WADAO with N/V/ HA

[Ace844]

Ace844, results of Dix-Hallpike testing? (rule out any history of cervical spine disorders prior to performing this test)

Take care,

chbare.

For those who are interested in what "ChBare," is referencing here's a link for you::

http://www.dizziness-and-balance.com/disor...%20hallpike.htm

- for nystagmus of BPPV, and the patient also has full ROM, no rigidity, or any other changes from normo variant baseline other than an increase in her H/A. and the things mentioned above.

ACE844

[Ace844]

On the transport you have a hunch and pull out the fundoscope and find your patient also has soem mild papiledema....

[itku2er]

so she has some ICP going on then

[Ace844]

so she has some ICP going on then

You tell me...

[itku2er]

pseudotumor cerebri, which is most likely to occur in young, caucasian, overweight females. However, many other disorders may cause papilledema. These may include intracranial tumors, subdural and epidural hematomas (secondary to trauma), subarachnoid hemorrhage (secondary to a bleeding intracranial aneurysm, e.g.), hydrocephalus, arteriovenous malformations, meningitis, and other rare causes.

[itku2er]

pseudotumor cerebri, which is most likely to occur in young, caucasian, overweight females. However, many other disorders may cause papilledema. These may include intracranial tumors, subdural and epidural hematomas (secondary to trauma), subarachnoid hemorrhage (secondary to a bleeding intracranial aneurysm, e.g.), hydrocephalus, arteriovenous malformations, meningitis, and other rare causes.

this is my final answer ACE

[Ace844]

We have a winner,.... that is the correct answer for those who have never encoutered this here is more info. FWIW, when I treated this patient clinically I as well; I thought it was a tumor and treated as such never picking up on the importance of the 'transient' nature of the pt's sx's. This patient presented with several 'classic' signs and pre-disposing factors for this D/O; later on follow up this is what we found and covered it at M&M rounds.

Here's your info.:

[web:7787a37374]http://www.emedicine.com/neuro/topic329.htm[/web:7787a37374]

http://www.ninds.nih.gov/disorders/pseudot...umorcerebri.htm

http://en.wikipedia.org/wiki/Benign_intrac...al_hypertension

http://www.drkoop.com/ency/93/000351.html

http://www.wrongdiagnosis.com/p/pseudotumo...rebri/intro.htm

http://www.emedicine.com/oph/topic190.htm

Great work everyone,

ACE844

[itku2er]

I just figured out ACES clues I just figured out ACE'S clues...........woo hooo

ok Ace i am ready for the next one............

YOU ARE THE MAN

[chbare]

Ace 844, good scenario and Itku2er, good job.

Take care,

chbare.

[TechMedic05]

Good job Itku2er!

Thanks for the scenario, Ace!

Waaaay over my head. :wink: