Fundoscopy Quiz
Wuchereria got this for his PACES Singapore exam last year.
What is your diagnosis?
Labels: Fundus, Quiz series, Station 5
MRCP is well establised as an entry exam for advanced specialist training in many countries including Malaysia. It consists of 3 paper i.e. Part1, Part2(written tests) and PACES. PACES in full means Practical Assessment of Clinical Examination Skills. It is the third part and the candidate is assessed by fellows of RCP. I passed my PACES in 2005. I am glad that many seniors had guided me throughout my preparation for PACES and I wish to share my experiences with PACES candidates via this blog.
Labels: Fundus, Quiz series, Station 5
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10 Comments:
This fundus showed flame hemorrahges,soft exdutes and papilloedema ,all sunm up to grade 4 hypertensive retinopathy.With differential such as diabetes,leukemia and hemoglobinopathy.
Any other thoughts?
I think it is central retinal vein occlusionn..
Bingo
How to differentiate hypertensive retinopathy grade 4 from CRVO ?.They both have many features in common.
That's wright, and even both can share some features of Diabetic retinopathy. BUT, CRVO is almost always Unilateral and the other 2 conditions as bilat.
cenral retinal vein thrombosis. there are multiple haemorrhages in line with blood vessels
grade 4 retinopathy
papellidema, retinal hge
look for signs of intracranial HTN,
The central vein oclussion i really characteristic that you see a patern call fire and blood cos literally you can see hemorrahges in form of flames and the background seems so yellow
Medicine Student from Colombia
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