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Multiple Choice

Exudate of neutrophils and fibrin with dying RBCs describes which pneumonia stage?

In lobar pneumonia, the gray hepatization stage is defined by alveolar spaces filled with a fibrinopurulent exudate and neutrophils, while the red blood cells have been destroyed. The breakdown of RBCs gives the lung a grayish appearance, hence the name gray hepatization. This stage comes after the red hepatization phase, which has a red appearance from intact RBCs, and before resolution, when macrophages clear the exudate. So the description—exudate of neutrophils and fibrin with dying RBCs—fits gray hepatization exactly.

In lobar pneumonia, the gray hepatization stage is defined by alveolar spaces filled with a fibrinopurulent exudate and neutrophils, while the red blood cells have been destroyed. The breakdown of RBCs gives the lung a grayish appearance, hence the name gray hepatization. This stage comes after the red hepatization phase, which has a red appearance from intact RBCs, and before resolution, when macrophages clear the exudate. So the description—exudate of neutrophils and fibrin with dying RBCs—fits gray hepatization exactly.