Ischemic Necrosis of the Cortex of both Kidneys - USMLE Forums
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  #1  
Old 05-19-2010
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Microscope Ischemic Necrosis of the Cortex of both Kidneys

At autopsy, a patient who died with acute anuria and uremia is found to have ischemic necrosis of the cortex of both kidneys with relative sparing of the medulla. These pathological findings are most likely related to which of the following underlying conditions?

A) Disseminated intravascular coagulation
B) Multiple myeloma
C) Polycystic kidney disease
D) Pyelonephritis
E) Sickle-cell anemia
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  #2  
Old 05-19-2010
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Default A. Dic

DIC (post obstetrical emergency or from any other cause) may result in diffuse cortical necrosis. I'd say DIC-
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  #3  
Old 05-20-2010
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Multiple myeloma - Bence Jones proteins
PKD - cysts compress everything
Pyelonephritis - renal pelvis and tubules, after this cortex
Sickle-cell anemia - can cause acute papillary necrosis

So left Choice A
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  #4  
Old 05-20-2010
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Default yup its A

in option given only DIC can result in cortical ischemic necrosis with sparing of medulla...
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  #5  
Old 05-21-2010
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its choice A. DIC
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  #6  
Old 05-21-2010
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yeaaa i think its A
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  #7  
Old 05-21-2010
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Send a message via Yahoo to silakan_isi
Smile :)

It's must be A. DIC
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Pathology-, Renal-, Step-1-Questions

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