A 22-year-old man with cerebral palsy presents to ED after a seizure. He has a worsening headache, is known to have a VP shunt, and has stable observations and GCS 15.
List the two most likely causes of worsening headache in this man.
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After locating and pressing the shunt chamber, how do you interpret shunt function?
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What two radiological investigations would you arrange for suspected blocked VP shunt? Explain the rationale for each.
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The neurosurgical registrar asks you to perform a shunt tap. Outline the steps.
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What are the possible outcomes of the shunt tap and what is their significance?
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