The appendix examined in surgical pathology was swollen and covered with a purulent exudate. In some places the wall shows disruption of the tissue. Following left anterior descending coronary artery thrombosis with an acute myocardial infarction involving most of the free wall of the left ventricle, a 73 year old man experienced partial paralysis of his right side. He also developed acute renal failure and hematuria. He died a short time later.
Questions Describe the lesion in the heart at autopsy.
Diagnose and describe the lesion in the kidney removed at autopsy. An 83 year old woman experienced cough, fever, and shaking chills for two days prior to admission. Physical examination revealed rales in the right lung base. She was coughing up a small amount of yellowish sputum. Chest x-ray initially showed a right lower lobe infiltrate, but several days later showed infiltrates throughout the right lung.