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  #1  
Old 09-14-2011
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Eye bilateral multiple white spots surrounded by hemorrhage on funduscopy

64 years old female came to physician because of malaise high fever, low back pain. Fundoscopic examination shows bilateral multiple white spots surrounded by hemorrhage. Which of the following is the most likely cause

a) Diabetes Mellitus
b) Crohn's Disease
c) Bacterial endocarditis
d) Glaucoma
e) urosepsis
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  #2  
Old 09-14-2011
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E.urosepsis
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  #3  
Old 09-14-2011
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Diabetes mellitus maybe?
due to sorbitol accumulation?

not sure at all

...nah, it would not give fever, so I'd go with E)Urosepsis
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  #4  
Old 09-14-2011
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Roth's spots of endocarditis
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Old 09-14-2011
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Roth's spot, Seen in Endocarditis. I.e. Retinal Infarcts
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Old 09-14-2011
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Roth's spot in bacterial endocarditis.

bilateral multiple white spots surrounded by hemorrhage on funduscopy-images.jpg
click image to enlarge
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  #7  
Old 09-15-2011
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bacterial enddocarditis...
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Old 09-15-2011
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c) Bacterial endocarditis
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Old 09-15-2011
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Cool

diabetes mellitus
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  #10  
Old 09-15-2011
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C - Bacterial Endocarditis
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  #11  
Old 09-15-2011
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Correct Answer

Yes guys its Bacterial endocarditis.

High fever clinches the diagnosis against diabetes mellitus.
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  #12  
Old 09-15-2011
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I go for Roth's spots
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