A 40-year-old hypeensive male was admitted to the hospital with sudden onset of headache and altered sensorium. On Examinatiion his Blood Pressure was observed to be 220/110 mm Hg and the patient died four later. What is likely pathological finding in his kidneys-: (A) Small kidney with granular surface, (B) Small kidney with peticheal haemorrhages, (C) Large kideny with waxy appearance, (D) Large kidney with granular surface
Answer is B. In case of malignant hypeension superimposed on pre-existing benign nephrosclerosis, the kidneys are small in size, shrunken and reduced in weight and have finely granular surface. However, the kidneys of a patient who develops hypeension in pure form are enlarged, oedematous and have petechial hemorrhages on the surface producing so-called 'flea-bitten kidney'.cut surface show red and yellow mottled appearance. From Textbook of pathology Harsh Mohan 7th edition pg no:678