Recently, an 8-year-old boy and his parents immigrated to Canada from Asia. Following their relocation, they organized his first health check-up at a local clinic. During the examination, the family physician noticed a bluish-grey pigmentation on the whites of the boy's eyes. Upon inquiry, the parents mentioned that the pigmentation had been present since the boy's birth. The boy was with no complaints of discomfort or pain in the eyes. The examination revealed a patchy, bluish-grey pigmentation in the medial aspect of the right eye, more intense near the limbus and fading peripherally and the sclera of his left eye, as shown in the image. There was no inflammation, swelling, or discharge from the eyes. No drooping of the eyelids. The boy's visual acuity was normal, and no abnormalities were detected on fundoscopic examination. Which of the following is the most likely diagnosis

Based on the patient's history and physical examination findings?

Real-Life cases to ensure you are ready for your MCCQE1 Exam!

Ace Qbank Clinical Edge


Ace Qbank Clinical Edge

Making the proper diagnosis is one of the most important aspects of any medical student’s or junior doctor’s clinical training and hence we created Clinical Edge Cases.

Ace Qbank Clinical Edge helps our students put their knowledge of symptoms and physical findings to test by applying clinical reasoning and assessment concepts to a series of common clinical vignettes. Problem-based learning is being used to focus on the cause behind the presentation of a simulated clinical case.

Each simulated Clinical Edge case contains a list of common causes of the presented condition, offers abundant references to the presented case, making additional information easy to find

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