Possible Causes for flame shaped hemorrhage Central Retinal Vein Occlusion Fundus examination of the RE revealed whitening of the retina along the distribution of cilioretinal artery, sparing fovea, flame-shaped hemorrhages, and roth spots with minimally [ncbi.nlm.nih.gov] […] systemic hypertension, diabetes, arteriosclerosis, hypercoagulable states Patient reports acute or subacute monocular vision loss, sometimes with flickering ("scintillations") Flame-shaped [kellogg.umich.edu] None of the examined eyes had flame-shaped retinal hemorrhages in the periphery. All hemorrhages were rounded-dot or blot and were variable in size. [ncbi.nlm.nih.gov] Hypertensive Retinopathy Ophthalmoscopy showed bilateral optic disc edema, soft exudates, macular star, flame-shaped hemorrhages and arterial narrowing. [ncbi.nlm.nih.gov] Funduscopic examination shows arteriolar constriction, arteriovenous nicking, vascular wall changes, flame-shaped hemorrhages, cotton-wool spots, yellow hard exudates, and [msdmanuals.com] If acute disease is severe, the following can develop: Superficial flame-shaped hemorrhages Small, white, superficial foci of retinal ischemia (cotton-wool spots) Yellow hard [msdmanuals.com] Acute Hypertensive Retinopathy Funduscopic examination shows arteriolar constriction, arteriovenous nicking, vascular wall changes, flame-shaped hemorrhages, cotton-wool spots, yellow hard exudates, and [msdmanuals.com] Chronic HTN : Arteriovenous crossing changes (“AV nicking”), retinal arteriolar sclerosis (“copper” or “silver” wiring), cotton-wool spots, flame-shaped hemorrhages, arterial [medium.com] Pathophysiology Retinal hemorrhages (Figure 1-3) develop when necrotic vessels bleed into either the nerve fiber layer (flame shaped hemorrhage) or the inner retina (dot blot [eyewiki.aao.org] Subarachnoid Hemorrhage Aneurysmal subarachnoid hemorrhage (SAH) is a neurological emergency with high risk of neurological decline and death. Although the presentation of a thunderclap headache or the worst headache of a patient's life easily triggers the evaluation for SAH, subtle presentations are still missed. The gold standard for[…] [ncbi.nlm.nih.gov] Pheochromocytoma INTRODUCTION: Pheochromocytoma of the urinary bladder is a rare tumor and presents less than 0.06% of all urinary bladder tumors. CASE REPORT: We presented a 49-year-old female patient with a history of daily paroxysmal hypertension accompanied with flushing of the face and upper chest, palpitations and[…] [ncbi.nlm.nih.gov] Malignant Hypertension Malignant hypertension is the clinical syndrome of severe elevations in blood pressure and funduscopic hypertensive retinopathy, including bilateral flame-shaped hemorrhage [ncbi.nlm.nih.gov] It is defined clinically as high blood pressure (BP) levels associated with lesions of the retinal fundus (flame-shaped hemorrhages, exudates, or cotton wool spots, with or [ncbi.nlm.nih.gov] While Accelerated high blood pressure is condition with high blood pressure, target organ damage, on fundoscopy we have flame shaped hemorrhages, or soft exudates, but without [robertjrgraham.com] Arteriosclerotic Retinopathy Funduscopic examination shows arteriolar constriction, arteriovenous nicking, vascular wall changes, flame-shaped hemorrhages, cotton-wool spots, yellow hard exudates, and [msdmanuals.com] Pathophysiology Retinal hemorrhages (Figure 1-3) develop when necrotic vessels bleed into either the nerve fiber layer (flame shaped hemorrhage) or the inner retina (dot blot [eyewiki.aao.org] Certain retinopathies have classic signs (for example, peculiar fan shapes in sickle cell, dot and blot hemorrhages in diabetes, flame-shaped hemorrhages in high blood pressure [encyclopedia.com] Hypertensive Encephalopathy Note the flame-shaped hemorrhages, soft exudates, and early disc blurring. [emedicine.medscape.com] Fundoscopic appearance of grade IV hypertensive retinopathy, with papilloedema (1), arteriovenous nipping (2), flame-shaped hemorrhages (3), and soft (4) and hard (5) exudates [circ.ahajournals.org] Although papilledema is usually considered a more severe finding, it actually does not confer worse survival than hemorrhages and exudates alone. [8] Papilledema. [emedicine.medscape.com] Essential Hypertension 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] Branch