An obese patient presents to the office with complaints of persistent headaches. His kidney function has rapidly deteriorated. The opthalmologist noted retinal exudates, edema and hemorrhages. You have been treating his hypertension and had been relatively well controlled until recently. His blood pressure is 210/130. When looking through his medical records you come across a chest X-ray and that his heart is quite enlarged.
What is likely the cause of his HTN?
Several years ago before his HTN progressed this far biopsies were taken to examine his vasculature. They are shown below: What do you see?
Current biopsy of the kidney shows the following: Describe the pathology:
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| low power view of the kidney |
Why might his heart be enlarged?
If you were to biopsy his heart -this is what you would see. Describe the picture.
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