2: Oncological Emergencies - Raised ICP Flashcards
1
Q
What defines raised ICP
A
> 20 mmHg
2
Q
How will raised ICP present
A
Headache: worse in mornings, lying down, coughing
Nausea and Vomiting
Cushing’s reflex
Drowsiness
3
Q
What is parinauds syndrome
A
Pineal tumour - causes impairment of upward gaze
4
Q
What endocrine disorder is associated with raised ICP
A
SIADH
5
Q
What commonly causes raised ICP
A
Metastases of tumours
6
Q
What imaging is used to investigate ICP
A
CT
MRI
7
Q
What is first-line for raised ICP
A
IV Dexamethasone
8
Q
If dexamethasone is ineffective, what is used
A
Hyperosmotic therapy: mannitol or hypertonic saline