PUNISH Mnemonic - Indications for Head CT before Lumbar Puncture (LP) P - Papilledema U - Unconsciousness N - Neurologic deficit (focal) I - Immunocompromised (HIV, transplant) S - Seizure (new onset) H - History of CNS disease (mass, stroke, focal infection) #PUNISH #Mnemonic #Indications #HeadCT #Lumbar #Puncture #LP #Neurology #Management