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243 Possible Causes for Cotton Wool Spots, Headache, Retinal Hemorrhage

  • Retinopathy

    Some patients might report reduced vision or headaches.[symptoma.com] An ocular examination revealed multiple retinal cotton-wool spots and hard exudates. Interferon treatment was suspended.[ncbi.nlm.nih.gov] Case 1 highlights extensive choroidal detachment with subhyaloid haemorrhage and multiple intra-retinal hemorrhages in the posterior pole seen on first post-operative day[ncbi.nlm.nih.gov]

  • Multiple Myeloma

    CONCERNS AND DIAGNOSES: Herein, we describe an extraordinary rare case of multiple myeloma with initial presentation of a left sphenoid neoplasm resulting in left-sided headache[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] Sludging in the capillaries resulting in purpura, papilledema, central nervous system symptoms, retinal hemorrhage, or coronary ischemia can occur.[symptoma.com]

  • 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] A 42-year-old woman presented with headache and nausea. Severe hypertension, renal dysfunction, thrombocytopenia, and anemia were present.[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] This can lead to arteriolar necrosis, retinal edema, cotton-wool spots, hemorrhage, and disc edema.[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] , and multiple superficial and deep retinal hemorrhages. ( A ) right eye; ( B ) left eye.[dovepress.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] Ophthalmoscopic examination reveals engorged and tortuous retinal veins, a hyperemic and swollen optic disk (optic nerve head), and retinal hemorrhages around the disk but[merckmanuals.com]

  • 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] Other differences in the two conditions are that eclampsia may be seen in the absence of hypertension and that retinal hemorrhages and infarcts are rare in eclampsia.[health.am]

  • 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] hemorrhages CV: Acute MI/ACS, Acute LV dysfunction/flash pulmonary edema, Acute aortic dissection Renal: Acute renal failure, hematuria, proteinuria Heme: Microangiopathic[errolozdalga.com]

  • Diabetic Retinopathy

    Late-stage diabetic retinopathy symptoms include: Blurred vision Eye strain Headaches. Causes Diabetic retinopathy is an eye disease caused by complications of diabetes.[betterhealth.vic.gov.au] The first signs of nonproliferative retinopathy are Capillary microaneurysms Dot and blot retinal hemorrhages Hard exudates Cotton-wool spots (soft exudates) Hard exudates[merckmanuals.com] We present the case of an early stage diabetic retinopathy patient presented with retinal hemorrhages in the superior temporal area and disc hemorrhages of disc nasal area[ncbi.nlm.nih.gov]

  • Intracranial Hypertension

    Headache. 1992 Feb;32(2):84-94. Review. PubMed PMID: 1551793. Askmark H, Lundberg PO, Olsson S. Drug-related headache . Headache. 1989 Jul;29(7):441-4.[headachejournal.org] Fig. 3 Chronic papilloedema: note that haemorrhages, exudates and cotton wool spots have disappeared.[bmb.oxfordjournals.org] Funduscopic exam findings including: papilledema, loss of venous pulsations and retinal hemorrhages. 4. Seizures. 5.[clinicaladvisor.com]

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