Lumps And Bumps Of The Conjunctiva

Front 1

subconjunctival blood from breaking of small capilaries that looks like bruise under skin

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subconjunctival heme

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causes of subconjunctival hemes

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idiopathic - most common
Valsalva
HTN
bleeding disorder
trauma
asprin overuse

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tx of subconj hemes

Back 3

cold packs for 1 day then hot packs
resolves in 2 weeks

Front 4

raised broad based conjunctival vascular mass that is benign and seen in inner canthus or fornix thats common in children

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capillary hemangioma

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bright red or purple mass and heme which is a tumor that is associated with AIDS

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kaposi's sarcoma

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tx of Kaposi's sarcoma

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radiation

Front 7

light pink/salmon colored lesion that can be benign or malignant and appears on bulbar conj

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lymphoid tumor

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tx of lymphoid tumor

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biopsy to rule out lymphoma

Front 9

small white/yellow calcium deposists seen in the inferior PC

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concretions

Front 10

fluid filled clear cysts seen on the conj

Back 10

retention cyst

Front 11

what are retention cyst filled with?

Back 11

secretions of Karuse or Wolfring
lymphatic fluid

Front 12

hyperplasis (overgrowth) of conjunctival tissue in response to environmental irritation seen in sunexposed areas of BC

Back 12

pinguecula

Front 13

area of non-wetting on the cornea that can arise secondary to pinguecula

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dellen

Front 14

basophilic degeneration of BC stroma that invades cornea; typically seen nasally

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perygium

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triangular or wedge shaped mass with apex pointing to cornea

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pterygium

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iron line preceeding growth of pterygium

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stocker's line

Front 17

congenital tumor from mesoderm and ectoderm composed of collages that are raised white/yellow lesions located inferior temporal around limbus can have hair

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dermoid cyst

Front 18

blue to black ciliary nerve loop on sclera seen near limbus

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axenfeld's loop

Front 19

black well circumscribed pigment lesion due to epinephrine or propine therapy

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adenochrome deposists

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congenital subepithelial melanosis that appears blue in color

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nevus of ota

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nevus of ota is benign and common in what race

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caucasians

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nevus of ota has a higher risk of malignancy in what groups

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darkly pigmented patients

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what can a nevus of ota develop into

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choroidal melanoma

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congenital or acquired smooth flat surface lesion with well circumscribed edges

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conjunctival nevus

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what tells you that a nevus is benign

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if cysts are seen within lesion

Front 26

spontaneous development of irregular diffuse flat patches of conjunctival pigmentation btw the ages of 30-40

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acquired melanosis

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what can acquired melanosis develop into and in which groups is this most common

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malignant melanoma - choroidal melanoma

white >> suspicion

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pigmented lesion that resembles benign melanosis or nevus that develop de novo

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malignant melanoma

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ocular melanoma which occurs in insolation of any other melanocytic neoplastic process

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primary ocular melanoma

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what is primary ocular melanoma associated with

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dysplastic nevus syndrome

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sessile flat or pendunculated lesions with an irregular surface seen in fornix or caruncle in patients over 40

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papilloma

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papilloma with multiple lesiosn and recurrs

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viral papilloma

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papilloma with single lesions, pigmented, more likely pre-cancerous

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non viral papialloma

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DDX of papilloma

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basal cell carciinoma of the conj

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tumor that mimics chronic blep

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sebaceous cell carcinoma

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3rd most common ocular tumor in older population after melanoma and lymphoma

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OSSN aka CIN

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who has a higher risk of developing OSSN/CIN

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pale skin/iris
live near equator
males

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average age of OSSN/CIN

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mid 50s

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what is the cause of OSSN/CIN

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UV-B exposure causes abnormal stem cell development at limbus

Front 40

slighly elevated sharply demarcated lesion with feeder vessels ranging in color from gray to red-gray seen at limbys

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OSSN/CIN

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what systemic dz is CIN/OSSN associated with?

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Bowen's dz