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How do you work up incidentally found papilledema in the emergency room?

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Mednet Member
Mednet Member
Neurology · Georgetown University

The term "papilledema" should be reserved for optic disc swelling due to increased intracranial pressure - but I assume that this question is asking what to do if the fundus examination looks abnormal (blurred disc margins perhaps) when there are no visual symptoms or symptoms of increased intracran...

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Mednet Member
Mednet Member
Neurology · Rutgers University

Are you sure it's papilledema?

If my experience at the university primary teaching hospital (lacking an ophthalmology dept.) is representative, most "incidentally found papilledema" in the ER is a direct referral from an ophthalmologist, filling the void created by the "demise of direct ophthalmosco...

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