Tuberous Sclerosis, Retinal Capillary Hemangioma Flashcards
You have a patient with a rash of their face and tumors on their fingernails. What would be the most likely retinal finding?
A) Astrocytic retinal Hemangioma
B) Retinal capillary hemangiomas
C) Retinal Cavernous Hemangioma
D) Choroidal hemangioma
A) Astrocytic retinal Hemangioma
You have a patient with a rash of their face and tumors on their fingernails. Fundus reveals multinodular tumors. What would be the most likely retinal finding? What if the fundus revealed a smooth flat surface?
A) Astrocytic retinal Hemangioma - Type I
B) Astrocytic retinal Hemangioma - Type II
C) Astrocytic retinal Hemangioma - Type III
1) B) Astrocytic retinal Hemangioma - Type II
2) A) Astrocytic retinal Hemangioma - Type I
You have a patient with a rash of their face and tumors on their fingernails. What would be the most likely neurological complications?
A) Hearing Loss, Tinnitus, Disequalibrium
B) Deafness, Imbalance, Weakness, Poor sight
C) Spontaneous Intracranial Hemorrhages
D) Visual spatial problem solving, language disorders, Attention deficit disorder
E) Mental Retardation, Seizures, Autism
E) Mental Retardation, Seizures, Autism
You have a patient with a rash of their face and tumors on their fingernails. What is a major clinical features of this disease?
A) Hypomelanotic macules B) Iris Sectoral depigmentation C) Multiple retinal hamartomas D) Pigmentary abnormalities E) Tortuous retinal vessels
C) Multiple retinal hamartomas
You have a patient with a rash of their face and tumors on their fingernails. How would this patient be ocular conditions be treated?
A. Monitor
B. Photocoagulation
C. Vitrectomy
D. Cryotherapy
A. Monitor, No Treatment
You have a patient that presents with multiple astrocytic retinal Hemangiomas. What would be the findings associated with this condition? Pick 3:
A) Facial Rash B) Mental Retardation C) Autism D) Hearing Loss E) Epilepsy
A) Facial Rash
B) Mental Retardation
E) Epilepsy
A 25 year old Caucasian presents with grey dot and tortuose vessels in mid periphery. They also present with a lesion that has two tortuous vessels connected to it. Which is not a major complication?
A. Traction Retinal Detachment B. Exudative Retinal Detachment C. Neovascularization D. Intraretinal Exudates E. Epiretinal Membrane
D. Intraretinal Exudates
All others are consistent with Peripheral Capillary Hemangioma
A 25 year old Caucasian presents with grey dot and tortuose vessels in mid periphery. They also present with a lesion that has two tortuous vessels connected to it. What is the most likely treatment? (Pick 2)
A. Monitor
B. Photocoagulation
C. Vitrectomy
D. Cryotherapy
B. Photocoagulation
D. Cryotherapy
A 25 year old Caucasian presents with diffuse greyish thickening that obscures the ON and intraretinal exudates. They also present with a lesion that has two tortuous vessels connected to it. Pick 2 True statements.
A. Prognosis Worse Than RCH
B. Prognosis Better than RCH
C. Treatment immediately
D. Treatment after exudation occurs
A. Prognosis Worse Than RCH
D. Treatment after exudation occurs
You have a 70 year old diabetic patient. Fundus examination reveals patient has a lesion with two connected tortuous blood vessels attached. Optic Nerve is normal. What is the Diagnosis?
A) Tuberous Sclerosis B) Retinal capillary hemangiomas C) Retinal Cavernous Hemangioma D) Juxtapapillary Capillary Hemangioma E) Von Hippel-Lindau Syndrome
E) Von Hippel-Lindau Syndrome
Systemic condition makes it Von Hippel Lindau.
You have a 70 year old diabetic patient. Fundus examination reveals patient has a lesion with two connected tortuous blood vessels attached. Opitc Nerve is normal. What would be the most likely neurological complications?
A) Hearing Loss, Tinnitus, Disequalibrium
B) Deafness, Imbalance, Weakness, Poor sight
C) Spontaneous Intracranial Hemorrhages
D) Visual spatial problem solving, language disorders, Attention deficit disorder
E) Mental Retardation, Seizures, Autism
A) Hearing Loss, Tinnitus, Disequalibrium
You have a 70 year old diabetic patient. Fundus examination reveals patient has a lesion with two connected tortuous blood vessels attached. Opitc Nerve is normal. What would be the most appropriate management/plan? (Pick 2)
A) Treatment Immediately
B) Treat after exudation occurs
C) Photocoagulation and Vitrectomy
D) Monitor Only
A) Treatment Immediately
C) Photocoagulation and Vitrectomy
