Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

OSCE pro III series 13


Answers

1)Abnormality
-Left eye swelling
-Proptosis of the left eye ball
-The swelling is necrosed

** Original picture of this exam question have this findings (left eye swelling with Proptosis, ptosis, ectropion, corneal opacities.


2)Two differential diagnosis
- Left eye Retinoblastoma
-Left eye Astrocytoma.
-Left eye Hemangioma



3)MRI of the orbit and brain.




Notes

Retinoblastoma
-Primary ocular malignancy of childhood
-arises from a multipotential precursor cell (mutation in the long arm of chromosome 13 band 13q14)



Treatment
-External beam radiation therapy
-Radioactive isotrope plaque
-Chemotherapy
-Enucleation of the eye
-Cryotherapy
-Photocoagulation