Eye and systemic diseases

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Overview :

Reaching ophthalmic = the inaugural sign of many illnesses and etiological find that the causal disease.

Infectious diseases :

Bacterial :

TBC :

  • Keratoconjonctivite phlyctenulaire
  • Keratitis Interstitial acute uveitis
  • Choroidite : tuber BOUCHUT
  • Syphilis
  • Keratitis intertitielle uveitis
  • ON
  • POM

PARASITIC :

TOXOPLASMOSIS

  • Congenital = RPM-CA

-Structure deflection intracerebral BONE -fcr scar

  • Acquired = FCR fresh -uvéite

VIRAL :

VIH SIDA

  • Retinal microangiopathy = NC -VASCULARITE
  • RETINITIS necrotizing CMV +++
  • Retinochoroidite toxoplasmique
  • Zone

MULTIPLE SCLEROSIS

  • Disease SB = disintegration of the myelin sheath • Subject 18-40 old woman
  • dissemination temporospatial

OPHTHALMOLOGIC ACHIEVEMENT :

  • Sensitive
  • Pain
  • Numbness of face
  • sensory
  • NO RB+++
  • Uvéite
  • Vascularite
  • ENGINE
  • POM 6
  • NYSTAGMUS

nEUROLOGICAL IMPAIRMENT :

  • Sd pyramidal
  • SD CEREBELLEUX
  • Trouble sphinctérien
  • TRT =CTC + IMMUPOSUP / IMMUNO BIOLOGICAL AGENT

Hémopathies :

→ Anémié ferriprrive
HB < 12 gr / dL woman – < 13.5 gr / dl homme Qd HB < 8 gr / dl : conjunctival pallor pallor FO FO hgie, nc

→ Pernicious anemia : B12 deficiency lives = NORB, POM III = = reversible lives

→ Sickle cell disease = Ischemia ret = neov = HIV + DR

→ polycythemia

  • Ive = VAQUEZ = HB > 18 gr / dl
  • II area = chronic hypoxia = h viscosity sg
  • FO = shadow , dilated veins , hgie , emp = OVCR – OACR – AO -New

→ LEUKEMIA
FO = shadow ( LC ) blade ( THE ), tache ROTH , over, IEOVA Atteinte SA = IC – -M neuro hgique – Huh = POM – on
Achievement of appendices = orbit ( chlorome )

→ LYMPHOMA
Conj = tm dew
Lacrimal gland = exoph

RHEUMATISM :

→ SPA
15 – 45 year old man, dorsal morning Uveitis ant recurrent unilateral pain
HLA B 27 + tif
Radio sacroiliac = DC

→ SD F.L.R
20 – 40 year old man
triad feature : urétrite non gonococcique – arthritis – ocular ( conj mucopurulente – Recurrent uveitis ant )
HLA B 27 +tif ACJ
< 15 years
Uveitis bilateral anterior
CMP : cat – gl – keratopathy

CONCLUSION :

  • L & rsquo; importance of & rsquo; ophthalmologic examination in the etiological general diseases and the care of the sick.

Dr Benlaribi's course – Faculty of Constantine