Look into the patients eyes

Do not ignore physical examination of your patient. It's interesting. For example, today's case: about 70 years old male, CABG procedure. What symptom do you see? Answer is under the spoiler )


arcus senilis



ANSWER:
Arcus senilis (or arcus senilis corneae) is a white, grey, or blue opaque ring in the corneal margin (peripheral corneal opacity), or white ring in front of the periphery of the iris. It is present at birth but then fades; however, it is quite commonly present in the elderly. It can also appear earlier in life as a result of hypercholesterolemia So it is sign of diffuse atherosclerosis.

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