Papilledema: The Daily PANCE Blueprint

Home Papilledema: The Daily PANCE Blueprint

Papilledema: The Daily PANCE Blueprint

A 42-year-old patient presents to the ER with a headache and altered mentation. Vitals are significant for hypertension (220/134 mmHg). Labs reveal elevated serum creatinine (Scr 2.2). Which of the following would you most likely expect to see on fundoscopy?

A. Edematous optic disc with blurry margins
B. Macular drusen and retinal pigment epithelial atrophy
C. Increased vertical cup-to-disc ratio
D. Normal funduscopic examination
E. None of the above

Answer and topic summary

The answer is A. Edematous optic disc with blurry margins

Papilledema is defined by swelling of the optic disc due to elevated intracranial pressure. It can be due to hypertensive emergencies, hydrocephalus, intracranial tumors, and pseudotumor cerebra. Signs/symptoms include loss of visual acuity and impaired visual field defects. On funduscopy, you will see an edematous optic disc with blurry margins.

View blueprint lesson

Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint EENT ⇒ Neuro-ophthalmologic disorders ⇒ Papilledema

Also covered as part of the Family Medicine Rotation and Emergency Medicine Rotation topic lists

Sign up for the ENTIRE Blueprint Daily Email Series (500 days and counting! 😀)

Sign Up
X