KROK 1 2018 – Question 126 · 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 the convoluted tubules, tubulorrhexis, phlebostasis. The cell nuclei of the choroid glomus and straight tubules were present. What pathology is it?

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

Look at which parts of the nephron have lost their nuclei and which are preserved, and think about what kind of insult produces such a selective pattern.

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