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Nervous System > Red Eye and Adnexal Oncology > Flashcards

Red Eye and Adnexal Oncology Flashcards

1
Q

What is uveitis?

A

Inflammation in the eye

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2
Q

What are the causes of uveitis?

A

Idiopathic
Associated with systemic disease
Infection
Masquerade

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3
Q

What systemic diseases can uveitis be associated with?

A 
Ankylosing spondylitis
Behcet's disease
Sarcoidosis 
Wegener's 
System lupus erythematosis
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4
Q

What infections can cause uveitis?

A 
TB
Syphilis 
Toxoplasma 
Herpes simplex
Lyme's disease
CMV
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5
Q

What can uveitis masquerade?

A

Intraocular lymphoma

Leukaemia

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6
Q

What is the treatment for uveitis?

A

Treat underlying infection
Topical anti-inflammatories
Systemic steroid
Systemic immunosuppressants

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7
Q

What are the symptoms of acute angle closure glaucoma?

A

Severe pain
Vomiting
Fixed, dilated pupil

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8
Q

What are the signs of acute angle closure glaucoma?

A

Mid dilated pupil non responsive to light

Hard eye

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9
Q

What are the features of preseptal cellulitis?

A

Pain
Redness
Lid swelling

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10
Q

What are the common causes for preseptal cellulitis?

A

Lid cyst

Insect bite

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11
Q

What are the features of orbital cellulitis?

A 
Pain, redness, lid swelling
Systemically unwell
Double vision/limitation in EOEM
Conjunctivitis/chemosis 
Exophthalmos
Blurred vision
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12
Q

What are the common causes for orbital cellulitis?

A

Sinusitis
Dental infections
Haematological spread

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13
Q

What (types of) systemic diseases can have ophthalmic presentations?

A 
Diabetes
Hypertension
Autoimmune
Inflammatory
Infection
Haematological
Inherited/genetic
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14
Q

What are some autoimmune systemic diseases that have opthalmic presentations?

A 
Rheumatoid arthritis 
Myasthenia gravis
Sjogren's syndrome
SLE
Grave's disease
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15
Q

What are some inflammatory diseases with ophthalmic presentations?

A

Ankylosing spondylitis
Crohn’s disease
Juvenile idiopathic arthritis
Sarcoidosis

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16
Q

What are some inherited/genetic conditions with opthalmic presentations?

A 
Albinism
Ehler's -Danlos
Marfan's
Myotonic dystrophy
Neurofibromatosis
17
Q

What are types of adnexal oncology?

A

Eyelid tumours
Lacrimal drainage tumours
Orbital tumours

18
Q

What types of benign eyelid tumours?

A 
Squamous cell papilloma
Basal cell papilloma
Melanocytic naevus
Actinic keratosis 
Pyogenic granuloma 
Keratocanthoma 
Capillary haemangioma
Cavernous haemangioma
19
Q

What are types of malignant eyelid tumours?

A 
Basal cell carcinoma
Squamous cell carcinoma
Sebaceous gland carcinoma
Melanoma
Kaposi sarcoma
Merkel cell carcinoma
20
Q

What are the clinical subtypes of basal cell carcinoma of the eyelid?

A

Nodular
Ulcerative
Morpheaform

21
Q

What are suggestive features of basal cell carcinoma of the eyelid?

A 
Slow, inexorable growth over months 
Usually non-pigmented, elevated, ulcerated
Pearly, rolled, irregular border 
Telangiectasia
Lack of tenderness
22
Q

What is the management of basal cell carcinoma of the eyelid?

A 
Standard excision - margin, primary vs delayed closure, Moh's surgery
Topical treatment
Chemotherapy 
Cryotherapy 
Radiotherapy 
Photodynamic therapy
23
Q

What is the sign of squamous cell carcinoma of the eyelid?

A

Scaly surface over a thick plaque

Growth over weeks rather than months

24
Q

What is the treatment of squamous cell carcinoma of the eyelid?

A

Excision

25
Q

What are the signs of sebaceous gland carcinoma of the eyelid?

A

Nodular, indurated lid margin
Yellowish discolouration
Pagetoid spread along conjunctiva

26
Q

What is the treatment for sebaceous gland carcinoma of the eye

A

Excision

27
Q

What are some benign orbital tumours?

A

Capillary haemangioma
Cavernous haemangioma
Optic nerve glioma

28
Q

What are some malignant orbital tumours?

A 
Lymphoma
Metastatic regional spread
Lacrimal gland carcinoma
Osteosarcoma
Liposarcoma
Primary melanoma

Nervous System (16 decks)

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