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  #1  
Old 03-11-2013
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Kidney Kidney Gross Pathology Question

A 68 year old woman is admitted to hospital for evaluation of gross hematuria. 2 days after admission she develops aphasia & right hemiplegia, followed shortly by coma & death. The cut surface of one of her kidneys as seen at autopsy is shown. Which of the following was the most likely cause of the hematuria?

a) Metastatic cancer
b) Papillary necrosis
c) Polycystic kidney disease
d) Renal abscess
e) Renal cell carcinoma
f) Renal infarct

Kidney Gross Pathology Question-kidney-pathology-2.jpg
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Old 03-11-2013
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f) Renal infarct
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Old 03-11-2013
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Default f) Renal infarct

f) Renal infarct
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f) Renal infarct
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Old 03-12-2013
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i think its renal cell carcinoma
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Old 03-12-2013
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Renal infarct
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Metastatic cancer
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Old 03-12-2013
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F) Renal infarct. The pale area on the picture is infarcted renal tissue.
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Old 03-12-2013
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i think its a carcinoma!!!she developing coma is probably due to emboli from the carcinoma
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Old 03-12-2013
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papilary necrosis:P??
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Old 03-22-2013
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Bc of "hematuria" + her age (68 yo) + her neural problems (kidney metastized to the brain)...I'm more leaning toward RCC for the answer. The picture could be a distraction?

I really do want to know the correct answer too!
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Old 03-22-2013
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1- atherosclerosis at this age can give renal infarct and CVA
2-renal cell carcinoma usually invades IVC and metastasizes to the lung and bone.( unlikely the answer)
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Old 08-26-2014
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Default Renal infarct..

No history of smokking, so RCC is unlikely..
otherwise they wud tell smoking history..
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Old 08-26-2014
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Default Renal infarct

the history of aphasia and neurological symptoms indicate a hypercoaguble state or a condition predisposing to emboli such as Atrial fibrillation , the presence of pale infarct the kidney cortex all goes with Renal a. infarction .
RCC will cause more chronic symptoms , not like those in this scenario which are acute and will cause golden yellow nodular mass in the kidney section .
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Old 08-26-2014
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Yes its Renal infarct
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Old 08-27-2014
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renal infarct,, because of acute symptoms
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Old 08-28-2014
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Its Infarct. As we can see the pale infarct on the gross specimen. And there is a history of stroke which means there are thrombi in her system, which again points to infarct.

Thanks for the question.
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Old 08-28-2014
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Quote:
Originally Posted by Evergreen View Post
A 68 year old woman is admitted to hospital for evaluation of gross hematuria. 2 days after admission she develops aphasia & right hemiplegia, followed shortly by coma & death. The cut surface of one of her kidneys as seen at autopsy is shown. Which of the following was the most likely cause of the hematuria?

a) Metastatic cancer
b) Papillary necrosis
c) Polycystic kidney disease
d) Renal abscess
e) Renal cell carcinoma
f) Renal infarct

Attachment 3075
click image to enlarge
Can you please tell the source of this question? Thanks
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Old 04-17-2016
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but look at the image.. there are yellow masses with in the kidney. which is ore likely to be a RCC.
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