Papilloedema

Question 1

What does the term ‘Swollen optic discs’ mean?

Answer 1

disc swelling secondary to any other cause

Question 2

What is papilloedema?

Answer 2

swollen optic disc secondary to raised intracranial pressure

Question 3

What should always be presumed about bilateral optic disc swellings?

Answer 3

raised ICP due to a space occupying lesion (SOL)

Question 4

How do you measure cranial nerve 2?

Answer 4

visual acuity
Pupil exam
Visual field assessment
Colour vision

Question 5

What causes the discs to swell?

Answer 5

Interruption of the axoplasmic flow and venous congestion.

This is caused by increased subarachnoid pressure

Question 6

What is the Monro-Kellie hypotheis?

Answer 6

increase in pone variant means decrease in one or both of the others

Question 7

What are the functions of the CSF?

Answer 7

Maintain stable extracellular environment for the brain
Buoyancy
mechanical protection
Waste removal
Nutrition

Question 8

Where is CSF produced?

Answer 8

lateral ventricles by choroid plexus

Question 9

Where does CSF travel to?

Answer 9

Through the 3rd and 4th ventricles into the subarachnoid space

Question 10

What can cause an increase of ICP?

Answer 10

Obstruction to CSF circulation
Overproduction of CSF
Inadequate absorption

Question 11

What happens when disc swelling becomes chronic?

Answer 11

Discs become atrophic and pale.

Loss of visual occurs and blindness may result