28 results
Dacrocytes (tear drop cells) 
Other poikilocytes resemble a pear or teardrop. The narrow, tapered end
may be
Dacrocytes (tear ... may be long or short ... each of the above photos ... metaplasia, pernicious anemia ... some hemolytic anemias
Cotton Wool Spots

Caused by microinfarcts. Exploded ganglion cell axons extrude their axoplasm into retina. Long DDx:
Cotton Wool Spots ... diabetes, HIV, severe anemia ... #CottonWool #Spots ... #fundoscopy #ophthalmology
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
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
Halo Sign in Basal Skull Fracture

Halo of lighter liquid around blood spot on the cloth indicates
liquid around blood spot ... leaking from the ear ... Trauma #Clinical #Photo
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
Patients As: • Black spots ... the vision • Spots ... • Vitritis • Tear ... retina, a retinal tear ... Diagnosis #Ocular #ophthalmology
Xeropthalmia: Pathogenesis and Ocular Manifestations

Decr Visual pigment -> Keratinization, thickening & non-wetting of the conjunctiva
mucins with reduced tear ... conjunctiva) • Bitot's spots ... pathophysiology #ophthalmology
Sickle cells
These photos show sickle cells on peripheral blood smears. In the left photo target cells
Sickle cells These photos ... In the left photo ... , in the right photo ... no significant anemia ... e.g. there were reports
Bitot's Spots- A 4-year-old boy was brought by his father to the ophthalmology clinic with a
Bitot's Spots- A ... father to the ophthalmology ... #NEJM #clinical ... #photo #ophth #bitot ... #spots #Corynebacterium
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