Q&A: The left kidney shown was obtained at an autopsy of a 69 year old man… Question for the pathologist in you.?
Question by ?Noble?: The left kidney shown was obtained at an autopsy of a 69 year old man… Question for the pathologist in you.?
The left kidney in the link was obtained at an autopsy of a 69 year old man. The tissue alterations most likely represents which of the following processes?
A) Chronic analgesic abuse
B) Chronic pyelonephritis
C) Diabetic nephropathy
D) Hypertensive nephrosclerosis
E) Urethral obstruction
Please explain your reasoning, and if you can… please teach me how to see what you see. (I see fibrosis in the medulla, and maybe a massive stone).
YES!! Thank you Dr. Stephen. You just made my day! That was my guess, only I thought my ureter looked too large and medulla was too “washed out.”
Your explanation of course sounds a lot more illegitimate.
Thank you again. I appreciate your time.
I’ll leave the question open in case anyone else wants to teach me anything.
I am so sorry, I meant legitimate… NOT illegitimate. Again, I VERY MUCH appreciate your answer and your time.
Best answer:
Answer by Stephen
It looks like chronic hydronephrosis the renal tissue is thinned very extensivly suggesting bacb pressure on the kidney. So I would say “E”
Analgesic nephropathy os very uncommon these days on is more of a tubular disorder so I wouldn’t expect such thinning of the cortex. Both hypertensive and diabetic renal disease are really microscopic diagnoses. S that wht I choose E
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