Assessment/DDx Cards (AED) - less obvious ones Flashcards

1
Q

.Name, how would you assess? (2)

A

Naevus: Benign ocular pigmented lesion

FAT and photos for yearly review

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2
Q

Name, How would you assess? (3)

A

Congenital melanocytosis

FAT, photos, DFE check for choroidal melanoma

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3
Q

Name, Ax (4)

A

Primary Acquired Melanosis (PAM):

FAT, photos of small lesions - monitoring for change; Biopsy if indicated (e.g. at limbus, corneal involvement, overgrowth in one eye); Check motility (like with all lumps/bumps really, you get the point)

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4
Q

Name, Ax (1)

A

Kaposi’s sarcoma:

Look for multiple lesions, lid eversions/gazes

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5
Q

Name, Ax (5)

A

Sturge-Weber Syndrome

SL
Lid eversion
IOP
Gonio
DFE

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6
Q

.Name, Ax (1)

A

Cyst of Moll/sweat glands

Ax: direct slit lamp

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7
Q

Name, Ax (1)

A

Cyst of Zeis Gland - Opaque lesion

Ax: Direct slit lamp

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8
Q

Name, ax (5)

A

Stye/Hordeolum

Ax:
VA
Touch (tender, firm, mobile)
Slit lamp (lid eversion, NaFl)
Size
Photodocuments

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9
Q

Name, ax (1)

A

Chalazion

Ax:

Rule out sinister lesion (e.g. sebaceous gland carcinoma) (with biopsy presumably)

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10
Q

Name, ax (1)

A

Sebaceous gland carcinoma

Ax: biopsy to check for ddx

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11
Q

Name, ax (2)

A

Molluscum contagiosum

Check eyebrows
Ensure no lymphadenopathy

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12
Q

name, ax (1)

A

Keratoacanthoma

Biopsy of keratin core

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13
Q

Name, ax (1)

A

Xanthelasma

Ax: assess systemic lipid profile

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14
Q

Solar or Actinic Keratosis: how do you assess? (2)

A

Photos to look for change
Biopsy for signs of malignancy

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15
Q

Name, Ax (4)

A

Neurotrophic keratopathy

Ax:

Identify underlying cause
Hx, SL (incl. lids), NaFl, wratten filter
Tear workup
Corneal sensitivity test - poke eye with cotton bud (compare with good eye)

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16
Q

Name, Ax (3)

A

Bullous Keratopathy:

Identify underlying cause
Hx, SL (incl. lids), NaFl, wratten filter
Specular microscopy

17
Q

Name, Ax (5)

A

Marginal Keratitis

Hx, SL, NaFl, Lids, Anterior Chamber

18
Q

Name, ddx (4), Ax (1)

A

Mooren’s ulcer

ddx:
Other peripheral ulcerative change (RA, Wegener’s)
Microbial keratitis
HSV limbitis
HZV

Ax: Establish if peripheral cornea vascularisation is old, new or significant

19
Q

What’s this? Ax (1)

A

Vortex Keratopathy

Determine cause (full ocular examination incl dilation, if suspected to be drug induced)

20
Q

What is this? How do you assess? (6)

A

Ecchymosis

Hx for precipitating event (e.g. trauma, HTN, haemophillia, physical stress, drugs)
Slit lamp (AC and internal exam depending on hx)
Ensure there is an edge to the bleed
If no edge –> refer for scan
Worst case scenario = bleeding into cavernous sinus
Pupils, eye movements, IOP (depending on hx), BP

21
Q

What’s this condition called? How can you assess? (6)

A

Superior limbic keratoconjunctivits

Hx (recurrent events, thyroid symptoms, CL wear)
Slit lamp (effron grading), incl. lid eversion + fluoroscein
Lid eversion will show inflamed superior limbus + changes to bulbar and palpebral conj
Can be diagnosing feature of thyroid disease
Dry eye workup
Document

22
Q

What’s this? How can you assess? (3)

A

Bacterial conjunctivitis

Slit lamp + fluorescein, evert lids
Document
Conjunctival swab if severe

23
Q

What’s this? How can you assess? (2)

A

Bacterial Conjunctivitis (gonococcal)

Slit lamp/lids
Conjunctival swab + lab analysis = ESSENTIAL (important to exclude for corneal involvement)

24
Q

What’s this? What differential diagnosis exist for this? (4)

A

Pharynogoconjunctival fever (PCF)

DDx: EKC, Molluscum contagiosum conjunctivitis, Allergic conjunctivitis, Topical drug hypersensitivity

25
Q

What’s all this? What differential diagnoses exist for this? (3)

A

Trachoma

DDx: AIC, Other causes of conjunctival cicatrisation, Other causes of superior corneal pannus

26
Q

Name, What ddx exist for this? (3)

A

Adult inclusion conjunctivitis (AIC)

DDx: Adenoviral keratoconjunctivitis, Herpes simplex keratitis, Trachoma

27
Q

Name, what ddx exist for this? (4)

A

Anterior blepharitis

DDx:
Posterior blepharitis
Trachoma - differentiate by no scarring on inner lid
Basal, squamous or sebaceous cell carcinoma
Dry eye syndrome

28
Q

What’s this? How can you assess? (2)

A

Posterior blepharitis

Ax: as for anterior bleph (slit lamp incl. lid margins ocular surface with fluorescein, symptomalogy, skin assessment as well as gland expression