17 yo obese F on minocycline with headache. Pt found to have papilledema on ophtho US. Her cranial imaging was normal and she had an LP for presumed idiopathic intracranial hypertension. Her ICP was super high and 35 cc of CSF were removed with resolution of headache. Optic discs are considered elevated if they are raised 1mm above the retina. Of note, this eyeball is a little compressed. Be sure to brace on the patient’s forehead or nasal bridge when performing ophtho ultrasound so as not to squash the eyeball.

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