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An 80-year-old woman dies shortly after admission to the hospital because of a 3-day history of progressively increasing shortness of breath. She had a history of heart failure. Examination of the lungs during autopsy shows alveolar damage with distended lymphatics, congested alveolar capillaries, and pink-staining homogenous proteinaceous hyaline material in alveoli. Which of the following is the most likely cause of these findings?
A. Amyloidosis
B. Aspiration pneumonitis
C. Emphysema
D. Pneumonia
E. Pulmonary edema
F. Septic shock
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WHY NOT Pulmonary edema
Examination of the lungs during autopsy shows alveolar damage with distended lymphatics, congested alveolar capillaries, and pink-staining homogenous proteinaceous hyaline material in alveoli
isn't proteinaceous granular lung precipitate with hemosiderin-laden macrophages, look like pulmonary edema(CHF)
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this pt has a non cardiogenic pulmonary edema which is secondary to septic shock, the presence of hyaline pink eosinophilic material in alveoli is typical of ARDS and 40% of cases of ARDS are due to G- sepsis,
Had it been a case of cardiogenic pul edema sec to ccf, then there would hv been the presence of heart failure cells which are alv macrophages filled with brownish or black pigment. please correct me if m wrong
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it's pulmonary edema, they also say she has history of chf
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since they used hyaline material, it is ARDS, and the only choice is f. If no hyaline material, I will pick pulmonary edema.
