First day was pathology and EMQ. What I can remember
include giant cell arteritis, acanthomaeba, choroidal haemangiom, retinobalstoma,
actinic keratosis, one about MRSA. EMQ not easy.
Clinical station
Station 1
Thyroid and bilateral Duane
Station 2
Pseudoexfoliation and pigent dispersion syndrome
Station 3
Communcaition skill had a very good actress. The patinet had glaucoma
with extensive defect, asked to advise on stopping driving (she went on
talking for 15 minutes).
Station 4
Diabetic retinopathy (NVD with PRP). What do you advise patient with
proliferative diabetic reitnopathy (diet, stop smoking, cholesterol and
controlled BP).
Station 5
The posterior segment was tough. One lady with bilateral macular RPE
annular atrophy was the differenital diagnosis I put forward but gorgot
cone-rod dystrophy which probbaly what it was. Another lady with peripheral
choroidoretinal atrophy with pigment hypertrophy resembling bone sepcules.
Overall a bad station.
Station 6
And finally a patient with old optic atrophy (gave a differential diagnosis
of giant cell arteritis and questions on management).
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