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126 Possible Causes for Cotton Wool Spots, Headache, Malignant Hypertension

  • Preeclampsia

    The patient may experience severe headaches; pain in the stomach, dizziness and shortness of breath.[symptoma.com] This ischemic state can manifest as reduced arteriolar caliber and arteriovenous ratio, retinal haemorrhages, oedema and cotton wool spots secondary to arteriolar damage,[eyewiki.aao.org] TMA is a term used to describe a group of clinically diverse entities, such as hemolytic uremic syndrome and malignant hypertension, among others, that are defined by a primary[jasn.asnjournals.org]

  • Malignant Hypertension

    A 62-year-old man with a history of hypertension was referred secondary to bilateral temporal scotomas and persistent headache for 3 days.[ncbi.nlm.nih.gov] Cotton-wool spots, or cytoid bodies, are not exudates, but rather are retinal infarcts. Hypertensive optic neuropathy is a late finding.[ncbi.nlm.nih.gov] The case of a 6-year-old girl who presented with a prolonged history of general malaise, headaches and abdominal pain is reported.[ncbi.nlm.nih.gov]

  • Hypertensive Crisis

    Headache was the most common symptom (54.5%), followed by dizziness (45.5%), nausea/vomiting (36.4%) and chest pain (29.1%).[ncbi.nlm.nih.gov] A dilated fundus examination showed improvement in hemorrhages and cotton-wool spots.[reviewofoptometry.com] […] neuroretinopathy indicative of malignant hypertension.[renalandurologynews.com]

  • Hypertensive Encephalopathy

    Three patients are described who experienced headache from hypertension: one had acute headache from acute hypertension, one had daily, morning headaches from chronic hypertension[ncbi.nlm.nih.gov] On ophthalmoscopy, grade IV retinal changes are associated with hypertensive encephalopathy, [7] including papilledema, hemorrhage, exudates, and cotton-wool spots (see the[emedicine.medscape.com] Test results led to a diagnosis of malignant hypertension.[ncbi.nlm.nih.gov]

  • Hypertensive Retinopathy

    A 31-year-old woman presented with severe bilateral visual acuity loss associated with headaches and photophobia.[ncbi.nlm.nih.gov] , presents with a ‘wet’ retina (multiple hemorrhage, multiple exudate, extensive edema, and few cotton wool spots).[web.archive.org] Malignant hypertensive retinopathy is a rare, but serious, complication of uncontrolled systemic hypertension for which no treatment has been established yet.[ncbi.nlm.nih.gov]

  • Acute Hypertensive Retinopathy

    Common early symptoms of hypertension include headache, dizziness, tinnitus, and chest discomfort.[amboss.com] Image in 2012: Three years later, the cotton-wool spot completely vanished.[atlasophthalmology.net] Design and method: Consensus from a working group on ’malignanthypertension.[journals.lww.com]

  • Papilledema

    Abstract Headaches associated with papilledema may be both life-threatening as well as vision-threatening.[ncbi.nlm.nih.gov] wool spots In chronic phase , optic disc elevation and blurred margins, but no hemorrhages or cotton wool spots In atrophic phase (optic nerve axons have died), optic disc[kellogg.umich.edu] ., bacterial, viral, TB) * Malignant hypertension * Pre-eclampsia Optic disc swelling not due to increased ICP * Pseudopapilledema (the vessels traversing the disk margins[checkorphan.org]

  • Essential Hypertension

    Our cases showed arteriolar involvement and clinical symptoms characterized by headaches, dysesthesias, fleeting paralysis, personality changes, intellectual impairment and[annals.org] We describe a case of bilateral papillophlebitis with disc edema, scattered cotton-wool spots, flame-shaped hemorrhages, and exudates around the optic discs and in the macula[ncbi.nlm.nih.gov] Clues from the history Clues from physical examination Clues from initial investigations Malignant stage hypertension 9.[slideshare.net]

  • Multiple Myeloma

    A 72-year-old man, who had been in complete remission from multiple myeloma for 1 year after treatment that included lenalidomide, presented with confusion, headache, nausea[ncbi.nlm.nih.gov] Physical Examination On head, ears, eyes, nose, and throat (HEENT) examination, the eyes may show exudative macular detachment, retinal hemorrhage, or cotton-wool spots.[emedicine.medscape.com] Malignant melanoma Renal cell carcinoma Toxicity, cocaine and other sympathomimetic agents Vascular malformations Neuroimaging of vascular malformations and hematomas of[emedicine.medscape.com]

  • Polyarteritis Nodosa

    A 20-year-old man presented with diplopia, headaches, chronic abdominal pain, and weight loss.[ncbi.nlm.nih.gov] In the posterior pole, this may manifest as hypertensive retinopathy replete with macular star formation, cotton-wool spots, and intraretinal hemorrhage in patients with renal[aao.org] IMAGING FINDINGS Initial imaging workup of her malignant hypertension and seizures included a duplex renal ultrasound and MRI of the brain.[appliedradiology.com]

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