Question
A 68-year-old woman has had chronic renal failure for 10 years and has been on hemodialysis. She had a myocardial infarction last year. The figure shows findings characteristic for her retina. These retinal changes are most characteristic for what disease?
A. |
Amyloidosis
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B. |
Diabetes mellitus
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C. |
Malignant hypertension
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D. |
Polycystic kidney disease
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Show Answer
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Correct Answer � B
Explanation
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|
Answer: B Diabetes mellitus
Microaneurysms in the retinal vessels are seen in individuals with diabetes mellitus.
Several other changes also can occur in diabetes, including hemorrhages, arteriolar hyalinization, cotton-wool spots, neovascularization, and fibroplasia.
This patient’s renal failure and cardiovascular disease are typical of diabetes mellitus. All other conditions listed also can cause renal failure, but retinal microaneurysms are not seen.
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