KROK 1 2010 – Question 47 · KROK (Medicine) · Pathomorphology
A 63 year old male patient who had been suffering from chronic diffuse obstructive disease, pulmonary emphysema, for 15 years died from cardiac insufficiency. Autopsy revealed nutmeg liver cirrhosis, cyanotic induration of kidneys and spleen, ascites, edemata of lower limbs. These changes of internal organs are typical for the following disease:
- A. Acute left-ventricular insufficiency
- B. Chronic right-ventricular insufficiency
- C. General cardiac insufficiency
- D. Chronic left-ventricular insufficiency
- E. Acute right-ventricular insufficiency
Hint
Follow the chain from long-standing lung disease to the part of the heart that has to work against it, then ask which organs would back up with venous blood.
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