SDK Forum Fanatic
Topics: 537 Posts: 1,587
| | 08/06/05 - 09:29 AM  
 
   
 
|   #1 |
An old Qs.... After nearly drowning an 80 year old man suffers from severe hypoxia with severe brain edema. This edema leads to increased intracranial pressure. When pressure exceeds 200mmHg , the temporal lobe begins to be compressed against the tentorium cerebelli . What is typically the first sign of such compression ? 1. Anisocoria contralateral to compression 2. anisocoria ipsilateral to compression 3. both pupils 5-6mm dilated and fixed 4. external ocular ophthalmoplegia
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| gpsbrar Forum Elite

Topics: 34 Posts: 278
| | 08/06/05 - 09:33 AM  
 
   
 
|   #2 |
Both the Pupils dilate. But not very sure about this. I suck in Anatomy. I want to improve my anatomy skills.
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| ssrpk Forum Fanatic

Topics: 154 Posts: 2,819
| | 08/06/05 - 12:06 PM  
 
   
 
|   #3 |
3. both pupils 5-6mm dilated and fixed parasym. most superficial fibers, so gets afected first
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| sethigulshan Forum Senior
Topics: 27 Posts: 146
| | 08/06/05 - 07:58 PM  
 
   
 
|   #4 |
Ya, ssrpk, choice 3 is supposed to be a late finding. The question says which is the first finding. I think it should be no. 2.
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| ssrpk Forum Fanatic

Topics: 154 Posts: 2,819
| | 08/06/05 - 08:45 PM  
 
   
 
|   #5 |
agree, did'nt realize that, thanks for pointing out! 
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| SDK Forum Fanatic
Topics: 537 Posts: 1,587
| | 08/10/05 - 01:02 AM  
 
   
 
|   #6 |
Answer was given as B.....any explanation????
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