Assessment of Atherosclerosis and arteriosclerosis: Pathology review | Osmosis

Question

A 75-year-old man is brought to the emergency department due to sudden-onset confusion and headaches accompanied by nausea and vomiting. The patient has a history of poorly controlled hypertension and hyperlipidemia due to noncompliance with medications. The patient has smoked a pack of cigarettes daily for 40 years. The patient’s temperature is 37.0°C (98.6°F), pulse is 100/min, and blood pressure is 205/140 mmHg. On physical examination, the patient is dyspneic. Fundoscopic examination reveals bilateral papilledema. Laboratory results are obtained and shown below:

Laboratory value	Result
Serum
Creatinine	1.9 mg/dL
Blood urea nitrogen	50 mg/dL
Urine
Erythrocytes	8/hpf
Leukocytes	2/hpf
Protein	3+
Sediment	None

Which of the following histologic findings would likely be seen if this patient’s renal artery was biopsied?

Accepted Answer

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Atherosclerosis and arteriosclerosis: Pathology review

Pathology

Cardiovascular system