Roth’s Spots, a clinical diagnostic clue for Infective Endocarditis

Abstract

An improved understanding of the implications of race on body satisfaction might optimize the weight loss process and quality of life in women with obesity. The findings of this study increased understanding of body satisfaction in women with obesity and have implications for addressing psychosocial factors within weight loss treatments across racial and at-risk groups. 24 Physicians' Views on a Wellbeing Course Gifted to Them: A Qualitative Study. Patricia Lynn Dobkin; Camila Velez Given concerns about staff burnout and distress, the Chief of the Department of Medicine sponsored the Physician Wellbeing program making it cost-free for doctors at a large academic medical setting. Ninety doctors registered within the one-year pilot project time frame. Following a Mind-Body Medicine online and Mindful Medical Practice workshop a qualitative study was conducted to identify physicians' views about the initiative.Physicians who agreed to take part following the workshops were the participants in the study. Physicians supported the integration of wellness programs into medical settings where stress is an inherent aspect of the work environment. They were grateful for the "gift" of being valued and supported by the administration.

From Bedside to Diagnosis: The Role of Ocular Fundus in Systemic Infections

“…In certain scenarios, the identification of systemic infections, such as endocarditis or TB, might initially surface during an ophthalmologic examination [29]. For example, in cases where endocarditis does not present clear valvular vegetations upon transthoracic echocardiography, ocular signs, such as Roth spots (retinal hemorrhages with a central white or pale center), could serve as initial diagnostic clues, encouraging further investiga-tions such as transesophageal echocardiogram [30,31]. Similarly, in TB, choroiditis might provide early indications of the disease, especially when other systemic signs are subtle or gradually progressive.…”

Roth Spot and a Homonymous Hemianopsia as the Presenting Manifestation of Polyarteritis Nodosa

“…Classical teaching associates Roth spots with SBE but other causes include vasculitis from any etiology, sepsis, hypertension, infections including HIV, blood dyscrasias (anemia, leukemia, and thrombocytopenia), and trauma (3). Roth spots are not sensitive for SBE and are found in less than 5% of SBE cases (5).…”