Template:CT before LP - Revision history

Ostermayer: Marked this version for translation

2026-01-26T08:20:37Z

Marked this version for translation

← Older revision		Revision as of 08:20, 26 January 2026
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	<noinclude><languages/></noinclude>		<noinclude><languages/></noinclude>
	<translate>		<translate>
			<!--T:1-->
	'''LP without CT is likely safe if:<ref>Computed Tomography of the Head before Lumbar Puncture in Adults with Suspected Meningitis. NEJM 2001; 345; 1727-33</ref>'''		'''LP without CT is likely safe if:<ref>Computed Tomography of the Head before Lumbar Puncture in Adults with Suspected Meningitis. NEJM 2001; 345; 1727-33</ref>'''
	*History		*History
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	''If none of the above, chance of normal ct is 97%; none of the patients herniated''		''If none of the above, chance of normal ct is 97%; none of the patients herniated''

			<!--T:2-->
	'''CT findings that prohibit LP:<ref>Emergency Radiology: Case Studies Schwartz</ref>'''		'''CT findings that prohibit LP:<ref>Emergency Radiology: Case Studies Schwartz</ref>'''
	*Midline shift		*Midline shift

Ostermayer at 08:20, 26 January 2026

2026-01-26T08:20:30Z

← Older revision		Revision as of 08:20, 26 January 2026
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	<languages/>		<noinclude><languages/></noinclude>
	<translate>		<translate>
	'''LP without CT is likely safe if:<ref>Computed Tomography of the Head before Lumbar Puncture in Adults with Suspected Meningitis. NEJM 2001; 345; 1727-33</ref>'''		'''LP without CT is likely safe if:<ref>Computed Tomography of the Head before Lumbar Puncture in Adults with Suspected Meningitis. NEJM 2001; 345; 1727-33</ref>'''

Ostermayer: Prepared the page for translation

2026-01-26T08:20:16Z

Prepared the page for translation

← Older revision		Revision as of 08:20, 26 January 2026
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			<languages/>
			<translate>
	'''LP without CT is likely safe if:<ref>Computed Tomography of the Head before Lumbar Puncture in Adults with Suspected Meningitis. NEJM 2001; 345; 1727-33</ref>'''		'''LP without CT is likely safe if:<ref>Computed Tomography of the Head before Lumbar Puncture in Adults with Suspected Meningitis. NEJM 2001; 345; 1727-33</ref>'''
	*History		*History
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	**Not immunocompromised		**Not immunocompromised
	**No history of CNS disease		**No history of CNS disease
	**No [[seizure]] within 1 week of presentation		**No [[Special:MyLanguage/seizure\|seizure]] within 1 week of presentation
	*Physical Exam		*Physical Exam
	**No [[altered level of consciousness]]		**No [[Special:MyLanguage/altered level of consciousness\|altered level of consciousness]]
	***Ability to answer two consecutive questions successfully		***Ability to answer two consecutive questions successfully
	***Ability to follow two consecutive commands successfully		***Ability to follow two consecutive commands successfully
	**Normal [[neurologic exam]]		**Normal [[Special:MyLanguage/neurologic exam\|neurologic exam]]

	''If none of the above, chance of normal ct is 97%; none of the patients herniated''		''If none of the above, chance of normal ct is 97%; none of the patients herniated''
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	**Unequal pressures between the 3 cerebral compartments (left/right supretentorial compartments, posterior fossa)		**Unequal pressures between the 3 cerebral compartments (left/right supretentorial compartments, posterior fossa)
	**Intracerebral masses not causing midline shift		**Intracerebral masses not causing midline shift
	*Obstructive [[Hydrocephalus]]		*Obstructive [[Special:MyLanguage/Hydrocephalus\|Hydrocephalus]]
	**Enlargement of ventricles prox to lesions and normal ventricles distal (especially 4th ventricle)		**Enlargement of ventricles prox to lesions and normal ventricles distal (especially 4th ventricle)
	*Basilar cisterns compressed		*Basilar cisterns compressed
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	*Posterior fossa mass		*Posterior fossa mass
	**Displacement/compression of 4th ventricle		**Displacement/compression of 4th ventricle
			</translate>

ClaireLewis at 14:50, 14 October 2019

2019-10-14T14:50:34Z

← Older revision		Revision as of 14:50, 14 October 2019
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	**Not immunocompromised		**Not immunocompromised
	**No history of CNS disease		**No history of CNS disease
	**No seizure within 1 week of presentation		**No [[seizure]] within 1 week of presentation
	*Physical Exam		*Physical Exam
	**No ~~ALOC~~		**No [[altered level of consciousness]]
	***Ability to answer two consecutive questions successfully		***Ability to answer two consecutive questions successfully
	***Ability to follow two consecutive commands successfully		***Ability to follow two consecutive commands successfully

Rossdonaldson1 at 03:20, 25 September 2017

2017-09-25T03:20:45Z

← Older revision		Revision as of 03:20, 25 September 2017
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	'''LP without CT is likely safe if:<ref>*NEJM 2001; 345; 1727-33</ref>'''		'''LP without CT is likely safe if:<ref>Computed Tomography of the Head before Lumbar Puncture in Adults with Suspected Meningitis. NEJM 2001; 345; 1727-33</ref>'''
	*History		*History
	**Age < 60		**Age < 60

Rossdonaldson1 at 22:04, 17 November 2014

2014-11-17T22:04:20Z

← Older revision		Revision as of 22:04, 17 November 2014
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	*Physical Exam		*Physical Exam
	**No ALOC		**No ALOC
	**Ability to answer two consecutive questions successfully		***Ability to answer two consecutive questions successfully
	**Ability to follow two consecutive commands successfully		***Ability to follow two consecutive commands successfully
	**Normal [[neurologic exam]]		**Normal [[neurologic exam]]

Rossdonaldson1: Created page with "'''LP without CT is likely safe if:NEJM 2001; 345; 1727-33''' History Age < 60 Not immunocompromised No history of CNS disease No seizure within 1 week o..."

2014-11-17T22:02:47Z

Created page with "'''LP without CT is likely safe if:<ref>*NEJM 2001; 345; 1727-33</ref>''' *History **Age < 60 **Not immunocompromised **No history of CNS disease **No seizure within 1 week o..."

New page

'''LP without CT is likely safe if:<ref>*NEJM 2001; 345; 1727-33</ref>'''
*History
**Age < 60
**Not immunocompromised
**No history of CNS disease
**No seizure within 1 week of presentation
*Physical Exam
**No ALOC
**Ability to answer two consecutive questions successfully
**Ability to follow two consecutive commands successfully
**Normal [[neurologic exam]]

''If none of the above, chance of normal ct is 97%; none of the patients herniated''

'''CT findings that prohibit LP:<ref>Emergency Radiology: Case Studies Schwartz</ref>'''
*Midline shift
**Unequal pressures between the 3 cerebral compartments (left/right supretentorial compartments, posterior fossa)
**Intracerebral masses not causing midline shift
*Obstructive [[Hydrocephalus]]
**Enlargement of ventricles prox to lesions and normal ventricles distal (especially 4th ventricle)
*Basilar cisterns compressed
**Lateral/3rd ventricles may be small due to diffuse cerebral edema or enlarged due to obstr. hydroceph. +/- shift
*Posterior fossa mass
**Displacement/compression of 4th ventricle