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REVIEW OF OPTHALMOLOGIC SLIDESHOWS FOR CLINICAL EXAM -good luck- YA (2007-2013) 1

YA - Tai Lieu Thi LS Mat-1hfh_2

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  • REVIEW OF OPTHALMOLOGIC SLIDESHOWS FOR CLINICAL EXAM-good luck-YA (2007-2013)

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  • Phn mi mtBt cn xng khe mi hai bn*

  • Sp m mt bn phi( do tt c nng mi trn / dy TK III / do phu mi mat P)*

  • Khe mi hp, sp 2 c mi mc va (sp m bm sinh)B tr: lng my 2 bn nhng ln,tr nga mt nhn r hn*

  • Hnh tri: sp mi 1bn (P), mc nng- nh hng th gic, gy nhc thHnh phi:sp 2 mi hp khe mi bm sinh & tt 2 gc mt xa nhau*

  • Lc trong mt bn phi (ang thc hin nghim php nh phn chiu gic mc-chiu n thy ci m sng gia mt tri, nh m ko ch)*

  • Lit vn nhn: gii hn ng tc nhn ln mt T (gp trong chn thng v sn hc mt gy kt c thng di)*

  • Mt lo: m trn mt P sng, nng, , au*

  • Mt lo nh mi trn, t sng, v to m; c tit t (ng trn lng mi)*

  • Khi chp nm sn mi di (kt mc ,ch vim nh, vim thc s khi c bi nhim hay d chp)Chp: l vim khu tr trong hoc quanh tuyn Meibomiustr: chp nh th xoa, n cho pht ra + corticoid ti ch ; chp to qu gy nh hng th lc, thm m th chch, no, phu thut.*

  • So co ko mi mt v lm lt m mt di (do chn thng hoac do liet day III) nguy c vim lot gic mc

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  • Vim chn b mi (tuyn chn lng mi) c m vim tNu thy c to vy vim kh*

  • Tri: qum, xiu lng mi vo gic mc gy lot gic mcPhi: qum lng mi ngi gi Btko mi di vo trong*

  • Vim ti l cp: vng ti l sng nng au, to m -> phi chch tho m ch ng, khng sinh trnh to ch d l qun)C thm 1 hnh vim ti l cp tr em, tr th ti l vim d v hn ng ln*

  • Chn thng gy rch mi di gc trong, t l qun di (trong hnh l ng thng l qun) khu vt thng+l qun*

  • C thm 1 hnh u mu mi mt tr em ti ln mu smko gy nh hng (nhc th)ko can thipc y mi gy nhc th ngoi khoa tht, ctTng t ci ni m mi di*

  • Phn kt mcHnh nh thm lu gic mc (viem KM hot cap)

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  • Vim kt mc d ng (VKM mua xuan) , nhieu nhu gai khong lo o mi tren , co tiet to neu lay ra se dai thanh soi chi( d chn on nhm vi au mt ht)*

  • Ht phn ng ca cng mi di (VKM ht mi di / VKM d ng) cuong tu ria,cuong tu ket mac*

  • vim kt mc d ng, c hnh nh cng t kt mc, c gi mc trn kt mcC cc ht nh ra mi mt: l tuyn Meibomius b tc ch b mi,nn*

  • Xut huyt di kt mc*

  • Vt Bitot gp tr thiu Vit A (hinh anh khi nhuom Hong Bengan)*

  • Bng vim trn kt mc nm xa ra, cng t ( vim thng cng mc in hnh)*

  • Cng t ngoi vi khu tr xung quanh bng kt mc ( vim kt mc - giac mac bng) dtri chong di ung*

  • Hnh 26 & 27Vim thng cng mc: C nhng vng mt khu tr trong c th quan st thy lp cng mc mu trng nm chen gia cc mch mu thng cng mc gin n, chy ta ra theo hnh nan hoa. (C ni: bng vim, cng t phn cng mc th xa ra; bng vim thng cng mc th gn vng ra cng ko hiu my??)Vim kt mc-gic mc bng: Bng vim thng vng ra, chung quanh bng vim KM , c mch mu b v*

