MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A postmortem of a 58-year-old male revealed in kidneys asymmetrical, coarse, corticomedullary scars. Histological investigation of a kidney showed atrophy of cyst-like dilated tubules, filled with colloid eosinophilic masses. Interstitium was characterized by pronounced periglomerular sclerosis. What diagnosis is most probable
A
Chronic pyelonephritis with scarring
B
Chronic glomerulonephritis with scarring of kidneys
C
Amyloidosis of kidneys
D
Tuberculosis of kidneys
Explanation: 

Detailed explanation-1: -Glomerulonephritis is damage to the tiny filters inside your kidneys (the glomeruli). It’s often caused by your immune system attacking healthy body tissue. Glomerulonephritis does not usually cause any noticeable symptoms. It’s more likely to be diagnosed when blood or urine tests are carried out for another reason.

Detailed explanation-2: -Each kidney is held in place by connective tissue, called renal fascia, and is surrounded by a thick layer of adipose tissue, called perirenal fat, which helps to protect it. A tough, fibrous, connective tissue renal capsule closely envelopes each kidney and provides support for the soft tissue that is inside.

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