Roth spots are retinal hemorrhages with white or pale centers, often seen in various medical conditions, particularly related to infection or systemic inflammation. They are named after Swiss physician Moritz Roth, who first described them. Roth spots are associated with several conditions such as:
In the context of the given options, Roth spots are particularly seen in acute leukemia. Leukemia is a type of blood cancer affecting white blood cells, and in acute forms, it results in rapid production of abnormal cells that accumulate in the blood and can lead to various symptoms, including those affecting the eyes like Roth spots.
A patient presents with no pulse, and the ECG shows the following rhythm. What is the next appropriate step?
Identify the ulcer: