KROK 1 2010 – Question 53 · KROK (Medicine) · Pathomorphology
Autopsy of a man who died from burn disease revealed brain edema, liver enlargement as well as enlargement of kidneys with wide light-grey cortical layer and plethoric medullary area. Microscopic examination revealed necrosis of tubules of main segments along with destruction of basal membranes, intersticium edema with leukocytic infiltration and haemorrhages. What is the most probable postmortem diagnosis?
- A. Tubulointerstitial nephritis
- B. Necrotic nephrosis
- C. Pyelonephritis
- D. Myeloma kidney
- E. Gouty kidney
Hint
Consider which segment of the kidney's tubular system suffers the main damage after burn-related shock and toxaemia, and what kind of lesion results.
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