BilateralOpticDiscSwelling双侧视盘水肿.pptVIP

Bilateral Optic Disc Swelling（双侧视盘水肿）as the Presenting Sign of Pheochromocytoma（嗜铬细胞瘤）  Your Company slogan in here Case presentation Inquiry Main complaints 9-year-old boy Referred for management of “papilledema（视乳头水肿）”. Further inquiry Physical examination Auxiliary Examination Discussion Careful eye examination the importance of considering hypertension in the pediatric（小儿科） age group cost-effectiveness of having a sphygmomanometer(血压计） in an ophthalmology（眼科） office. Your Business Company slogan in here * L/O/G/O Inquiry（问诊） Physical examination（体格检查） Auxiliary examination（辅助检查） Diagnosis（诊断） 4 1 2 3 ThemeGallery is a Design Digital Content Contents mall developed by Guild Design Inc. 间断性头痛、发作性腹痛 小便频数、出汗过多 眼科检查 无手术、外伤、药物、中毒史，近期无感染 意识清楚，定向力正常；无明显异常 间断性头痛、发作性腹痛三月余 视敏：双眼20/20，色觉：双眼9/10，视野正常，瞳孔活跃，眼球活动正常。 眼底检查！ 其他 精神状况 神经系统 血压 心率 BP: 220/160 HR: 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。 Pheoch-romocy-toma laparoscopic right suprarenal adrenalectomy :A mass measuring 5 × 4.5 × 3 cm with cystic and solid components; histopathologic examination: pheochromocytoma. Urinary CA: abnormally high metaiodobenzylguanidine scan: positive uptake (pheochromocytoma) Abdominal ultrasonography+MRI：右肾上腺肿块