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Diagnostics: The Shunt Series
Ever palpate the scalp of an altered patient to find a VP shunt you weren’t expecting? Have a febrile patient and wondering if it could be the cause? Join Dr. Cody Stothers as he dives into a case-based review of Hydrocephalus and VP Shunts
Grands Rounds Recap 4.26.2017
Dr. McKean kicked off this week with another great M&M where he taught us about the utility of stress testing to predict coronary artery disease, otomastoiditis, and much more. Dr. Brenkert joined us for an hour on pediatric musculoskeletal ultrasound and then Dr. Mudd reviewed transfusion strategies in upper GI bleeding. Dr. Ventura taught us about CSF analysis and Drs. Stettler and Whitford rounded out the day with a CPC about acid-base disturbances.
What's in a Tap: CSF Analysis
Lumbar punctures are common procedures to the Emergency Medical provider. Obtaining the fluid is just part of the battle however with this procedure. With the flood of results often comes a fair bit of confusion as to how to interpret them. After reading this post, you'll be able to:
- Use cell counts, protein, and glucose to distinguish between various etiologies of meningitis and determine when to order further testing
- Understand markers of bleeding in CSF and methods of distinguishing SAH from traumatic tap