Adam,Rouilly AR403 - Page 25

Condion 23
This view is of the opc disc and temporal rena
The main clinical features are:
• Mulple renal haemorrhages
• Some venous dilataon
This diagnosis is consistent with:
MULTIPLE RETINAL HAEMORRHAGES
Comment:
Mulple renal haemorrhages are seen in the deep and supercial layers of the rena.
Hyperviscosity states (polycythemia, Waldenstrom’s macro-globulinaemia, myeloma)
can lead to venous dilataon and haemorrhages. Thrombocytopenia and other bleeding
diatheses are further possibilies.
Condion 24
This view is of the temporal rena
The main clinical features are:
• Area of bullous rena showing area of eleva-
on with uid
This diagnosis is consistent with:
RETINAL DETACHMENT
Comment:
In the absence of idenable break and trauma the possibility of choroidal metastasis
should be considered.
25
Important and Less Common Renal Condions: Condions 23 - 36