grand rounds like discussions ods facebook cases... · 2016-09-08 · 4/12/2016 1 dr. alan glazier...
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4/12/2016
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Dr. Alan Glazier
Dr. Mark Dunbar
Dr. Vicky Wong
• 20,396 members @ 9/01/2015
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1st Case
Poll Question:
What does he Have?
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Poll Question:
What Do You Think This is?
Poll Question #1:
What Do You Think This is?
Poll Question #2:
How Would You Treat This?
• Bandage CL• Tobradex/Zylet• Zymaxid/Vigamox• Acyclovir PO• Debridement• ProKera Amniotic
Lens
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Prior to this Presentation• Pt slept in AvOasys for Astig
lenses the night prior– Had been in the sun by a
pool• Water exposure was minimal • Pain 7/10• No SPK, No AC Rxn, No PA
Node• I Rx'd Zylet q2h and said come
back Thurs• Thurs he had 3+ diffuse spk in
addition to above, but no dendrites or infiltrates.
• I added Maxitrol ung qhs. • Today he presented as you
see. – I think I fed HS a steroid.
• I told pt stop all above and start Viroptic q2h + 500mg Valtrex tid.
• HS is truly the great masquerader
71 y/o Sjogren’s sufferer with recalcitrant K‐Sicca
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Woud You Have Referred This?
What do you do now?
What Does This Represent?
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What are we looking at here?
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2014
2015
2015s/p heart transplant
12 y/o
2015
2015s/p heart transplant
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2015
2015s/p heart transplant
25 y/o Healthy MaleNeeds form filled out for job
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“I put leukemia or another cancer or diabetes as my primary differentials and asked her to test for that as well as CBC, Fbs, HIV test, ESR, sedrate and platelets”‐ Alicia
57 y/o Routine examNeeds drivers license form
16 y/o 1st Eye ExamNo Symptoms
16 y/o 1st Eye ExamNo Symptoms
9 y/o Black MaleNo Symptoms20/20 OU
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