《BilateralOpticDiscSwelling双侧视盘水肿.ppt》由会员分享，可在线阅读，更多相关《BilateralOpticDiscSwelling双侧视盘水肿.ppt（8页珍藏版）》请在taowenge.com淘文阁网|工程机械CAD图纸|机械工程制图|CAD装配图下载|SolidWorks_CaTia_CAD_UG_PROE_设计图分享下载上搜索。
1、L/O/G/OBilateral Optic Disc SwellingBilateral Optic Disc Swelling（双侧视盘水肿）（双侧视盘水肿）（双侧视盘水肿）（双侧视盘水肿）as the Presenting Sign of as the Presenting Sign of PheochromocytomaPheochromocytoma（嗜铬细胞瘤）（嗜铬细胞瘤）（嗜铬细胞瘤）（嗜铬细胞瘤）Your Company slogan in hereCase presentationInquiry（问诊）（问诊）Physical examination（体格检查）（体格检查）
2、Auxiliary examination（辅助检查）（辅助检查）Diagnosis（诊断）（诊断）4123ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.InquiryMain complaints9-year-old boyReferred for management of“papilledema（视乳头水肿）”.间断性头间断性头痛、发作痛、发作性腹痛性腹痛小便频数、小便频数、出汗过多出汗过多眼科检查眼科检查无手术、外伤、药无手术、外伤、药物、中毒史，近期物、中毒史，
3、近期无感染无感染意识清楚，定向力意识清楚，定向力正常；无明显异常正常；无明显异常间断性头痛、发间断性头痛、发作性腹痛三月余作性腹痛三月余视敏：双眼视敏：双眼20/2020/20，色觉：双眼，色觉：双眼9/109/10，视野，视野正常，瞳孔活跃，眼球活动正常。正常，瞳孔活跃，眼球活动正常。眼底检查！眼底检查！其他其他精神状况精神状况神经系统神经系统Further inquiry&Physical examination血压血压心率心率BP:220/160HR:140bpm双侧视乳头充血、水肿检查黄斑，在视网膜色素上皮细胞层发现黄色的、边界清楚的小斑点。斑点附近有半个视盘大小的水泡状视网膜剥脱。A
4、uxiliary Examination Pheoch-romocy-tomalaparoscopic right suprarenal adrenalectomy:A mass measuring 5 4.5 3 cm with cystic and solid components;histopathologic examination:pheochromocytoma.Urinary CA:abnormally highmetaiodobenzylguanidine scan:positive uptake(pheochromocytoma)Abdominal ultrasonography+MRI：右肾上腺肿块Discussion Careful eye examination the importance of considering hypertension in the pediatric（小儿科）age groupcost-effectiveness of having a sphygmomanometer(血压计）in an ophthalmology（眼科）office.L/O/G/OYour Business Company slogan in here