Ophthalmology (fundoscopy) Flashcards

(57 cards)

1
Q

Describe what you see. What would you do next?

A

Bilateral facial wasting with hollow cheeks
Ptosis
Frontal baldness
Left exotropia

Shake his hand

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2
Q

What is the pathology?

A

Stellate posterior cortical cataract

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3
Q

Describe what you see. What would you like to do next?

A

Multiple skin lesions
Size - a few mm to several cm
Colour - pink to skin coloured
Shape - dome-shaped (may be pedunculated)

Enquire about a family history then full body
examination for other skin lesions + slit lamp examination

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4
Q

What is the pathology?

A

Lisch nodules

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5
Q

What is the pathology?

A

Optic glioma

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6
Q

Describe what you see? What would you do next?

A

Peri-orbital swelling
Prominent eyes (proptosis + lid retraction)
Staring/frightened appearance of eyes
(Kocher sign) on focusing
Conjunctival injection

Enquire about tremor, heat intolerance +
examine thyroid & pulse

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7
Q

Describe what you see. What would you do next?

A

Bilateral lilac eyelid discolouration
Swelling of eyelids and peri orbital skin

Examine hands

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8
Q

Describe what you see. What would you do next?

A

Arachnodactyly
Wrist: little finger and the thumb overlap
Thumb: entire distal phalanx is visible beyond the ulnar border of the hand

Examine his chest, eye, hard palate

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9
Q

What is the pathology?

A

Scleromalacia perforans

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10
Q

What is the pathology?

A

Peripheral ulcerative keratitis

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11
Q

What is the pathology?

A

Granulomatous anterior uveitis

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12
Q

What is the pathology?

A

Posterior synechiae

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13
Q

What is the pathology?

A

Posterior uveitis

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14
Q

What is the pathology?

A

Vortex keratopathy

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15
Q

What is the pathology?

A

Bulls eye maculopathy

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16
Q

What is the pathology?

A

Symblepharon

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17
Q

What is the pathology?

A

Herpetic keratitis (dendritic ulcer)

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18
Q

What is the pathology?

A

Adenoviral keratitis

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19
Q

What is the pathology?

A

Preseptal cellulitis

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20
Q

What is the pathology?

A

Orbital cellulitis

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21
Q

What is the pathology?

A

Endophthalmitis

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22
Q

What is the pathology?

A

Branch retinal artery occlusion

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23
Q

What is the pathology?

A

Central retinal artery occlusion

24
Q

What is the pathology?

A

Retinal vein occlusion

25
What is the pathology?
Vitreous Haemorrhage
26
What is the pathology?
Pathologic Myopia
27
What is the pathology?
Rhegmatogenous retinal detachment
28
What is the pathology?
Non-rhegmatogenous retinal detachment
29
What is the pathology?
Posterior Vitreous Detachment
30
What is the pathology?
Epiretinal Membrane
31
What is the pathology?
Macular Hole
32
What is the pathology?
Chorioretinitis
33
What is the pathology?
Ischaemic Optic Neuropathy
34
What is the pathology?
Papilloedema
35
What is the pathology?
Glaucoma
36
What is the pathology?
Wet ARMD
37
What is the pathology?
Dry ARMD
38
What is the pathology?
Uveitis
39
What is the pathology?
Blepharitis
40
What is the pathology?
Episcleritis
41
What is the pathology?
Allergic conjunctivitis (conjunctiva looks like it would flow over the lids)
42
What is the pathology?
Bacterial conjunctivitis
43
What is the pathology?
Viral conjunctivitis
44
What is the pathology?
Scleritis
45
What is the pathology?
Central Serous Chorioretinopathy
46
What is the pathology?
’Christmas Tree’ (Polychromatic)
47
Using terms such as disc, vessels, fundus background and macula - what is seen on a normal fundoscopy?
**Disc** Margins are sharp Colour: orange-pink donut with a pale centre (devoid of retinal tissue) Shape: round or oval Cup-to-disc ratio of less than 0.5 (0.2) **Vessels** Vessels emerge from nasal side of disc AV crossing: no nicking No arterial light reflex **Fundus background** No exudates or hemorrhages Colour: red to purplish **Macula** Macula is located 2.5 disc diameters temporal to disc No vessels are noted around Macula
48
What is the pathology?
Central retinal artery occlusion
49
What is the pathology?
Central retinal vein occlusion
50
What is the pathology?
Branch retinal vein occlusion
51
What is the pathology?
Retinal detachment
52
What is the pathology?
Vitreous haemorrage
53
What is the pathology?
PVD - Weiss ring
54
What is the pathology?
Dry ARMD
55
What is the pathology?
Wet ARMD (subretinal haemorrhage)
56
What is the pathology?
Pre-proliferative retinopathy (cotton wool spots, hard exudates and dot blot haemorrhages)
57
What is the pathology?
Proliferative retinopathy (widespread neovascularization)