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Dear sir
,
I have
cleared the exams in first attempt .I was helped immensely by this
site and also by prof .muttuswamy through his virtual university .
The medicine question was a bit quirky but i guess I Passed as I had
written most of the points .
A. An
adult bus driver had a assault related injury 5 yrs ago and was
well after treatment he had loss of vision in the right eye . He is
now referred to you for cataract You notice that he has diffuse
cataract and IOP of 34 Re and 28 LE . He also has pseudoexfoliation in
both eyes .phacodonesis is present in the RE .
1.What are
the points that you look for in the examination ?
2.What is
your first step in management ?
3.what are
the complications that you expect in the catarctsurgery ?
4.what are
precautions you take in preventing the complications ?
5.What
will you council the patient about the visual recovery after surgery ?
Emergency medicine question.
A elderly
lady is seen by you for the review 3 months after cataract surgery .
She is delighted by the results of cataract surgery . How ever she has
been unwell for the past few days by mild fever and severe itching
.you also notice that she has jaundice . Her notes indicate that she
has had flucloxacillin for mild cellulitis 1 month back for a week.
Her diabetes is under control and she has never traveled outside UK.
What
specific history you ask for to make a dignosis ?
what are
the specific signs you look for to make a diagnosis ?
What is
the differential diagnosis ?
What are
the investigations you do to make a diagnosis?
I will
also send the other 2 questions .
Thanks
once again .
regards,
Dr.Srilakshmi.S
Consultant
medila Retina and uvea ,
Bangalore
West Lions Eye Hospital Bangalore . |