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46 Cards in this Set
- Front
- Back
Identify 6 organisms that cause delayed-onset postoperative endophthalmitis
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P. acnes
S. epidermidis Candida Propionibacterium granulosum Achromobacter Corynebacterium |
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Identify 5 disorders that cause diffuse keratic precipitates
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Fuchs' heterchromic iridocyclitis
sarcoid syphilis kerato uveitis toxoplasmosis |
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Behcet's Dz HLA association
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B5
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Characteristics of worse prognosis for JRA associated iritis
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female
pauciarticular ANA+ Lower extremity involvment |
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histologic findings in Fuchs' HCIC
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plasma cells and lymphocytes in the ciliary body
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name the two forms of candida
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blastoconidia (pseudohypha)
elongated branching structures (pseudomycelia) |
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Culture plates for candida
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blood agar
Sabouraud's glucose |
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Describe skin lesions associated with Behcet's Dz
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erythema nodosum
folliculitis thrombophlebitis |
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Tx for Behcet's
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Colchicine
Cyclosporine systemic steroids (acutely) cytotoxic agents (chlorambucil) |
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Behcet's
ocular signs |
nongran uveitis with intermittent hypopion
posterior retinal, retinal vasculitis, vitritis Does not effect the choroid |
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Blocks IL-2
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cyclosorine (mechanism)
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cytostatic anti-inflammatory
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steroids (catagory)
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alkylating agents
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cyclophosphamide & chlorambucil (mechanism)
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Treatment for Toxoplasmosis
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Clindamycin
Sulfadiazine pyrimethamine TMP-SMX |
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What form of uveitis is typical of syphilis
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Intermediate uveitis
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Complications of pars planitis
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CME
peripheral retinal NV VH TRD |
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What common immunosupresive medication should never be used in necrotizing scleritis
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periocular steroids - increases collagenase activity and worsens scleral melt/necrosis
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Describe the typical FA findings of VKH
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multiple pinpoint areas of hyperF that gradually leak into subretinal space.
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Pulmonary artery aneurysm is pathognomonic for what disease
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Behcet's Dz (pathognomonic vascular finding)
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Bechet's Tx
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Steroids
Colchicine Cyclosporine Cytotoxic agents |
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Is vitritis influenced by CD4 count in HIV patients
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No
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Pneumocystic Carinii
1. Treatment 2. eye findings 3. Common systemic finding |
1. Bactrim, atovaquone, pentamidine, Dapsone
2. Yellow scattered choroidal lesions 3. pneumonitis |
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What HIV medication can cause an anterior uveitis
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Rifabutin (SE?)
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pars planitis:
1. type of RD's 2. other associated eye Dx |
1. TRD and RRD, not ERD
2. CME, glaucoma (10%) |
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HLA assoc with POHS
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B7
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Wessely's rings are what type of hypersensitivity reaction
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3 - (e.i. staph marginans)
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Name 4 disorders that present with Dalen-Fuchs nodules
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SO, VKH > tuberculous choroiditis, sarcoidosis
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Most common cause of posterior uveitis in adults
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Toxoplasmosis (7%, more common that idiopathic)
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Prevalence of HLA-B27?
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~5% of population
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Most common pathogens in bleb associated endophthalmitis?
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Strep pneumo
H. flue |
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Sperm banking recommended for what uveitis Tx?
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Chlorambucil
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Uveitis Tx associated with hemolytic anemia in individuals with G6PD def.
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Dapsone
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Uveitis Tx assoc with renal failure
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cyclosporine
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Most common cause of anterior uveitis?
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idiopathic(10%) > HLA-B27 > JRA, herpes
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HLA-B27
1. % of Pt's with ank. spnd. that are + 2. % of pt's with sacroiliac Dz that are + |
1. 90%
2. 25% |
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describe iris atrophy in
1. HSV 2. HZV |
1. patchy near pupil margin
2. segmental (vasculitis) |
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Which population is acute retinal necrosis usually seen in?
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It is mostly seen unilaterally in otherwise healthy individuals. BARN is seen in HIV patients.
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Grey/white lesions on the iris
1. Dx 2. Identify the types and their associations |
1. Koeppe and busacca nodule
2. koeppe - gran & nongran uv, in the korner (pupilary border) busacca - only gran uv, in the Body |
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Birdshot HLA?
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A29
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MS HLA?
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B7 & DR2
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HLA for sarcoid
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B8
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HLA for VKH & SO?
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DR4
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HLA for intermediate uveitis?
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B8
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HLA for JRA?
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DR4
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Only Ig to be transported across the placenta
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IgG (small amounts of IgA make it across by passive diffusion)
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to be considered chronic uveitis, how long do Sx need to persist?
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>6wks
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