№ lp_1_35160
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A procedure used for the examination of cerebrospinal fluid to diagnose various neurological conditions and monitor CSF pressure, often involving the collection of fluid samples for further testing.
Note:
Year
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Document type:
School health office injury notification form
Institution:
School health office
Subject:
Student injury involving skin wound
Wound types:
Abrasion (scrape), Cut, Puncture
Intended recipient:
Parent or guardian of the student
Medical focus:
Wound care and infection signs
Signature field:
Yes
Date field:
Yes
Injury timing field:
Yes (AM/PM)
Health advisory:
Guidance on monitoring for infection and when to contact a health care provider
Descriptor:
Urgent and out-of-hours CT brain undertaken to identify subarachnoid haemorrhage (SAH) or contraindications to subsequent lumbar puncture (LP)
Background:
National guidance requires LP following a normal CT brain in suspected SAH cases
Standard:
LP performed no sooner than 12 hours from symptom onset when CT does not reveal SAH or contraindication
Target:
100%
Indicators:
Percentage of eligible patients undergoing LP ≥12 hours after headache onset
Data Items:
Clinical details in request; time of CT; CT findings; contraindications; timing and result of LP; report timing
Suggested Number:
40 consecutive requests
Resources:
Review of request forms, patient notes, laboratory log books; radiologist time (8 hours)
References:
SIGN Guidelines 107 (2008); NICE CG68 (2008); RCP Stroke Guideline (2012); BMJ, Stroke, Neurologia and other cited journals
Submitted By:
Taken from Clinical Audit in Radiology 100+ recipes RCR 1996, updated by B Morrissey & L Narayanan
Published Date:
Monday 7 January 2008
Last Reviewed:
Thursday 9 January 2020
Note:
Year
Year:
Not specified
Region / City:
Not specified
Subject:
Bacterial meningitis diagnosis
Document type:
Laboratory protocol / Standard operating procedure
Institution:
Not specified
Target audience:
Laboratory personnel / medical staff
Specimen type:
Cerebrospinal fluid
Methods included:
Cell counts, macroscopic examination, Gram staining, Giemsa staining, India ink staining
Applicable age groups:
Neonates, infants, children, adults, immunocompromised
Pathogens covered:
Group B Streptococci, E. coli, Listeria monocytogenes, Haemophilus influenzae type B, Neisseria meningitidis, Streptococcus pneumoniae, Cryptococcus neoformans, Mycobacterium tuberculosis, Streptococcus suis
Safety precautions:
Class II biosafety cabinet use, aseptic handling
Reference tables/appendices:
Appendix 1 (normal CSF cell counts), Table 1 (organism identification)
Laboratory equipment:
Fuchs-Rosenthal counting chamber, centrifuge, microscope
Reagent Name:
Artificial Cerebrospinal Fluid V (ACSF.V)
Document Type:
Laboratory preparation protocol
Application:
Surgical procedures to maintain tissue hydration and minimize tissue damage, adhesion formation and infection
Final Volume:
1000 ml
Final pH:
7.4
Storage Conditions:
4°C
Shelf Life:
One month at 4°C
Output Composition:
135.0 mM NaCl; 5.4 mM KCl; 1.0 mM MgCl2; 1.8 mM CaCl2; 5.0 mM HEPES
Required Equipment:
pH meter; calibrated balance; stir plate; Gast vacuum pump (Model DOA-P104-AA or equivalent); fume hood
Filtration Specification:
0.22 µm filter system (Corning 431206 or equivalent)
Safety Requirements:
Gloves; eye protection; lab coat; fume hood when handling KOH
Hazard Information:
Potassium Hydroxide (KOH) can cause burns
Reference Documents:
EQ0006 pH Meter Calibration and Usage; EQ0020 Balance Calibration Validation
Disposal Method:
Excess reagent disposed into municipal sewer system
Osmolarity Control:
Measured upon request using osmometer; adjusted with MilliQ water or 1 mg/ml NaCl solution
Descriptor:
Urgent and out-of-hours CT brain undertaken to identify subarachnoid haemorrhage (SAH) or contraindications to subsequent lumbar puncture (LP)
Background:
National guidance requires LP following a normal CT brain in suspected SAH cases
Standard:
LP performed no sooner than 12 hours from symptom onset when CT does not reveal SAH or contraindication
Target:
100%
Indicators:
Percentage of eligible patients undergoing LP ≥12 hours after headache onset
Data Items:
Clinical details in request; time of CT; CT findings; contraindications; timing and result of LP; report timing
Suggested Number:
40 consecutive requests
Resources:
Review of request forms, patient notes, laboratory log books; radiologist time (8 hours)
References:
SIGN Guidelines 107 (2008); NICE CG68 (2008); RCP Stroke Guideline (2012); BMJ, Stroke, Neurologia and other cited journals
Submitted By:
Taken from Clinical Audit in Radiology 100+ recipes RCR 1996, updated by B Morrissey & L Narayanan
Published Date:
Monday 7 January 2008
Last Reviewed:
Thursday 9 January 2020
Date of Test:
3/16/2023
Patient Age:
73
Sex:
Male
Weight:
150 lbs
Referring Physician:
Not specified
Clinician:
Matthew Evans, DPT
Reason for Referral:
Lumbar radiculopathy
Medications:
Fentanyl, Gabapentin
Past Medical History:
C6-7 ACDF (2013), C5-C6 ACDF (2003), L5-S1 microdiscectomy
Family History:
No known nerve or muscle disease
Imaging Findings:
MRI L4-5 hemilaminotomy, multilevel lumbar spondylosis, discogenic disease
Examination Findings:
Decreased light touch sensation L3-S1, absent L4 and S1 reflexes, mild quadriceps atrophy, gait abnormalities
EMG/NCV Results:
Moderate chronic sensory > motor polyneuropathy of distal lower extremities, mild chronic right L4 nerve root compromise
Clinical Notes:
No evidence of left mid/lower lumbar nerve root compromise, correlation with clinical findings recommended
Type of Document:
Clinical electrophysiology report
Location:
Ventura, CA, USA
Year:
2026
Region / City:
Not specified
Topic:
Sports medicine, physiotherapy
Document type:
Case report
Institution:
Not specified
Author:
Not specified
Target audience:
Sports medicine professionals, physiotherapists
Patient age:
27
Patient experience:
Over eight years of fast bowling, two-time state-level player
Intervention duration:
6 weeks
Assessment tools:
Oswestry Disability Index (ODI), Prone Lumbar Extension Test (PLET), rehabilitative ultrasound imaging
Outcome:
Improvement in lumbar stability, reduced disability, increased multifidus muscle thickness
Keywords:
Fast Bowler, Chronic Low Back Pain, Lumbar Instability, Multifidus Muscle
Description:
Clinical case report detailing a fast bowler with chronic low back pain undergoing a six-week program combining SNAG manual therapy and core stabilization exercises, resulting in improved lumbar stability and muscle function.
Year:
2014
Region / City:
Taipei, Taiwan
Topic:
Lumbar radiculopathy, Neurobiology, Pain Mechanisms
Document Type:
Review
Institution:
Taipei Medical University Hospital, Academia Sinica
Author:
Jiann-Her Lin, Yung-Hsiao Chiang, Chih-Cheng Chen
Target Audience:
Medical professionals, researchers in neurology and pain mechanisms
Period of Validity:
N/A
Approval Date:
June 10, 2014
Revision Date:
May 22, 2014
Keywords:
Low back pain, Acid-sensing ion channel, Dorsal root, Dorsal root ganglia, Disc herniation, Lumbar spine