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88 Cards in this Set
- Front
- Back
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What is the age range for AMPEE
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20-40
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What is the age range for MEWDS
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20-50
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What is the age range for Serpigenous
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30-50
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What is the age range for Birdshot
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40-60
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What is the age range for MFC
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20-50
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What is the age range for PIC
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20-40
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M vs. F for AMPEE
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F=M
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M vs. F for MEWDS
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F>M
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M vs. F for Serpigenous
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F=M
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M vs. F for Birdshot
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F>M
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M vs. F for MFC
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F>M
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M vs. F for PIC
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Mostly F
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What is the laterality for AMPEE
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Bilateral
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What is the laterality for MEWDS
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Unilateral
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What is the laterality for Serpigenous
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Bilateral
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What is the laterality for Birdshot
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Bilateral
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What is the laterality for MFC
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Bilateral or Unilateral
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What is the laterality for PIC
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Bilateral or Unilateral
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Is there an HLA association for AMPEE
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B7 and DR2
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Is there an HLA association for MEWDS
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None
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Is there an HLA association for Serpigenous
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B7
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Is there an HLA association for Birdshot
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A29
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Is there an HLA association for MFC
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None
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Is there an HLA association for PIC
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None
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Is there vitritis in AMPEE
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Mild
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Is there vitritis in MEWDS
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Mild
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Is there vitritis in Serpigenous
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Mild
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Is there vitritis in Birdshot
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Chornic, moderate
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Is there vitritis in MFC
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Chornic, moderate
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Is there vitritis in PIC
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None
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Describe the lesions in AMPEE
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Large
geographic gray-white shallow pigmented scars within 1-2 weeks |
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Describe the lesions in MEWDS
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Small
soft gray-white dots no scarring |
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Describe the lesions in Serpigenous
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Active
geographic gray white patches deep scars with fibrosis |
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Describe the lesions in Birdshot
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Deep
creeamy spots indistinct margins yellow scars without pigmentation |
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Describe the lesions in MFC
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50-350 micron
gray-white yellow spots mixture of old and new spots |
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Describe the lesions in PIC
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100-300 micron yellow or gray spots
punched out scars |
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What is the prognosis in AMPEE
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good
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What is the prognosis in MEWDS
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good
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What is the prognosis in Serpigenous
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poor
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What is the prognosis in Birdshot
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fair
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What is the prognosis in MFC
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fair
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What is the prognosis in PIC
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good
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What is the treatment for AMPEE
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none
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What is the treatment for MEWDS
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none
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What is the treatment for Serpigenous
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steroids
laser CNV |
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What is the treatment for Birdshot
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steroids
cyclosporine (will often relapse of stoped) cyclophenolate with cyclosporine gives long term remission |
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What is the treatment for MFC
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steroids
laser CNV |
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What is the treatment for PIC
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none
laser CNV |
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What is the age for ARPE (Krills)
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young adults
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M vs. F for ARPE (Krills)
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M=F
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What is the laterality for ARPE (Krills)
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Unilateral
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Is there an HLA association for (ARPE (Krills)
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none
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Is there vitritis in ARPE (Krills)
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no
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Describe the lesions in ARPE (Krills)
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Clusters of hyperpigmented spots (300-400 microns) in macula surrounded by yellow-white halos
with resolution the spots lighten or darken but halos remain |
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What is the prognosis in ARPE (Krills)
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resolves completely in 6-12 weeks
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What is the treatment for ARPE (Krills)
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none
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Which white dot syndromes have F=M (3)
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AMPEE
Serpigenous ARPE (Krills) |
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Which white dot syndromes are always unilateral? (2)
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MEWDS and ARPE (Krills)
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Which white dot syndromes have HLA associations? (3)
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AMPEE (B7 and DR2)
Serpigenous (B7) Birdshot (A29) |
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Which white dot syndromes have chronic vitritis (2)
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MFC and Birdhsot
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Which white dot syndromes have no vitritis (2)
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PIC and ARPE (Krills)
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Which white dot syndromes have a good prognosis? (4)
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AMPEE
MEWDS PIC ARPE (Krills) |
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Which white dot syndromes require no treatment (3)
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AMPEE
MEWDS ARPE (Krills) |
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Which white dot syndrome is associated with cerebral vasculitis
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AMPEE
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Which white dot syndromes is associated with has a viral prodrome? (2)
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AMPEE and ARPE (Krills)
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DDX for white dot syndrome
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sarcoidosis
symp ophthalmia scleritis DUSN |
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Birdshot is found where in the retina
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periphery
depigmentation of RPE +few vit cells |
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What does Birdshot pts present with
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decreased vision
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What does the nerve look like in Birdshot
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leakage on FA
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Birdshot has what 4 features
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Vasculitis
Vitritis CME ON leakage (spots are subtle) |
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Complication of Birdshot
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Optic disc edema and RPE atrophy
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What is the w/u for Birdshot
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It is a clinical diagnosis
HLA A29 is a confirmatory test 95% are positive |
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Which white dot syndrome presents with lesions at different stages?
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MEWDS
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What is seen on FA in MEWDS
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wreath configuration in the retina (not choroid)
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ICG in MEWDS shows what..?
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black choroid b/c RPE is damaged
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What is seen in VF in MEWDS?
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enlarged blind spot in one eye
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What is Krill's disease?
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Acute pigmentary epithelitis
+viral prodrome small spots with halo in macula |
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What is seen on FA in Krill's?
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Hypofluourescence of lesions
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What VF defect is seen in Krills?
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Macular defect
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Which white dot syndrome appear similar to serpigenous?
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AMPEE
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What is a complication of serpigenous
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CNV
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Where are serpigenous lesions
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radiate from optic nerve
has macular and ON involvement |
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Why do patients have blurry vision in serpigenous?
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CME
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Which white dot has CME?
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serpigenous
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What is a rare serious complication of AMPEE?
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stroke (do mri/mra)
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MFC looks like which which other syndromes?
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Ocular histoplasmosis and Sarcoidosis
peripapillary atrophy CNV |
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How should Birdshot be followed
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ERG
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Which white dot syndrome has blind spot enlargement on VF
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MEWDS
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