KROK 1 2018 – Question 85 · KROK (Medicine) · Pathomorphology

Renal examination shows the kidney to be swollen and plethoric, with easily removable capsule. Renal pelvis and calyces are dilated and filled with turbid urine; their mucosa is dull and has hemorrhagic foci. On section the renal tissue is variegated, there are yellow-gray areas surrounded with plethoric and hemorrhagic zone. What disease can be characterized by such results of macroscopic examination?

  1. A. Acute pyelonephritis
  2. B. Renal amyloidosis
  3. C. Nephrolithiasis
  4. D. Acute glomerulonephritis
  5. E. Polycystic kidney
Hint

Combine the urine-filled, dilated collecting system with the focal yellow-gray areas on section to decide which parts of the kidney are involved and what kind of inflammation produced them.

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