Tuesday, August 28, 2007

Quiz Fundus


What is the diagnosis ?
What are the causes ?
How to treat ?

5 comments:

  1. Acute retinal arterial ischaemia
    due to thrombembolic disease
    first to start ,we have to detect primary source of embolus by echocardiogram ,internal carotid doppler ultrasound....
    then investigate for throbophilia.

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  2. Yes, the fundus is pale with cherry red spot at the macula, the arterioles are thin and scanty. Diagnosis of CRAO.
    Clinically look for carotid bruit, AF, heart murmurs.
    What is the diagnosis if this patient complaints of headache ? What are the
    2 investigations you would offer ?

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  3. The patient must be having Giant Cell Arteritis, so I will proceed to check ESR and temporal artery biopsy. At the same time I would start high dose steroids to prevent visual loss in the other eye.

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  4. well headach can be caused by
    *CTD like SLE,RA
    *vasculitis like WG,CSS,PAN..TA
    *TIA with amourosis fugax
    so we need to look for relevant clinical features,then send for the following investigations:
    CBC,ESR,cANCA ,ANF,DsDNA,S.chol,FBS,GUE,LFT,RFT
    ..

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  5. Well done medtoddler. straight to the point !

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