Spot Dx

What is the most likely diagnosis?
  • Temporal arteritis
  • Corneal foreign body
  • Third nerve palsy
  • Conjunctival foreign body
  • Chlamydial Conjunctivitis
  • Iris melanoma
  • Pterygium
  • Keratitis
  • Amblyopia
  • Vitreous haemorrhage
  • Cataract
  • Allergic Conjunctivitis
  • Cavernous sinus AV fistula
  • Orbital cellulitis
  • Anterior Uveitis
  • Chalazion
  • Vitreous detachment
  • Orbital tumour
  • Scleritis
  • Blepharitis
  • Submacular haemorrhage
  • Optic atrophy
  • Episcleritis
  • Retinal artery occlusion
  • Entropion
  • Bacterial Conjunctivitis
  • Pseudotumour cerebri
  • Optic neuritis
  • Age-related macular degeneration
  • Endophthalmitis
  • Stye
  • Retinal vein occlusion
  • Hypertensive retinopathy
  • Pingueculum
  • Classic migraine
  • Posterior stroke
  • Subconjunctival haemorrhage
  • Choroidal melanoma
  • Corneal abrasion
  • Dacryocystitis
  • Retinal detachment
  • Keratoconjunctivitis sicca
  • Ectropion
  • Acute Angle-Closure Glaucoma
  • Retinoblastoma
  • Next
    • Temporal arteritis
    • Corneal foreign body
    • Third nerve palsy
    • Conjunctival foreign body
    • Chlamydial Conjunctivitis
    • Iris melanoma
    • Pterygium
    That's all for today, folks! Questions will shuffle daily from the larger question bank. If you'd like to see this page developed further, please consider leaving some feedback...
    So far, I've used several of these suggestions, so please keep them coming!
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    Study Topic Ideas

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    For investigations, consider the indications for ordering the test and the key findings for common or critical conditions.
    In addition to managing the key diagnoses related to each of the presenting problems above, here are some examples of key management issues to think about.
    • Fitness to drive edit
    For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management. This list is by no means exhaustive, but here are a few assorted diagnoses to consider.
    • Acute Angle-Closure Glaucoma edit
    • Age-related macular degeneration edit
    • Allergic Conjunctivitis edit
    • Amblyopia edit
    • Anterior Uveitis edit
    • Bacterial Conjunctivitis edit
    • Blepharitis edit
    • Blocked lacrimal duct edit
    • Cataract edit
    • Cavernous sinus AV fistula edit
    • Chalazion edit
    • Chlamydial Conjunctivitis edit
    • Choroidal melanoma edit
    • Classic migraine edit
    • Conjunctival foreign body edit
    • Corneal abrasion edit
    • Corneal foreign body edit
    • Corneal ulcer edit
    • Dacryocystitis edit
    • Diabetic retinopathy edit
    • Ectropion edit
    • Endophthalmitis edit
    • Entropion edit
    • Episcleritis edit
    • Eye malignancies edit
    • Hypertensive retinopathy edit
    • Iris melanoma edit
    • Keratitis edit
    • Keratoconjunctivitis sicca edit
    • Macular degeneration edit
    • Optic atrophy edit
    • Optic neuritis edit
    • Orbital cellulitis edit
    • Orbital tumour edit
    • Pingueculum edit
    • Posterior stroke edit
    • Pseudotumour cerebri edit
    • Pterygium edit
    • Retinal artery occlusion edit
    • Retinal detachment edit
    • Retinal vein occlusion edit
    • Retinoblastoma edit
    • Scleritis edit
    • Strabismus edit
    • Stye edit
    • Subconjunctival haemorrhage edit
    • Submacular haemorrhage edit
    • Temporal arteritis edit
    • Third nerve palsy edit
    • Trachoma edit
    • Trichiasis edit
    • Viral conjunctivitis edit
    • Vitreous detachment edit
    • Vitreous haemorrhage edit
    Foundation topics like anatomy, physiology and embryology are not the main focus of GP fellowship exams. The following are examples of topics that may be useful for quizzing any medical students you are supervising:
    Medical students may be more focused on learning basic definitions, aetiology and pathophysiology of specific diagnoses, but registrars need to focus more on clinical problem solving. For each common presenting problem, consider what would be the red flag features, the most common differentials, as well as the most dangerous and most often missed (see Murtagh for more information on this model). For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management.
    • Abnormal eye movements edit
    • Eye discharge edit
    • Eye foreign body edit
    • Eye pain edit
    • Eyelid pain / swelling edit
    • Flashes and floaters edit
    • Painless loss of vision edit
    • Painless red eye edit
    • Red eye edit
    • Visual disturbance edit
    Medicine is nebulous with many conditions that arise infrequently in General Practice. These topics are not the main focus of college exams but nonetheless might occasionally appear - just as they can appear in your consultation room on a Friday afternoon. Other topics are so controversial that they are very difficult to examine. Here are some examples of topics that should not be the main focus of your study.
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