Ophthamology Flashcards
A patient describes his vision loss is a curtain coming down and then going back up. What might the diagnosis be?
Amaurosis fugax or retinal detachment
What is Reiter syndrome?
Triad of arthritis, conjunctivitis and urinary tract symptoms. Reactive arthritis is precipitated by antecedent gastrointestinal and genitourinary infections and manifests as an asymmetric sterile oligoarthritis, typically of the lower extremities. It is frequently associated with enthesitis. Extra-articular manifestations are common and include urethritis, conjunctivitis, uveitis, and mucocutaneous lesions. Reactive arthritis occurs most commonly in young men and is associated with HLAB27 in 80% of white patients and 50–
A patient presents with a painful, red nodule on the eyelid. What diagnosis should you be thinking of? What treatment should you begin with?
Hordeolum (sty). Warm compress and progress to topical antibiotics if necessary.
A fundal exam shows a cherry red spot. What diagnosis should you be thinking of?
Central retinal artery occlusion
A patient presents with unilateral blurriness developing over a few days. Fundal exam shows a “blood and thunder” pattern. What is the most likely diagnosis?
Central vein occlusion
What is the #1 cause of retinal artery occlusion?
Carotid atherosclerotic disease.
What is the yellow, brown fleshy mass on the conjunctiva which usually does not interfere with vision?
Pinguecula
What is the name of the test for dry eyes?
Schirmer’s test
A fundal exam shows opalescent retina and boxcarring of the arterioles. What is the most likely diagnosis?
Central retinal artery occlusion
You notice a bowing of the iris on exam. What is the most likely diagnosis?
Glaucoma
What is the term for being nearsighted? What type of the lens do you use to correct it?
Myopia, concave lenses
