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Related Concept Videos

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
44
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

42
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

54
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
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Related Experiment Video

Updated: Oct 4, 2025

In Vivo Vascular Injury Readouts in Mouse Retina to Promote Reproducibility
07:35

In Vivo Vascular Injury Readouts in Mouse Retina to Promote Reproducibility

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Asymptomatic retinal emboli and current practice guidelines: a review.

Nicole Riese1, Yelena Smart1, Melissa Bailey2

  • 1Department of Optometry, VA New Jersey Healthcare System, Brick, NJ, USA.

Clinical & Experimental Optometry
|February 3, 2022
PubMed
Summary

Asymptomatic retinal emboli, often found during routine eye exams, are increasingly detected due to advanced imaging. This article outlines causes, diagnostic referrals, and management strategies for these silent vascular events.

Keywords:
Amaurosis fugaxHollenhorst plaqueasymptomatic retinal emboluscalcific plaquecholesterol embolus

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Area of Science:

  • Ophthalmology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Asymptomatic retinal emboli are identified in 1-3% of individuals during routine funduscopic examinations.
  • The increasing utilization of teleretinal imaging for diabetic patients and widespread ocular photography will likely lead to a higher incidence of detected asymptomatic retinal emboli.
  • Retinal emboli can originate from various systemic sources, necessitating thorough investigation.

Approach:

  • This article reviews the diverse etiologies of retinal emboli.
  • It provides an overview of recommended systemic testing and treatment protocols for patients with retinal emboli.
  • Emphasis is placed on effective communication between ophthalmologists and primary care physicians for optimal patient management.

Key Points:

  • Retinal emboli can be asymptomatic and detected incidentally.
  • The differential diagnosis for retinal emboli is broad, including cardiac, aortic, and carotid sources.
  • Prompt and appropriate systemic evaluation is crucial for identifying the underlying cause and preventing future events.
  • Collaboration with primary care physicians ensures comprehensive patient care.

Conclusions:

  • Early detection of asymptomatic retinal emboli warrants a systematic workup to identify potential cardiovascular or cerebrovascular disease.
  • Effective interdisciplinary communication is vital for timely diagnosis and management.
  • Management strategies should focus on risk factor modification and secondary prevention.