11 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
Koilonychia in Iron-Deficiency Anemia- A 54-year-old woman presented to the primary care clinic with fatigue and
Anemia- A 54-year-old ... fatigue and a 7-year ... anemia and may ... #NEJM #clinical ... #photo #koilonychia
Xeropthalmia: Pathogenesis and Ocular Manifestations

Decr Visual pigment -> Keratinization, thickening & non-wetting of the conjunctiva
Pathogenesis and Ocular ... mucins with reduced tear ... conjunctiva) • Bitot's spots ... pathophysiology #ophthalmology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
cellulitis w/ black spots ... liver disease, iron ... hemochromatosis, hemolytic anemia ... can sequester iron ... legs #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 ... father to the ophthalmology ... The ocular findings ... #NEJM #clinical ... #photo #ophth #bitot
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 ... Differential #Diagnosis #Ocular ... #ophthalmology
Reversible Loss of Vision in Malignant Hypertension - Fundus examination revealed bilateral disk edema (Panel A,
black arrow), macular ... and cotton-wool spots ... B, arrow) and macular ... #Clinical #Ophthalmology ... SplinterHemorrhages #NEJM
Age Related Macular Degeneration: Pathogenesis and clinical findings

Photoreceptor atrophy 
-> Extracellular debris (drusen) from RPE atrophy/metabolism
Age Related Macular ... Amsler grid) - Macular ... RPE -> Loss of photo ... - Faded/blind spots ... pathophysiology #ophthalmology
Purtscher Retinopathy on Fundoscopy Ocular Examination

33 year-old who presents 2 weeks after car accident.  Fundus
on Fundoscopy Ocular ... Examination 33 year-old ... multiple cotton-wool spots ... #Ocular #PhysicalExam ... clinical #video #ophthalmology
Macular Hole from a Laser Pointer- Funduscopic examination of the left eye revealed a large macular
Macular Hole from ... revealed a large macular ... highlighted two spots ... #hole #ophthalmology ... #NEJM #LaserPointer