C focal sclerosis d capillary basement membrane

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C) FOCAL SCLEROSIS D) CAPILLARY BASEMENT MEMBRANE THICKENING ANS. IS ‘C’ I.E., FOCAL SCLEROSIS [REF: HARRISON 18,H/EP. 2348; HARSH MOHAN 4,H/EP. 662] REMEMBER THESE FEATURES ABOUT DIABETIC GLOMERULOSCLEROSIS . THE EARLIEST MORPHOLOGICAL ABNORMALITY IN DIABETIC NEPHROPATHY THICKENING OF BASEMENT MEMBRANE MOST COMMON GLOMERULAR LESION IN DIABETES DIFFUSE GLOMERULOSCLEROSIS LESION VIRTUALLY PATHOGNOMONIC OF DIABETES NODULAR GLOMERULOSCLEROSIS 272
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GRANULAR CONTRACTED KIDNEY NOT A CAUSE OF GRANULAR CONTRACTED KIDNEY - A) DIABETES MELLITIS (AIIMS DEC 94) B) CHRONIC PYELONEPHRITIS C) BENIGN NEPHROSCLEROSIS D) CHRONIC GLOMERULONEPHRITIS 273
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CAUSES OF GRANULAR CONTRACTED KIDNEY - A) CHRONIC GLOMERULONEPHRITIS (SYMMETRIC) B) CHRONIC PYELONEPHRITIS (ASYMMETRIC) C) BENIGN NEPHROSCLEROSIS (SYMMETRIC) 274
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CONDITIONS WHERE KIDNEY IS INCREASED IN SIZE . AMYLOIDOSIS. POLYCYSTIC KIDNEY DISEASE. DIABETIC NEPHROPATHY. 275
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GRANULAR CONTRACTED KIDNEY NOT A CAUSE OF GRANULAR CONTRACTED KIDNEY - A) DIABETES MELLITIS (AIIMS DEC 94) B) CHRONIC PYELONEPHRITIS C) BENIGN NEPHROSCLEROSIS D) CHRONIC GLOMERULONEPHRITIS ANS. IS ‘A’ I.E., DIABETES MELLITUS [REF: HARRISON 18,H/EP. 2348; CHANDRASOMA TAYLOR 3RD/EP. 275] 276
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CAUSE OF LARGE KIDNEY IN CRF ARE A LL EXCEPT (PGIDEC 2K) A) DM B) AMYLOIDOSIS C) BENIGN NEPHROSCLEROSIS D) DIFFUSE GN ANS. IS ‘C’ I.E., BENIGN NEPHROSCLEROSIS [REF. CHANDRASOMA TAYLOR 3RD/E P. 275] 277
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NECROTIZING PAPILITIS IS SEEN IN ALL OF THE FOLLOWING EXCEPT - (AIIMS MAY 02) A) SALICYLATE POISONING B) RENAL VASCULAR THROMBOSIS C) PNH D) DIABETES MELLITUS ANS. IS ‘C’ I.E., PNH [REF. HARRISON 18‘VEP. 2372 T. (285.1); L?H/EP. 1807] 278
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CAUSES OF NECROTIZING PAPPILITIS (PAPILLARY NECROSIS). DIABETES . SICKLE CELL DISEASE . CHRONIC ALCOHOLISM . VASCULAR DISEASES . ANALGESICS (NSAIDS) URINARY TRACT OBSTRUCTION DIAGNOSIS: - PASSAGE OF NECROTIC TISSUE IN URINE - “RING SHADOW ” ON PYELOGRAPHY 279
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WHICH CHARACTERISTIC FEATURE IS SEEN IN THE KIDNEY IN MALIGNANT HYPERTENSION - (AI 94) A) HYALINE NECROSIS B) FIBRINOID NECROSIS C) MEDIAL WALL HYPERPLASIA D) MICRO-ANEURYSM 281
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MALIGNANT NEPHROSCLEROSIS IS THE FORM OF RENAL DISEASE ASSOCIATED WITH MALIGNANT OR ACCELERATED PHASE OF HYPERTENSION. PATHOLOGY OF KIDNEY IN MALIGNANT HYPERTENSION ON GROSS INSPECTION: . THE KIDNEYS ARE NORMAL IN SIZE OR SLIGHTLY ENLARGED. THEY HAVE A SMOOTH SURFACE WITH NUMEROUS SMALL PETECHIAL HEMORRHAGES°. . THESE SMALL PINPOINT PETECHIAL HEMORRHAGES APPEAR ON THE CORTICAL SURFACE FROM RUPTURE OF ARTERIOLES OR GLOMERULAR CAPILLARIES. 282
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ON HISTOLOGY - TWO DISTINCT VASCULAR LESIONS ARE SEEN I) FIBRINOID NECROSIS II) HYPERPLASTIC ARTERIOLITIS . THIS AFFECTS THE INTERLOBULAR ARTERIES AND ARTERIOLES.
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