The Ultimate Emergency Medicine Guide by Sajid Khan

Author:Sajid Khan [Khan, Sajid]
Language: eng
Format: azw3
Publisher: Sajid Khan
Published: 2018-03-05T16:00:00+00:00

• Idiopathic Intracranial Hypertension aka pseudotumor cerebri

Impaired CSF absorption → increased CSF pressure without mass/obstruction Classic presentation: young, obese female (typically African-American) with a history of irregular menses whose chief complaint is headache (not blurry vision). On physical exam you will see papilledema (bilateral, symmetric) . Diagnosis is confirmed by performing an LP and noting high opening pressure .

Treatment: weight loss, acetazolamide, loop diuretics, therapeutic LPs to remove fluid, corticosteroids, and a shunt if necessary

Knowledge bomb! Loss of venous pulsations on fundoscopic exam is the earliest indicator of papilledema

Which of the following is true regarding concussions?

A) Concussion, by definition, must be associated with a loss of consciousness

B) Males are at higher risk than females

C) Neurologic exam is typically normal

D) Returning to normal academic activities is encouraged, while refraining from athletic activities until cleared by a healthcare professional

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