Thursday, September 30, 2010

Optic nerve and Papilloedema

Optic nerve (cranial II)

If asked to examine the function of the optic nerve, one possible scheme
is AFRO: 3
AFRO
A Acuity
F Fields
R Reflexes (light/accommodation)
O Optic disc

Note: Do the optic discs last of all – using the bright light constricts the
pupil. PERLA is an acronym for Pupils Equal and Reactive to Light and
Accommodation.
Having examined the optic disc (or ‘papilla’) you may see it is choking in
fluid (choked disc = papilloedema). You will know this from the features
CCCP.


Papilloedema

The main features of the choked disc are given by CCCP.
CCCP
C Colour change…
C Contour and…
C Cupping imply…
P Papilloedema


Thanx to Dr.Khalid,London.

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