KROK 1 2019 – Question 107 · KROK (Medicine) · Pathomorphology
Autopsy of a 60-year-old woman, who for a long time had been suffering from essential hypertension, shows significantly diminished kidneys (weight of both kidneys is 80 g) with finely granular surface. Uniform renal cortical thinning can be observed on section. Name the described changes in the kidneys:
- A. Pyelonephritic contracted kidney
- B. Secondary contracted kidney
- C. Amyloid contracted kidney
- D. Primary contracted kidney
- E. Diabetic nephrosclerosis
Hint
Ask which small vessels are damaged by long-standing hypertension and how this shapes the size, surface and cortex of the kidneys, then compare it with other causes of shrinkage.
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