2025-11-272025-11-27http://hdl.handle.net/2263/106570Clinical history : A 59 year old female with hypertension and heart failure with signs of stupor and acute kidney failure.The patient had been taking Grandpa powders for a long time.Autopsy findings : 1. Concentric hypertrophy of the left ventricle with coronary atherosclerosis and thrombosis and myocardial fibrosis.2. Anageletic nephritis with bilateral and old papillary necrosis.3. Venous congestion.Diagnosis: Analgesic nephritis