An autopsy is being performed on a 44-year-old female who died unexpectedly of heart failure. Which of the following components of the pathologist's report is most suggestive of a possible history of poorly controlled blood pressure?
A)
"Scarring of the urethra suggestive of recurrent urinary tract infections is evident."
B)
"Bilateral renal hypertrophy is noted."
C)
"Vessel wall changes suggestive of venous stasis are evident."
D)
"Arterial sclerosis of subcortical brain regions is noted."
Ans:
D
Feedback:
Neurological consequences of hypertension include narrowing and sclerosis of subcortical regions. Urethral scarring and impaired venous return would be less likely to derive from hypertension, and while nephrosclerosis and glomerular damage are associated with hypertension, hypertrophy of the kidneys themselves is not noted as an indicator.
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