Conceptual Q -------------------------------Aplha - irfanmir

[ArchivalUser]

41 yrs old female with history of SLE visited to ophthalmologist due to vision disturbance.
Careful fundoscopic examination reveal light colored multiple spots which explained the reason of her visual disturbance. which of the following is most likely reason of those spots in this pt.

A vascular occlusion in retina
B anti SS antibody against retina
C anti Scl 70 in retina
D anti sm antibodies against retenal cells
E antinuclear antibodies against retinal cells
F it is unrelated to SLE in this pt

[ArchivalUser]

tricky q

ans could be D or E

i would say D is better choice.

[ArchivalUser]

sure D

[ArchivalUser]

A vascular occlusion in retina

[ArchivalUser]

it is vascular problem. vasculitis.

[ArchivalUser]

ebnalfady dont u think vascular problem cause ischemia and necrosis which always appear as a dark spots.

[ArchivalUser]

NB
WHITE PATCHES OF RETINA DUE TO..............ISCHEMIC OR OCCLUSIONS OF BLOOD VESSELES BY THROMBI OR EMBOLI .THIS OCCUR IN SLE DUE TO ANTIBODY AGAINST RETINS BY ANTIPHOSPHOLIPID ANTIBODYYYYYYYYYYYYYYYY
SO .......... THE ANSWER ISSSSSSSSSSSSSSSSS


AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA

HOPE IT IS THE RIGHT ANSWER UNTILL PROVED OTHER WISE

[ArchivalUser]

but i think the Dx is yellow cotton wool spots

[ArchivalUser]

ebnalfady, emboli will cause sudden onset of blindness. unless

[ArchivalUser]

http://images.google.com/imgres?imgurl=h...n%26sa%3DN

plz have a look on that