Papilloedema

Question 1

define papilloedema

Answer 1

swollen optic discs secondary to raised intracranial pressure (ICP)

Question 2

is papilloedema uni or bilateral?

Answer 2

bilateral

Question 3

what can cause papilloedema?

Answer 3

raised ICP due to SOL

Question 4

how do you detect papilloedema?

Answer 4

ophthalmoscopy

Question 5

what is covered in a CN II exam?

Answer 5

optic disc
visual acuity
pupil exam
visual field assessment
colour vision

Question 6

what surrounds the optic nerve?

Answer 6

meningeal sheaths and subarachnoid space that also surrounds the brain - extension of the brain

Question 7

name the 3 things in the cranium

Answer 7

brain
blood
CSF

Question 8

70 year old male

blurred vision

headaches several months

VA 6/6 R & L

bilateral swollen discs

diagnosis?

Answer 8

papilloedema

Question 9

55 year old male

smoker, overweight

c/o blurred vision for 1 week

BP 240/140mmHg

diagnosis? (be specific)

Answer 9

papilloedema secondary to hypertension

Question 10

where is CSF produced?

Answer 10

choroid plexus in the lateral ventricles

Question 11

CSF travels through the 3rd and 4th ventricles into the ___________ space

Answer 11

CSF travels through the 3rd and 4th ventricles into the SUBARACHNOID space

Question 12

25 year old female

6 month history headaches

BMI 40

VA 6/6 R & L

bilateral disc swelling

lumbar puncture showed raised CSF pressure

diagnosis?

Answer 12

idiopathic intracranial hypertension (IIH)

Question 13

consequences of chronic disc swelling?

Answer 13

atrophic and pale disc

loss of visual function and blindness

Question 14

other than ophthalmoscopy, what other test should you always perform in someone with bilateral disc swelling?

Answer 14

blood pressure

Question 15

assume patient with bilateral disc swelling has ___ until proven otherwise

Answer 15

assume patient with bilateral disc swelling has SOL until proven otherwise