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Increased head circumference Fontanelle changes: tense and bulging, closing late Vomiting: possible projectile Eye changes: diplopia, dialated pupil, papilledema Vital Sign changes
- Elevated temperature and BP (due to compression of cranial vessels)
- Decreased pulse and RR (due to growing pressure on the brainstem)
Pain
- Headache
- Increasing with straining at stool (Valsalva maneuver) or holding breath
Mentation: irritabililty, sleepiness
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