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Old 03-09-2012
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Kidney Kidney Picture of a died patient!

Following a course of chemotherapy, a 5-year-old male oncology patient develops altered mental status, tachycardia, decreased blood pressure, flushing of the extremities, and decreased urine output. After 48 hours in the pediatric intensive care unit, the patient dies from complications secondary to overwhelming gram-negative sepsis. At autopsy, the pathologist notes the abnormal appearance of the decedentís kidneys, as shown in the image.

Kidney Picture of a died patient!-kidney2.jpg
click image to enlarge

What is your dx for the finding demonstrated in the image?
A. Acute pyelonephritis
B. Diffuse cortical necrosis
C. Papillary necrosis
D. Obstructive uropathy
E. Renal infarction
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Old 03-09-2012
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B..........
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Old 03-09-2012
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G-ve Sepsis> DIC> big infarct> diffuse cortical necrosis (pale cortex)
B
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Old 03-09-2012
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Is it such an easy Q?

Cheers,
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