Funduscopic examination of a patient with TIA may reveal what physical finding?
A. Hollenhorst plaques
B. Papilledema
C. Cotton-wool spots
D. A V nicking
A. Hollenhorst plaques
B. Papilledema
C. Cotton-wool spots
D. A V nicking
Ans. A. Hollen-horst plaques
On examination of the fundus, you may
see Hollenhorst plaques. These are cholesterol emboli that are lodged in the
retinal artery. They arise from an atheromatous plaque and contain both
cholesterol and fibrin. These emboli originate from plaques in the carotid
arteries, and auscultation of the carotid arteries may reveal bruits. The other
funduscopic findings are seen in both hypertensive and diabetic retinopathy.