KROK 1 2019 – Question 79 · KROK (Medicine) · Pathomorphology

A 63-year-old man, who has been suffering from chronic diffuse obstructive pulmonary emphysema for 15 years, died of progressive heart failure. Autopsy shows nutmeg liver cirrhosis, cyanotic induration of kidneys and spleen, ascites, and edemas of the lower limbs. What type of heart failure can be characterized by such changes in the internal organs?

  1. A. Acute left ventricular failure
  2. B. Chronic heart failure
  3. C. Acute right ventricular failure
  4. D. Acute global heart failure
  5. E. Chronic atrial failure
Hint

Ask which circuit is congested here, and whether induration and cirrhosis could develop in a short illness or only after prolonged stasis.

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