ABDOMINAL
GENERALISED LYMPHADENOPATHY
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Question
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A post-mortem of the 17-year-old girl, who died of a pulmonary insufficiency, revealed confluent zones of a caseous necrosis in the lower lobe of the right lung. The caseous necrosis was also determined in broncho-pulmonal, bronchial and bifurcational lymph nodes. What of the listed diagnoses the most likely?
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Growth primary affect at primary tuberculosis
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Gematogenic form of progress of primary tuberculosis
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Tuberculoma
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Gematogenic tuberculosis with lesion of lungs
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Explanation:
Detailed explanation-1: -Tuberculosis, a disease that causes lung infection, is the main cause of caseous necrosis, but it can also be caused by syphilis or fungal infection. The symptoms of caseous necrosis depend on the location of the cellular death.
Detailed explanation-2: -This is the gross appearance of caseous necrosis in a hilar lymph node infected with tuberculosis. The node has a cheesy tan to white appearance. Caseous necrosis is really just a combination of coagulative and liquefactive necrosis that is most characteristic of granulomatous inflammation.
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