Raised ICP ( Internal Medicine ) by Dr Nishant Arya

📌 𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:-   / drgbhanuprakash   📌𝗝𝗼𝗶𝗻 𝗢𝘂𝗿 𝗧𝗲𝗹𝗲𝗴𝗿𝗮𝗺 𝗖𝗵𝗮𝗻𝗻𝗲𝗹 𝗛𝗲𝗿𝗲:- https://t.me/bhanuprakashdr 📌𝗦𝘂𝗯𝘀𝗰𝗿𝗶𝗯𝗲 𝗧𝗼 𝗠𝘆 𝗠𝗮𝗶𝗹𝗶𝗻𝗴 𝗟𝗶𝘀𝘁:- https://linktr.ee/DrGBhanuprakash Raised ICP ( Internal Medicine ) - ----------------------------------------------------- Causes of Raised ICP - Space-Occupying Lesions: Tumors, abscesses, or hematomas increase the volume inside the skull, raising ICP. Cerebral Edema: Swelling of brain tissue due to injury, infection, or ischemia. Hydrocephalus: Accumulation of cerebrospinal fluid (CSF) within the ventricles due to blockage of flow or impaired absorption, leading to increased ICP. Venous Sinus Thrombosis: Blockage of venous drainage from the brain increases ICP. Raised ICP: Headache: Persistent, often severe, and worse in the morning or with coughing. Vomiting: Often sudden and without nausea. Papilledema: Swelling of the optic disc observed during a fundoscopic exam, indicating increased ICP. Cushing's Triad: A late sign of raised ICP, characterized by hypertension, bradycardia, and irregular respirations. Altered Consciousness: Drowsiness, confusion, and eventually coma if untreated. Diagnosis - Lumbar Puncture: Used cautiously to measure CSF pressure, typically avoided in cases of suspected raised ICP due to the risk of brain herniation. ICP Monitoring: Invasive methods like intraventricular catheters are used to continuously monitor ICP in critical cases. Management - Raised ICP: Elevating the Head: Keeping the head of the bed at 30 degrees to promote venous drainage. Osmotic Diuretics: Mannitol or hypertonic saline to draw fluid out of the brain and reduce swelling. Sedation and Analgesia: To reduce metabolic demand and prevent further increase in ICP. Surgical Intervention: Decompressive craniectomy or drainage of CSF to relieve pressure. Monitoring and Control: Continuous monitoring of ICP, maintaining it below 20 mm Hg. Complications - Permanent Neurological Deficit: Prolonged coma or untreated raised ICP can lead to irreversible brain damage. Death: If the underlying cause is not treated or if brain herniation occurs. Conclusion - Coma and raised intracranial pressure are critical conditions requiring immediate medical attention. Early diagnosis, aggressive management, and continuous monitoring are essential to improve outcomes and prevent long-term complications 🧠💡. #RaisedICP #Neuroscience #Neurology #MedicalEducation #FMGEPreparation #NEETPG #USMLE #MedStudent #DoctorLife #CriticalCare #BrainInjury #NeuroExam #Healthcare #MedicalScience #ExamPrep #TraumaticBrainInjury #Stroke #EmergencyMedicine #PatientCare #BrainHealth