Answer :USMLE step 2 Mcq 219:a patient on systemic anticoagulation develops diffuse bruising




Correct Answer: A

Subconjunctival hemorrhage usually occurs secondary to trauma, although the patient may be unaware of the minor trauma involved. In patients receiving anticoagulant medications, spontaneous subconjunctival hemorrhage may be a sign of overdosage. Massive subconjunctival hemorrhage accompanied by proptosis and limited extraocular movements, usually after trauma, signals orbital hemorrhage, which may compromise the optic nerve and retinal circulation.


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