Ventriculoperitoneal shunt obstruction - Revision history

ClaireLewis: /* Clinical Features */

2019-10-03T16:55:03Z

Clinical Features

← Older revision		Revision as of 16:55, 3 October 2019
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	==Clinical Features==		==Clinical Features==
	*Infants with [[bulging ~~fontanelles~~ and suture diastasis		*Infants with [[bulging fontanelle]]s and suture diastasis
	*Irritability		*Irritability
	*Change in level of consciousness		*[[AMS\|Change in level of consciousness]]
	*[[Nausea/vomiting]], poor feeding		*[[Nausea/vomiting]], poor feeding
	*[[Seizure]]		*[[Seizure]]

2019-10-01T23:53:53Z

← Older revision		Revision as of 23:53, 1 October 2019
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	**Choroid plexus		**Choroid plexus
	**Clot		**Clot
	**Infection		**[[VP shunt infections\|Infection]]
	**Catheter-tip migration		**Catheter-tip migration
	**Localized immune response to the tubing		**Localized immune response to the tubing
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	**Kinking or disconnection of the tube		**Kinking or disconnection of the tube
	**Pseudocyst formation		**Pseudocyst formation
	**Infection		**[[VP shunt infections\|Infection]]

	==Clinical Features==		==Clinical Features==
	*Infants with bulging ~~fontanels~~ and suture diastasis		*Infants with [[bulging fontanelles and suture diastasis
	*Irritability		*Irritability
	*Change in level of consciousness		*Change in level of consciousness
	*~~nausea and~~ vomiting, poor feeding		*[[Nausea/vomiting]], poor feeding
	*Seizure		*[[Seizure]]
	*Cushing's triad		*Cushing's triad

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	==Evaluation==		==Evaluation==
	*Shunt series		*Shunt series
	*CT scan ~~with out~~ contrast		*[[Head CT\|CT]] scan without contrast
	*Ventricular tap		*Ventricular tap
	*MRI, unless patient has programmable shunt (Can be recalibrated by Neurosurgery if needed)		*[[brain MRI\|MRI]], unless patient has programmable shunt (Can be recalibrated by Neurosurgery if needed)
	*Pumping shunt (institution dependent) - may pull choroid plexus into shunt or cause intraparenchymal bleed		*Pumping shunt (institution dependent) - may pull choroid plexus into shunt or cause intraparenchymal bleed

2016-08-29T01:17:16Z

2016-07-26T14:45:33Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-14T21:52:31Z

Text replacement - "N/V" to "nausea and vomiting"

← Older revision		Revision as of 21:52, 14 July 2016
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	*Irritability		*Irritability
	*Change in level of consciousness		*Change in level of consciousness
	*~~N/V~~, poor feeding		*nausea and vomiting, poor feeding
	*Seizure		*Seizure
	*Cushing's triad		*Cushing's triad

2016-07-09T21:12:51Z

Text replacement - "w/o" to "with out"

← Older revision		Revision as of 21:12, 9 July 2016
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	==Diagnosis==		==Diagnosis==
	*Shunt series		*Shunt series
	*CT scan ~~w/o~~ contrast		*CT scan with out contrast
	*Ventricular tap		*Ventricular tap
	*MRI, unless patient has programmable shunt (Can be recalibrated by Neurosurgery if needed)		*MRI, unless patient has programmable shunt (Can be recalibrated by Neurosurgery if needed)

2016-07-02T09:25:11Z

Text replacement - " pt " to " patient "

← Older revision		Revision as of 09:25, 2 July 2016
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	*CT scan w/o contrast		*CT scan w/o contrast
	*Ventricular tap		*Ventricular tap
	*MRI, unless pt has programmable shunt (Can be recalibrated by Neurosurgery if needed)		*MRI, unless patient has programmable shunt (Can be recalibrated by Neurosurgery if needed)
	*Pumping shunt (institution dependent) - may pull choroid plexus into shunt or cause intraparenchymal bleed		*Pumping shunt (institution dependent) - may pull choroid plexus into shunt or cause intraparenchymal bleed

2016-03-22T14:15:06Z

Text replacement - "Category:Neuro" to "Category:Neurology"

2016-02-16T02:18:24Z

← Older revision		Revision as of 02:18, 16 February 2016
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	==Management==		==Management==
			*Rapid deterioration and NSGY capability distant, may require shunt tap until pressure < 15 mmHg
			*If pressure not relieved by shunt tap, obstruction likely proximal

	==Disposition==		==Disposition==

2015-11-30T23:38:55Z

Diagnosis

← Older revision		Revision as of 23:38, 30 November 2015
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	*CT scan w/o contrast		*CT scan w/o contrast
	*Ventricular tap		*Ventricular tap
	*~~rsMRI~~, unless pt has programmable shunt		*MRI, unless pt has programmable shunt (Can be recalibrated by Neurosurgery if needed)
	*Pumping shunt (institution dependent) - may pull choroid plexus into shunt or cause intraparenchymal bleed		*Pumping shunt (institution dependent) - may pull choroid plexus into shunt or cause intraparenchymal bleed