  • Vim KM c cng t, xut huyt( do virus), tiet to dang nuoc lam mat uot nhoet nen nghi nhieu toi virus hon*

  • Vim KM cng t xut huyt, tiet to nhieu dang mu, nen nghi toi nguyen nhan do vi khuan nhieu hon*

  • Cng t ng mch KM nng, xm ln KM vo gic mc Mng thtCh tr khi xm ln din ng t, phu thut bc tch

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  • Viem thuong cung mac*

  • U sc t kt mc ton thuong sac to o ket mac ko dieu tri gi ca, vi nguy hiem*

  • Thiu hnh nh lt ng: VKM ma xun kt mc mi trn c cc nh thp hn nhn nh lt ngThiu hnh nh: gm 4 hnh nh2.So KM ng ARLT (thy di x trng)1.Km ht cp3.Mng mu (thm nhim m c GM, c mch mu b vo)4.Lng xiu (xuyn vo GM)*

  • Phn gic mcHnh nh mt tru trong glcm bm sinh, GM rat to*

  • Gic mc hnh chp de gay tat khuc xa & giam thi luc *

  • Gm sau khi nh hng Bengan: Vim biu m gic mc, Gm g ln to di( bnh gic mc si) c cc bng nm gc bt mu thuc - viem bmo GM & VLGM*

  • Vim di biu m GM: dy ln sau ng sng (c noi ra, tng tng ko ra???) , ko bt mu thuc nhum.*

  • Cng t hu ht kt mc, mng mt bc mu, din ng t c m m, m tin phng (gp trong vim mng mt-th mi hay mng b o trc) nh gin ng t

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  • Mt ko cng t, c m m gia GM hnh nh trc GM do lon dng C h/a tn mch b v (m ko thy ni??)*

  • Vim gic mc c cng t, m tin phng*

  • Gic mc bt mu hnh cnh cy( VGM do herpes)*

  • D vt gic mc c tn mch b vo -> dieu tri phai lay di vat ra *

  • Cng t ra+ ng t gin+ ph gic mc tao bng GMng t gin ko t/ng tn thng & ctu ranhn p cao i km glocom (cp??)

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  • Ph gic mc nhe + m GM + ng t gin na vi ( glocom gc ng BAN CAP) +cng t nhvim+nhn p cao

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  • Cng t ra, ng t hi gin, ph gic mc( glocom ng bn cp) tn thng mng mt do tng nhn p ko di gy mt sc t , mt r nt*

  • Vim lot GM g ln sau chn thng,c vt khu di (vi tri 6 gio)+ m ni nhn*

  • Mu tin phng + cng t ra+ ngoi vi ( trong chn thng)*

  • ng t mo hnh tri tim( bi c) trong dnh mng mt trong Viem mong mat - the mi+Tn thng GM!

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  • Din ng t c cc di ni ca mng mt i t trn xung di nhung lai ko co cuong tu nen loai tru viem mang bo dao---> nghi toi bnh bm sinh do s tch mng mt khng hon chnh (Mang mong mat bam sinh)*

  • Ta sau gic mc (dau tydall) trong viem mang bo dao*

  • ng t trng ( c thy tinh th) . O day co su dung thuoc gian dong tu de kham duc thuy tinh the!!!*

  • c TTT : bn tri : sau chn thng, TTT b vbn phi: do bnh l (vd :Bin chng vim mng b o)

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  • Bnh l vng mc sc t (Vng mc c nhiu chm, mng sc t en)*

  • Bnh l vng mc cao huyt p (g 4): ph gai th, hong im hnh sao.*

  • Bnh l vng mc T: xut huyt dng bng, tng sinh tn mch va m xut huyt ti tn mch*

  • Hinh Trai: Bin i nh ng t trong Duc thuy tinh theHinh Phai: bien doi, mat anh dong tu o trung tam, co vet den Duc thuy tinh th*

  • Ngoai ra co hinh anh : Loan thi hon hop!!!*

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