KROK 1 2020 – Question 128 · KROK (Medicine) · Pathomorphology
Section shows significant enlargement of the patient’s right kidney. There is a nephrolith at the place of incision. Renal pelvic lumen is distended with accumulating urine. Renal parenchyma is substantially thinned out. What is the most correct diagnosis?
- A. Hydronephrosis
- B. Pyelectasis
- C. Renal cyst
- D. Hydroureteronephrosis
- E. Nephroblastoma
Hint
Consider what happens upstream of a blockage in the urinary tract when urine continues to be formed but cannot leave, and what sustained pressure does to the parenchyma.
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