A child is admitted for revision of a ventriculoperitoneal shunt for noncommunicating hydrocephalus. What is a common reason for elective revision of this shunt?
a. Meningitis
b. Gastrointestinal upset
c. Hydrocephalus resolution
d. Growth of the child since the initial shunting
ANS: D
An elective revision of a ventriculoperitoneal shunt would most likely be done to accommodate the child's growth. Meningitis would require an emergent replacement or revision of the shunt. Gastrointestinal upset alone would not indicate the need for shunt revision. Noncommunicating hydrocephalus will not resolve without surgical intervention.
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