A 40-year-old hypeensive male was admitted to the hospital with sudden onset of headache and altered sensorium. On Examinatiion his Blood Pressure was observed to be 220/110 mm Hg and the patient died four later. What is likely pathological finding in his kidneys -

Ans. is 'b' i.e., Small kidney with peticheal haemorrhageso Sudden onset of headache and altered sensorium in a hypeensive patient with a blood pressure of 220/110 suggests a diagosis of malignant hypeension (Malignant Nephrosclerosis).o Malignant hypeension (Malignant Nephrosclerosis) is typically associated with multiple peticheal haemorrhages on the coical surface of the kidney (flea bitten) from rupture of aerioles or glomerular capillaries