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Doctor insights on: Lumbar Puncture Order Set

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Is a lumbar puncture needed to diagnose ms?

Is a lumbar puncture needed to diagnose ms?

Not usually: These days, MRI films are typically sufficient but LP may be used if diagnosis is unclear ...Read more

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Dr. Dariush Saghafi
399 doctors shared insights

Lumbar Puncture (Definition)

To test for meningitis or multiple sclerosis or a variety of problems, a small needle is inserted into the lumbosacral cistern to obtain spinal fluid for testing ...Read more


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What will monoclonal bands in a lumbar puncture mean?

What will monoclonal bands in a lumbar puncture mean?

Monoclonal Bands: Oligoclonal bands are seen when a patient's blood or cerebrospinal fluid is analyzed. Each of the two to five oligoclonal bands represent proteins, although why exactly these bands are present, and which proteins these bands represent, has not yet been elucidated. Oligoclonal bands are present in 80-90% of patients and is an important indicator in the diagnosis of multiple sclerosis. ...Read more

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North carolina, need doctor to perform rating for spinal nerve extremity, prior workers comp patient. Spinal and neck?

North carolina, need doctor to perform rating for spinal nerve extremity, prior workers comp patient.  Spinal and neck?

Contact OWCP: Much of the federal activity takes place at an office in kentucky, and owcp has listings of appropriate doctors online. Most attorneys who deal with fed comp have a few docs they like, so call around. ...Read more

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Mri shows a fluid build up in lumbar spine, what to do?

Fluid build up??: Would need more info - not sure what fluid "build up" means - we would need to look at your MRI to see exactly what's going on. ...Read more

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Can chiropractors order mri's of spine or just md's?

Can chiropractors order mri's of spine or just md's?

Depends: This would depend on the state and country, but in general, licensed chiroprators in most states in the U.S. Can order mris of the spine. ...Read more

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Would an IgG blood test for toxoplasmosis be useful for diagnosing spinal toxoplasmosis, or would spinal fluid from lumbar puncture be needed?

Spinal fluid.: A serum igg test that was positive would show that you had been exposed to toxoplasmosis sometime in your life - not necessarily current infection. A culture of spinal fluid would be definitive. ...Read more

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What is a spinal tap / lumbar puncture like?

Not bad: A small needle prick in the small of the back then some pressure and that is about it. ...Read more

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How do a lumbar puncture and a myelogram differ?

How do a lumbar puncture and a myelogram differ?

See below: A LP involves withdrawing cerebrospinal fluid for study. A myelogram involves injecting a special dye for evaluation of spinal pathology. The placement and location of the needle are the same for both procedures. ...Read more

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Can a lumbar puncture paralyze me?

Can a lumbar puncture paralyze me?

Rarely: I have seen this happen twice in the span of my medical career, both instances in which the performing physician was not aware of the patients' use of blood thinners. Hematomas formed and extended upward from the "safe" levels of lumbar puncture up to the spinal cord. ...Read more

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About how much cerebro spinal fluid is removed during a diagnostic lumbar puncture ?

Small amount: Typically 1 to 2 tablespoons. If fluid needs to be sent for cytology - looking for abnormal cells, then more fluid is needed. You produce the fluid continuously and whatever fluid is taken out is rapidly replaced. ...Read more

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Hi docs, would spinal cord injuries show up on an x-ray?

Hi docs, would spinal cord injuries show up on an x-ray?

No: They may be inferred by a cervical fracture or subluxation. An MRI would be more useful to actually see the cord. ...Read more

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What are the complications of having a lumbar puncture (spinal tap) to check for bacterial meningitis?

What are the complications of having a lumbar puncture (spinal tap) to check for bacterial meningitis?

Many but rare: There are many potential side effects and some are serious but most are rare with the most common being a slight headache. These should be discussed with the individual performing the tap but the benefits usually outweigh the risks. ...Read more

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Will a full spine xray show the neck and lumbar region?

Will a full spine xray show the neck and lumbar region?

Some what: Each area of the spine need different views and stronger x- ray penetration. U may c the entire spine but not much detail. ...Read more

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What location would you puncture spinal cord to draw cerebrospinal fluid if brain has an infection?

What location would you puncture spinal cord to draw cerebrospinal fluid if brain has an infection?

Not the spinal cord: Lumbar puncture is done below the spinal cord itself, usually between 3rd and 4th or 4th and 5th lumbar vertebrae. Spinal cord ends at about first lumbar vertebra but the membranes containing cerebrospinal fluid extend below that. See this site for more info. http://www.mayoclinic.com/health/lumbar-puncture/my00982. ...Read more

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What is the cpt code for lumbar spinal puncture?

What is the cpt code for lumbar spinal puncture?

Depends: Cpt 62270 lumbar puncture diagnostic cpt 62272 lumbar puncture therapeutic cpt 96450 lumbar puncture chemo cpt 77003 LP fluoroscopic guidance so i assume you are looking a bill? Call the billing department to discuss details. They can investigate and advise you what the doctor or hospital coded. And remember it is always being updated. ...Read more

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Will a previous lumbar fracture cause spinal stenosis in the future?

Will a previous lumbar fracture cause spinal stenosis in the future?

Sometimes: A prior lumbar fracture can cause spinal stenosis if some of the fracture fragments get pushed into the spinal canal where the nerves are. Usually the fracture will cause stenosis acutely around the time of the fracture and not usually in the distant future. However, some fractures can result in delayed stenosis and should be evaluated by a physician. ...Read more

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Dr. Alan Ali
1 doctor shared a insight

Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more