GENERAL HISTOLOGY

EXCRETORY SYSTEM

KIDNEY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 27-year-old woman with known APCKD has a sudden collapse. She had complained of a severe headache that morning. On examination, she has a GCS of 3, BP of 170/100 mmHg and pulse of 40 bpm. Fundoscopy reveals papilloedema. What complication has occurred?
A
Diabetic ketoacidosis
B
Subarachnoid haemorrhage
C
Hypoglycaemia
D
Brain tumour
Explanation: 

Detailed explanation-1: -Recognition. The signs and symptoms most frequently associated with intracranial hypertension include headache, nausea, vomiting, papilledema, unilateral pupillary dilatation, and oculomotor or abducens nerve palsies.

Detailed explanation-2: -One of the most common causes of increased intracranial pressure is an injury to your brain or skull. The trauma leads to bleeding or swelling inside your skull. That pressure from the excess fluid or the swelling can harm your brain tissue or your spinal column.

Detailed explanation-3: -While many cases of bilateral papilledema are caused by idiopathic intracranial hypertension (IIH), some will be caused by other etiologies, such as obstructive hydrocephalus, cerebral venous sinus thrombosis, and intracranial masses, among others.

Detailed explanation-4: -Changes in blood pressure, pulse, and respiratory pattern are usually late signs of raised ICP in clinical practice. These signs are related to brain stem distortion or ischaemia.

There is 1 question to complete.