolenticular degeneration
- B. Fatty hepatosis
- C. Acute exudative hepatitis
- D. Massive progressive necrosis
- E. Acute productive hepatitis
Hint
Consider what a shrunken, flaccid liver with central lobular cell death after ingesting a hepatotoxin says about the extent and type of the injury.
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