EPISODE · May 16, 2023 · 14 MIN
Deep Dive MW R9
from EM Clerkship · host Zack Olson, MD and Michael Estephan, MD
Indications for LP: CNS infection, SAH, Guillian Barree, IIH Contraindications for LP: Space occupying lesion with mass effect ; severe thrombocytopenia and coagulopathy; cellulitis over LP site or concern for epidural abscess ; traumatic injury to spine Complications for LP: Post LP Headache, spinal hematoma, brainstem herniation Technique for LP: Positioning is everything. Use US if necessary. Check for CSF early and often. When to CT before LP?: AMS; focal neuro deficit; new onset seizures, known CNS lesions; immunosuppression; papilledema
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Deep Dive MW R9
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