Q:

A patient with flame shaped hemorrhage on long term treatment with nifedipine. What is the single most likely diagnosis?

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A patient with flame shaped hemorrhage on long term treatment with nifedipine. What is the single most likely diagnosis?


  1. Macular degeneration
  2. HTN retinopathy
  3. MS
  4. DM background
  5. Proliferative DM retinopathy
  6. SLE

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The key is B. HTN retinopathy. [Stages of hypertensive retinopathy:

Grade 1: Silver wiring

Grade 2: 1 + AV nipping

Grade 3: 2 + flame shaped hemorrhage

Grade 4: 3 + optic disc edema + macular star].

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