Retinal Vein Occlusion Predominant hemorrhagic patterns were flame-shaped in 39 (67.2%) and non-flame-shaped in 19 (32.8%) eyes. [ncbi.nlm.nih.gov] Ophthalmologic examination disclosed bilateral conjunctival injection, flame-shaped hemorrhage in her right fundus, and scattered hemorrhage in her left fundus. [ncbi.nlm.nih.gov] Papilledema There will be bilateral disc swelling with flame-shaped hemorrhages around the disc, but not into the peripheral retina. [decisionmakerplus.net] Retinal Hemorrhage hemorrhages because they're deeper than flame-shaped hemorrhages. [optometricmanagement.com] Diabetic retinopathy tends to cause multiple pinpoint dot hemorrhages, whereas hypertensive retinopathy tends to be associated with larger flame shaped hemorrhages. [eyedolatryblog.com] Flame-shaped retinal hemorrhages occurred in five eyes of four patients within 24 hours of surgery. [ncbi.nlm.nih.gov] Papilledema Bilateral moderate optic disc edema with flame-shaped hemorrhages was observed. [ncbi.nlm.nih.gov] Papilledema with blurring of disc margins, disc hyperemia, and peripapillary flame shaped hemorrhages. Figure 4. Courtesy of Mr. David B. Bennett, CRA. [do-super.com.tw] Papilledema with blurring of disc margins, disc hyperemia, and peripapillary flame shaped hemorrhages. Fi gure 4. Courtesy of Mr. David B. Bennett, CRA. [antimicrobe.org] Normal-Tension Glaucoma Disc Hemorrhages Flame or splinter shaped, often with feathered ends, and is radially oriented and perpendicular to the disc margin Extends from within the optic nerve [slideshare.net] Characteristically, the following features may be more frequently seen in NTG compared to POAG: Flame shaped hemorrhages of the optic nerve rim (Drance hemorrhage) (see figure [eyewiki.aao.org] Signs The following features may be more frequently seen in NTG compared to POAG: - Flame shaped hemorrhages of the optic nerve rim (Drance hemorrhage) - Deep, focal notching [slideshare.net] Retinal Phlebitis - dilated and tortuous retinal veins, dot & blot as well as flame shaped hemorrhages, exudates, cotton wool spots, retinal and macular edema, and disc edema - in extreme [sites.google.com] Ophthalmoscopically, there are dilated and tortuous retinal veins, dot & blot as well as flame shaped hemorrhages, exudates, cotton wool spots, retinal and macular edema, [medicalstudy.blogspot.com] Flame-shaped hemorrhages were seen surrounding vessels in superotemporal quadrant [Figure 2]. The right eye fundus was unremarkable. [ojoonline.org] Diabetic Retinopathy […] similar to microaneurysms if they are small; they occur as microaneurysms rupture in the deeper layers of the retina, such as the inner nuclear and outer plexiform layers Flame-shaped [emedicine.medscape.com] hemorrhages: Splinter hemorrhages that occur in the more superficial nerve fiber layer Retinal edema and hard exudates: Caused by the breakdown of the blood-retina barrier [emedicine.medscape.com] […] diabetic retinopathy; these occur secondary to capillary wall outpouching due to pericyte loss; they appear as small, red dots in the superficial retinal layers Dot and blot hemorrhages [emedicine.medscape.com] Hypertensive Crisis Fundoscopy reveals hypertensive neuroretinopathy with striate (flame-shaped) hemorrhages, cotton-wool (soft) exudates, and often papilledema. [renalandurologynews.com] Grade 3 (white cotton wool spots, flame shaped hemorrhage and yellow white exudates) and grade 4 (papilledema along with hemorrhage and exudates) retina changes are cardinal [symptoma.com] The appearance of striate (flame-shaped) hemorrhage and cotton-wool (soft exudates) spots with or without papilledema (Figure 2) closely parallels the development of severe [renalandurologynews.com] Peripheral Vasoproliferative Retinopathy […] similar to microaneurysms if they are small; they occur as microaneurysms rupture in the deeper layers of the retina, such as the inner nuclear and outer plexiform layers Flame-shaped [emedicine.medscape.com] They may be seen throughout the fundus as flame-shaped, punctuate dot- or larger blot hemorrhages with irregular margins. [institut-vision.org] hemorrhages: Splinter hemorrhages that occur in the more superficial nerve fiber layer Retinal edema and hard exudates: Caused by the breakdown of the