*General and somatic pathology *3*15*4

*toxic liver dystrophy

#22
*!On the 4th day after delivery, the mother's body temperature increased 39 ° C, chills and tachycardia appeared up to 100 beats per 1 minute. On examination, uterine soreness, cloudy, purulent-bloody discharge were noted. What is your conclusion?

*purulent endometritis

#23
*! B. was 27 years old, had subfebrile fever, shortness of breath, single focal shadows in the lungs, increased pulmonary pattern, and symmetrical enlargement of the basal lymph nodes were revealed on the X-ray. Necrosis and multiple epithelioid cell granulomas with giant Pirogov-Langhans cells were found in the biopsy of the cervical lymph node.

* tuberculosis;

#24
*!After mushroom poisoning, the patient developed signs of acute liver failure, and a progressive decrease in liver size was noted.

*toxic liver dystrophy

#25
*!A 67-year-old man died in a hospital with respiratory failure. On autopsy, the upper lobe of the right lung is sharply compacted, dark red in color with fibrinous overlays on the pleura.

*croup pneumonia.

#26
*! Upon autopsy of a corpse with suspected sudden death, an expert in the lumen of the coronary artery of the heart found a blood clot attached to the vessel wall, which completely covers the lumen of the vein. The thrombus has a layered character and is presumably identified by an expert as a "white thrombus" and is directed for histological examination.

*erythrocytes, fibrin, leukocytes

#27
*!A 60-year-old man who abused alcohol died of an ischemic cerebral infarction with signs of kidney failure. The autopsy revealed primary shrunken kidneys and liver steatosis.

*the size of the liver is reduced, the consistency is dense, the surface is uneven, the color is yellow brown.

#28
*! A 49-year-old man who abuses alcohol was admitted to the hospital complaining of pain in the right hypochondrium. A liver biopsy was performed. Fatty hepatosis has been diagnosed.

* when stained with Sudan 3, fatty vacuoles in yellow-orange color are visible in hepatocytes.

#29
*! A 13-year-old girl who has been suffering from chronic glomerulonephritis for 5 years has protein up to 2% and hyaline cylinders in her urine. Microscopic examination of the kidney revealed hyaline drip dystrophy of the epithelium of the renal tubules.

* when stained with hematoxylin and eosin, it is infiltrated with glycogen in the epithelium of the proximal convoluted tubules.

#30
*! A 67-year-old woman, whitish plaque-like thickenings on a normal pink background were found in the mucous membrane of the vaginal part of the cervix. Histological examination revealed leukoplakia of the cervix. What microscopic changes are found in the epithelium of the mucous membrane of the cervix?

*the integumentary epithelium of the mucous membrane of the cervix is thinned with the appearance of ulcers.

#31
*! A 38-year-old woman suffering from diabetes mellitus underwent a puncture biopsy of the liver. Microscopic examination of the biopsy revealed fatty degeneration of hepatocytes.

* when stained with hematoxylin and eosin, Kouselman corpuscles are visible in hepatocytes.

#32
*! A man with diabetes mellitus has glycosuria. Microscopic examination of the kidney revealed parenchymal carbohydrate dystrophy.

* when stained with carmine, glycogen is bright red in the epithelium of the proximal convoluted tubules.

#33
*! A 25-year-old man with a gunshot wound to the neck died of acute renal failure as a result of massive blood loss and posthemorrhagic shock. Microscopic examination revealed cortical necrosis of the kidney.

*when stained with carmine, glycogen is bright red in the epithelium of the proximal convoluted tubules.

#34
*! A 47-year-old man suffered from a cardiac form of rheumatism, which was complicated by a mitral defect with stenosis of the left atrioventricular orifice. The patient's death occurred from increasing heart failure. The autopsy revealed a nutmeg liver.

* the liver is enlarged, dense, its edges are rounded, the incision surface is mottled, gray - yellow with dark red speckles.

#35
*!After suffering a myocardial infarction, the man developed chronic cardiovascular insufficiency, which was the cause of death. On autopsy, the liver is enlarged, dense, its edges are rounded, the incision surface is mottled, gray - yellow with dark red speckles.

Hyaline-like corpuscles have been found in the cytoplasm of hepatocytes, which consist of fibrils of a special protein.