Patient presents for evaluation of ventriculoperitoneal (VP) shunt status.  Presenting complaint includes [insert chief complaint related to possible shunt malfunction, e.g., headache, vomiting, lethargy, irritability, seizures, changes in mental status, bulging fontanelle if applicable].  History includes VP shunt placement on [date] for [reason for shunt placement, e.g., hydrocephalus, intracranial hypertension].  Review of systems includes [pertinent positive and negative findings related to shunt function, e.g., nausea, diplopia, ataxia, vision changes, neck pain].  Physical exam reveals [relevant neurological findings, e.g., altered level of consciousness, papilledema, cranial nerve palsies, focal neurological deficits, abdominal distension].  Assessment includes concern for possible [VP shunt malfunction, VP shunt obstruction, VP shunt infection].  Differential diagnosis includes [other potential causes of symptoms, e.g., migraine, viral illness, meningitis, intracranial pathology].  Plan includes [diagnostic tests, e.g., head CT scan, shunt series, lumbar puncture if appropriate, blood work] to evaluate VP shunt function and rule out other etiologies.  Patient education provided regarding signs and symptoms of shunt malfunction and the importance of follow-up.  Referral to [neurosurgery, neurology] as indicated.  Return precautions discussed.