blood-retina barrier [emedicine.medscape.com] Neuropathy The optic disc appears pale and swollen; flame-shaped hemorrhages may be present. For more information, see Macular Edema, Diabetic. [emedicine.medscape.com] Pulmonary Arteriosclerosis Pathophysiology Retinal hemorrhages (Figure 1-3) develop when necrotic vessels bleed into either the nerve fiber layer (flame shaped hemorrhage) or the inner retina (dot blot [eyewiki.aao.org] The signs of optic neuropathy include flame shaped hemorrhages at the disc margin, blurred disc margins, congested retinal veins, papilledema, and secondary macular exudates [eyewiki.aao.org] Common hypertensive retinal changes are flame-shaped hemorrhages in the superficial layers of the retina and cotton-wool patches caused by occlusion of the precapillary arterioles [eyewiki.aao.org] Diabetes Mellitus Type 2 Rupture of intraretinal capillaries results in hemorrhage. If a superficial capillary ruptures, a flame-shaped hemorrhage appears. [emedicine.medscape.com] Cerebral Thrombosis In patients with SSS thrombosis, typically is the finding of flame-shaped, irregular zones of lobar hemorrhage in the parasagittal frontal and parietal lobes. [ncbi.nlm.nih.gov] Flame-shaped irregular zones of lobar hemorrhage in the parasagittal frontal and parietal lobes are typical findings in patients with superior sagittal sinus thrombosis and [pubs.rsna.org] Parenchymal hemorrhage can be seen in up to 30% of the CSVT cases. [ncbi.nlm.nih.gov] Retinal Edema Central retinal vein occlusion sometimes has been described as a “blood and thunder” appearance due to extensive flame-shaped hemorrhages throughout 2 (hemiretinal) or 4 quadrants [jamanetwork.com] Chronic Nephritis —An ophthalmoscopic examination may reveal the first evidence of Bright's disease, nephritic retinitis, flame-shaped hemorrhages being characteristic. [henriettes-herb.com] Radiation Retinopathy flame shaped hemorrhages inferotemporal arcade with in the OS ( Figure 2b ). [omicsonline.org] Dot-blot hemorrhages, flame shaped hemorrhages and sub-RPE hemorrhage. No hard exudate or neovascularization. [atlasophthalmology.net] Figure 2: The colour fundus photographs show circinate hard exudates (right eye) and flame shaped hemorrhages (left eye). [omicsonline.org] Vitreous Abscess There were multiple flame shaped hemorrhages on the inferior arcade and the inferotemporal retina was pale and elevated. [evrs.eu] dot, or blot hemorrhages. [hivinsite.ucsf.edu] (25-27) and in approximately 3% of patients with mildly symptomatic HIV disease.(20) They may involve both the nerve fiber layer and the deeper retina and may appear as flame-shaped [hivinsite.ucsf.edu] Benign Lipomatous Neoplasm […] finger-stick glucose check フィンガースティック血糖検査 fingertip plethysmography 指尖容積脈波 fingertip plethysmography 指プレチスモグラフ first phase insulin response 第1相インスリン反応 flaccid paralysis 弛緩性麻痺 flame-shaped [jds.or.jp] hemorrhage 火炎状出血 flatulence 鼓腸 flow mediated dilatation 血流依存性血管拡張反応 foam cell 泡沫細胞 foam cell formation 泡沫細胞形成 food composition table 食品成分表 food exchange list 食品交換表 food for [jds.or.jp] Retinal Perforation Reddy and Jackson reported that 49% of patients with acute lymphoblastic leukemia had retinopathy at diagnosis. [3] Typical retinal involvement of leukemia are round or flame-shaped [e-tjo.org] hemorrhages with white component, intraretinal hemorrhages, and cotton wool spots, comprising what is called leukemic retinopathy. [1] Although exudative retinal detachment [e-tjo.org] Lobar Pneumonia […] pain, CHF, clubbing, meningitis, low back pain, arthralgia, arthritis - formation of bulky, friable vegetations - 5mm Duke criteria: microemboli petechiae, red, linear, or flame-shaped [quizlet.com] […] streaks in the nail bed of the digits (splinter or subungual hemorrhages) erythematous or hemorrhagic lesions on the palms or soles (Janeway lesions) subcutaneous nodules [quizlet.com] Optic Nerve Infarction Fundus photography showed swelling of the optic nerve heads in the left eye more than the right eye and a flame-shaped hemorrhage with a white center superior to the left [healio.com] Interstitial Nephritis —An ophthalmoscopic examination may reveal the first evidence of Bright's disease, nephritic retinitis, flame-shaped hemorrhages being characteristic. [henriettes-herb.com]
