Adam,Rouilly AR403 - Page 27

Condion 27
This view is of peripheral rena
The main clinical features are:
• Elevated dome shaped grey mass
This diagnosis is consistent with:
MALIGNANT MELANOMA
Comment:
A secondary renal detachment may be present.
Condion 28
This view is of the opc disc and temporal rena
The main clinical features are:
• Large macular haemorrhage in the
pre-renal area
This diagnosis is consistent with:
MACULAR HAEMORRHAGE
Comment:
Sudden severe intra-thoracic or abdominal pressure can lead to this feature. Macular
Degeneraon and Diabec Renopathy can be considered in presence of addional features.
A pre-renal haemorrhage with a uid level can be seen in some paents with sub-
arachnoid haemorrhage. Small areas of haemorrhage adjacent to blood vessels are seen in
bacterial endocardis (Roth’s spots).
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