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Diagnostic Testing Indications for lumbar puncture Signs and symptoms concerning for meningitis (ie fever, headache, neck stiffness) Altered mental status without other clear etiology Focal neurologic deficits with negative stroke work-up (to evaluate for conditions like Multiple Sclerosis or Guillain-Barre syndrome) Evaluation for CT negative Subarachnoid Hemorrhage Signs and symptoms of Idiopathic Intracranial Hypertension Contraindications Coagulopathy (including oral anticoagulants) Thrombocytopenia (typically platelets less than 20,000 warrant transfusion before the procedure) Known intracranial process causing mass effect Cellulitis or abscess of skin over the procedure site Suspected spinal epidural abscess Obtaining informed consent Informed consent should be obtained in the patient’s primary language
Sheer Nylon & Lace
Style:EP00461BD
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milestone events Garment Care