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06 / Neurosurgery · clerkship

The shunt that stopped working

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

His mother knows

His mother says this is exactly how he presented the last time the shunt blocked. He is drowsy but rousable, with a headache worse on lying flat and two episodes of vomiting. He has no fever and the shunt tract is not red.

Open in 3D: the ventricular system of the brain

How should the parental history be weighted?

SurgSpace TutorContext-aware, and it will not spoil the case.