13 results
Dacrocytes (tear drop cells) 
Other poikilocytes resemble a pear or teardrop. The narrow, tapered end
may be
Dacrocytes (tear ... poikilocytes resemble a pear ... each of the above photos ... metaplasia, pernicious anemia ... some hemolytic anemias
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
Syndrome A 61-year-old ... retro-orbital pain, near-complete ... Clinical #Video #Ophthalmology ... #PhysicalExam #NEJM
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Spur-Cell Anemia- A 31-year-old man with a history of cirrhosis, recurrent hepatic encephalopathy, and anemia presented
Spur-Cell Anemia ... - A 31-year-old ... with spur-cell anemia ... Spur-cell anemia ... #NEJM #clinical
VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) Syndrome
Clinical Syndrome:
 • Common Clinical Features: alveolitis, ear and
Features: alveolitis, ear ... Abnormalities: macrocytic anemia ... myeloid cells NEJM
Koilonychia in Iron-Deficiency Anemia- A 54-year-old woman presented to the primary care clinic with fatigue and
Iron-Deficiency Anemia ... - A 54-year-old ... fatigue and a 7-year ... #NEJM #clinical ... #photo #koilonychia
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic complaints- anemia ... in literature (NEJM ... cases (Cornelia NEJM ... required +/- prompt ophthalmology
Conjunctivochalasis is defined as a redundant, nonedematous conjunctiva that causes a wide variety of symptoms ranging
of an unstable tear ... disruption of tear ... conjunctivochalasis #ophthalmology ... dry #clinical #photo
Bitot's Spots- A 4-year-old boy was brought by his father to the ophthalmology clinic with a
Bitot's Spots- A 4-year-old ... father to the ophthalmology ... clinic with a 1-year ... #NEJM #clinical ... #photo #ophth #bitot
Worms in the Eye - He underwent thorough irrigation of the conjunctival sac and lacrimal duct,
buccal capsule near ... D) #Clinical #Ophthalmology ... SlitLamp #Microscopy #NEJM
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
Palmare- A 49-year-old ... He had a 2-year ... #NEJM #clincal # ... photo #xanthoma