@reverendofdoubt @phil_bilodeau @ercowboy @itraslan @Roa_Alsajjan absolutely agree that papilledema is not the right marker to use... these guidelines were developed in an era before better non-invasive ICP monitors were available
I don't think it's "papilledema" or "no papilledema" that determines anything about the safety of LP..

@reverendofdoubt @phil_bilodeau @ercowboy @itraslan @Roa_Alsajjan like you suggest, it's explained ICP elevation (such as known IIH, please LP) or new altered mental status ... in which case if you are LPing them, they've probably also gotten a CT scan for "why the heck are you altered?" anyways.

@reverendofdoubt @phil_bilodeau @ercowboy @itraslan @Roa_Alsajjan obvi if the head CT then shows a big abscess in the posterior fossa... not gonna LP that person.

@reverendofdoubt @phil_bilodeau @ercowboy @itraslan @Roa_Alsajjan papilledema... or no papilledema