Pediatric emergency medicine trisk 4652 4652

FIGURE 135.4 Tapping the cerebrospinal fluid shunt If subsequent evaluation is still necessary to diagnose malfunction, a neurosurgeon should be consulted It may be necessary to “tap” the shunt ( Fig 135.4 ) The patient’s hair is either shaved or trimmed The scalp is cleansed first with alcohol and then with three applications of Betadine that are allowed to dry