Management of Leukocoria in a newborn! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 10-07-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 515
Threads: 88
Thanked 508 Times in 232 Posts
Reputation: 518
Kids Management of Leukocoria in a newborn!

15 month old baby at routine checkup examination, Left eye showed Leukocoria, physical examination unremarkable. What is best next step in the management of this baby?
1. Retinal biopsy.
2. CT scan.
3. Hirschberg test.
4. Screen for galactosemia & congenital infection.
5. Screen family member.
Reply With Quote Quick reply to this message
The above post was thanked by:
dryogi (10-08-2011), step1an (10-07-2011)



  #2  
Old 10-07-2011
Valkyrie's Avatar
USMLE Forums Scout
 
Steps History: Not yet
Posts: 11
Threads: 0
Thanked 4 Times in 2 Posts
Reputation: 14
Default

1. retinal biopsy
Reply With Quote Quick reply to this message
  #3  
Old 10-07-2011
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 373
Threads: 30
Thanked 375 Times in 160 Posts
Reputation: 385
Default

Would go for

2. CT scan.
__________________
Knowing is not enough; we must apply.
Willing is not enough; we must do.
Reply With Quote Quick reply to this message
 
  #4  
Old 10-07-2011
USMLE Forums Addict
 
Steps History: Not yet
Posts: 192
Threads: 0
Thanked 47 Times in 40 Posts
Reputation: 57
Default

Leukocoria could show retinoblastoma or congenital cataract...i think these are the most important causes...so i m with CT scanHirschberg test is used to find strabismus ...which could be a symptom of Rb..
Reply With Quote Quick reply to this message
  #5  
Old 10-08-2011
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 515
Threads: 88
Thanked 508 Times in 232 Posts
Reputation: 518
Default

Correct answer is CT scan: The term leukocoria means "white pupil", white pupillary reflex. Leukocoria can be caused by abnormalities in the lens (eg, cataract), vitreous (eg, hemorrhage), or retina (eg, retinoblastoma).
The best next step is CT scan, remember no biopsy (spreads easly), then you need to screen family members.
Reply With Quote Quick reply to this message
The above post was thanked by:
chriledi (04-16-2013), step1an (10-08-2011), Valkyrie (10-08-2011)



Reply

Tags
Ophthalmology-, Pediatrics-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Best next step in PDA newborn alaahoda2001 USMLE Step 1 Forum 8 09-11-2011 09:36 AM
Newborn boy with cyanosis and this Chest X ray aksyonez USMLE Step 2 CK Forum 6 07-06-2011 04:34 PM
Newborn with feet abnormality! INCOGNITO USMLE Step 1 Forum 20 06-30-2011 12:01 PM
Newborn Mother Baby Bonding dranant USMLE Step 1 Forum 5 08-23-2010 02:15 AM
Newborn hypothyroidism lemontea88 USMLE Step 1 Forum 2 01-30-2010 06:47 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)