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(Left panel) Left upper extremity brachiocephalic arteriovenous fistula with skin degeneration and oozing. (Right panel) Ocular examination findings showing improvement from the time of presentation. Arrow points to hypopyon in each image (resolved by day 4). Intravitreal antibiotics were administered at presentation, and consequent subconjunctival hemorrhage can be seen in the subsequent images.

Keep an Eye on the Eye Symptoms of Your Dialysis Patient

  A 73-year-old man with a history of end-stage renal disease (on hemodialysis for 6 years), hypertension, and diabetes mellitus type 2 presented with worsening pain and swelling of the left upper extremity brachiocephalic arteriovenous fistula. The patient was having night sweats for a few days prior to presentation. He was started on intravenous cephalosporin […]

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Still frame of long-axis parasternal view on 2-dimensional color flow transthoracic echocardiogram showing severe aortic regurgitation. as depicted by arrow. The thick arrow at the bottom depicts the point of recording of the diastolic frame. AO = ascending aorta; LA = left atrium; LV = left ventricle.

‘Landolfi’s Sign’—Eyes Don’t See What the Mind Does Not Know!

To the Editor: A 60-year-old woman was admitted with progressively worsening dyspnea on exertion associated with intermittent lightheadedness and palpitations. On physical examination, a 3/6 diastolic decrescendo murmur was audible along the left sternal border. The murmur was most prominently heard in the left third intercostal space at end expiration with the patient in the […]

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Golden Eye

Golden Ring in Eyes: All That Glitters Is Not Gold! A 20-year-old man presented with progressive ascites with pedal edema. On evaluation, he was found to have cirrhosis of the liver with splenomegaly due to portal hypertension. He was nonalcoholic, and viral markers were negative. His clinical examination revealed a golden brown ring at the […]

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