Question

Young woman (obese) with headache, vision changes, and pulsatile tinnitus. Dx? Tests? Tx?

a) Idiopathic intracranial hypertension (IIH); Tests: Fundoscopic exam, lumbar puncture; Tx: Acetazolamide
b) Migraine; Tests: CT scan, MRI; Tx: NSAIDs
c) Brain tumor; Tests: MRI, PET scan; Tx: Surgical resection
d) Central retinal vein occlusion; Tests: Fundoscopic exam, fluorescein angiography; Tx: Anticoagulation

Answer 1

The young woman's symptoms are characteristic of Idiopathic Intracranial Hypertension (IIH). Diagnosis is made through a fundoscopic exam and lumbar puncture, and treatment involves taking Acetazolamide.

Step-by-step explanation:

The symptoms described by the young woman (obese) with headache, vision changes, and pulsatile tinnitus are indicative of Idiopathic Intracranial Hypertension (IIH), also known as pseudotumor cerebri. The diagnosis of IIH is typically made through a combination of tests including a fundoscopic exam to assess the optic nerve, and a lumbar puncture to measure the pressure of the cerebrospinal fluid. The recommended treatment for IIH is Acetazolamide, which helps reduce the production of cerebrospinal fluid and lower the pressure in the brain.