2: Oncological Emergencies - Raised ICP Flashcards

1
Q

What defines raised ICP

A

> 20 mmHg

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2
Q

How will raised ICP present

A

Headache: worse in mornings, lying down, coughing
Nausea and Vomiting
Cushing’s reflex
Drowsiness

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3
Q

What is parinauds syndrome

A

Pineal tumour - causes impairment of upward gaze

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4
Q

What endocrine disorder is associated with raised ICP

A

SIADH

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5
Q

What commonly causes raised ICP

A

Metastases of tumours

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6
Q

What imaging is used to investigate ICP

A

CT

MRI

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7
Q

What is first-line for raised ICP

A

IV Dexamethasone

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8
Q

If dexamethasone is ineffective, what is used

A

Hyperosmotic therapy: mannitol or hypertonic saline

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