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Ophthalmology General a00a3833

Cotton wool spots are commonly seen in –a) AIDSb) DMc) Hypertensiond) CMV

A
ab
B
bc
C
acd
D
abc
High-Yield Explanation
Causes of soft exudates (cotton wool spots) All types of severe hypertension (hypertensive retinopathy) including renal disease, Toxemia of pregnancy. Diabetic retinopathy Collagen vascular disorders :- SLE, PAN, systemic sclerosis, scleroderma, wegener granulomatosis. Infections :- AIDS, septic retinitis (including SABE), rarely CMV retinitis in AIDS. Microembolization :- IV drug abuse, Post cardiac surgery, Fat embolism or Purtscher retinopathy. Other Eale's disease, Adults anemia (Hb < 6.6-8.0 g/d1), Pseudoxanthoma elasticum, Neoplasia (Leukemia, Hodgkin's disease), Sickle cell retinopathy, radiation retinopathy Now you must be thinking, why have I not included CMV in the answer? Read question carefully, examiner is asking about common causes. In CMV retinitis, cotton wool spots occur rarely.

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