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nbme15/Block 2/Question#11 (8.9 difficulty score)
A previously healthy 48-year-old man is ...
Degenerating epithelial cells and dirty brown granular casts๐Ÿ”,๐Ÿ“บ

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submitted by cassdawg(1393),

This woman's cardiac arrest caused a period of loss of blood flow and ischemia in the kidney that has led to acute tubular necrosis. In ATN there is an inciting event then an oliguric phase. In ATN, there is death of renal tubular epithelial cells that slough off and form muddy brown granular casts. Keep in mind the proximal tubule and thick ascending limb are the part of the kidney most susceptible to hypoxic injury. [FA2020 p602]