KROK 1 2021 – Question 59 · KROK (Medicine) · Pathomorphology
Autopsy of the body of a 42-year-old man, who had chronic diffuse bronchitis and died of cardiopulmonary failure, shows large hyperinflated lungs that cover the mediastinum with their edges. The lungs do not deflate, are pale gray, emit crackling sound when cut. Pressing a finger to the surface of the lungs leaves an indentation. Bronchial lumen produces mucopurulent exudate. Make the diagnosis:
- A. Chronic focal emphysema
- B. Primary idiopathic emphysema
- C. Vicarious compensatory emphysema
- D. Interstitial emphysema
- E. Chronic diffuse obstructive pulmonary emphysema
Hint
Consider what long-standing bronchitis with airway obstruction, large pale hyperinflated lungs that do not collapse and pit under the finger say about diffuse airspace enlargement.
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