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  #1  
Old 05-30-2011
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Eye Funduscopic Images Question!

In which of the following we should start treatment with intravenous Ganciclovir?

Funduscopic Images Question!-screen-shot-2011-05-31-12.03.08-am.png
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A) image number 1
B) image number 2
C) image number 3
D) image number 4
E) image number 5
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  #2  
Old 05-30-2011
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guessing 3)
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  #3  
Old 05-30-2011
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I had a similar question in UW...but I donīt remember the picture
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  #4  
Old 05-31-2011
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yeah guessing 3! total fluk. only 3 looks a bit different than the others. rest look the same so yeah 3! lol
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  #5  
Old 05-31-2011
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#1 should be treated with antiviral- CMV retinopathy
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  #6  
Old 05-31-2011
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Quote:
Originally Posted by Claus_CU View Post
I had a similar question in UW...but I donīt remember the picture
me too and I chose the wrong answer!!!....I know it's "painful", but we must learn how to differentiate these images
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  #7  
Old 05-31-2011
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hey bebix..where are u getting all these pics from? lol
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  #8  
Old 05-31-2011
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Quote:
Originally Posted by kiki View Post
hey bebix..where are u getting all these pics from? lol
this particular pictures...from google images
btw, this is a very good Altlas of Ophthalmology
http://www.atlasophthalmology.com/at....jsf?locale=en

Last edited by bebix; 05-31-2011 at 07:30 AM.
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  #9  
Old 05-31-2011
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I am guessing A..
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Old 05-31-2011
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I am guessing 1; if you're giving IV Gangciclovir is it CMV retinitis?
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  #11  
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Default Correct answer.

Key answers

A) 1 = CMV retinitis
B) 2 = Candida retinitis
C) 3 = Retinitis pigmentosa
D) 4 = Papilledema
E) 5 = Cherry-red spot (this particular case has Tay-Sachs disease)

Sources:
www.atlasophthalmology.com/
http://redatlas.org/main.htm - @kiki I forgot to include this
and google image (papilledema)
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  #12  
Old 05-31-2011
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Great question! Covers a lot of the fundoscopic abnormalities we need to know
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  #13  
Old 05-31-2011
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Here is another picture of CMV Retinitis.

If there is retinitis along a vascular distribution, think CMV Retinitis, this a typical finding.

Funduscopic Images Question!-cmv_retinitis.jpg
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  #14  
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great pictures and a great review
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Old 05-31-2011
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Can someone please explain why you get a cherry red spot in different diseases?
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  #16  
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Smile

Quote:
Originally Posted by heights View Post
Can someone please explain why you get a cherry red spot in different diseases?
everithing about Cherry-red spot (with nice pictures)

Cherry-red spot_1.pdf
The "Cherry Red" Spot
Author: Kotagal, Suresh and Leavitt, Jacqueline A
Pediatric Neurology Vol: 37 Issue: 1 2007 Pages: 74 - 75

Cherry-red spot_2.pdf
Cherry-red spot
Author: Suvarna, J C and Hajela, S A
Journal of postgraduate medicine Vol: 54 Issue: 1 2008 Pages: 54 - 57
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  #17  
Old 06-11-2014
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Thank you!!

Also worth mentioning:
Toxoplasmosis - Chorioretinitis (part of the Toxo's triad as one of the ToRCHeS infections).

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