Today I had a pt come up from the PACU who was s/p VP shunt revision. Apparently his previous VP shunt had had a crack in it, and was leaking CSF fluid. For the pt, this manifested as increasingly painful headaches. He came to me, VSS, neuros WNL (with the exception of being disoriented to date), PERRLA, everything looking good. After he had been on the floor for a few hours, I was getting ready to leave his room, and he said "come here. Listen to this." Having no idea what he was talking about, I put my head near the head of the bed. What I heard was an audible sloshing noise coming from this guy's head, clear as day, just as if there were a pair of tiny boots walking through a puddle. I called the neurosurgical PA immediately, who mentioned that there had been a large amount of fluid built up due to the broken VP shunt, but she also said that it was unusual. No new orders. My question to everyone is, have you ever been able to hear fluid in a patient's head? We rarely deal with shunts on our floor and it just rattled me a bit. I had to clarify to the PA that it was me, the RN, who heard the sloshing, not just the pt. The pt is still fine, VSS, neuros intact. Anyone have any experience with this? Thanks!