14188793
Descripción
Fichas por Averil Tam, actualizado hace más de 1 año
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Creado por Averil Tam
hace casi 6 años
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| Pregunta | Respuesta |
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1. This child is most likely wearing a patch on his right eye because:
a) He has left amblyopia
b) He has had an injury to his right eye
c) He has diplopia
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Eye Q1 (binary/octet-stream)
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A |
| 2. The amount of patching needed for amblyopia is: a) Decided by what the ophthalmologist thinks is necessary b) Depends on the age of the child c) Follows evidence based guidelines | C. PEDIG studies. |
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3. This child presents with strabismus since birth. Mx?
a. Wait until the child grows out of the strabismus
b. Refer the child to an ophthalmologist for assessment
c. Refer if not improving in 6-12 months
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B |
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4a) What is the diagnosis?
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Preseptal cellulitis |
| 4b) What is your management? | Moderate-severe pre-orbital cellulitis, hence admit to hospital and treat with IV antibiotics (cefotaxime/flucloxacillin/clindamycin). If mild can consider oral cephalexin with safety net. |
| 4c) How do you differentiate preseptal cellulitis from orbital cellulitis? | Orbital proptosis, limitation of movement, unwell child |
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5. Presents with bilateral conjunctivatis starting day 4-5, persistent.
a) What is the diagnosis?
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Bacterial conjunctivitis, likely Strep/Staph/Haemophilus. |
| 5. Presents with bilateral conjunctivatis starting day 4-5, persistent. b) How do you manage? | Keep eye clean, topical antibiotics, infection control measures. |
| 5. Presents with bilateral conjunctivatis starting day 4-5, persistent. c) When do you use steroid eye drops? | Never - risk of acute glaucoma. |
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6a) When a patient presents with a white pupil, what diagnosis do you need to exclude?
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Retinoblastoma |
| 6b) How soon would you refer this child? | Today - urgently |
| 6c) What is the differential diagnosis? | Cataracts, other rare causes (persistent fetal vasculature, Coats' disease, endophthalmitis). |
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7. GT, age 7 months, bilateral epiphora and discharge since birth.
a) What is the most likely diagnosis?
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Nasolacrimal duct obstruction |
| 7. GT, age 7 months, bilateral epiphora and discharge since birth. b) Management? | Conservative - bathe and massage. |
| 7. GT, age 7 months, bilateral epiphora and discharge since birth. c) Differential diagnosis? | Check other causes - glaucoma, in turning lashes, foreign body. |
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