Written by neurosurgery residents for neurosurgery residents, The Neurosurgical Consult Book focuses on the initial care and treatment of the neurosurgical consult patient, providing the key guidance you need when quick clinical management decisions are critical. You’ll learn to recognize the acuity of patient presentation and determine how to immediately triage the needs of the patient at an appropriate level of care. This portable, practical guide helps you quickly steer neurosurgical patients to medical stability and safety until a definitive clinical management plan is determined.
Features a real-life approach with chapters titled by the symptoms and clinical presentation of the patient, not by neurosurgical diagnosis.
Begins each chapter with the actual consult notification from the consulting team, mimicking how the neurosurgery provider is notified about a new patient in practice.
Presents initial imaging as it occurs in real life—whether imaging has already been done or whether the consulting physician needs guidance on what imaging is needed.
Includes Walking Thoughts, guidance on how to tailor your thoughts toward the most important and pressing issues facing the patient before even meeting them, so that upon seeing the patient, the most important questions are asked first.
Covers the Glasgow Coma Scale, the systematic thought process behind triage management, and learning points to remember when seeing a particular type of neurosurgical patient.
Summarizes evidence-based standards of care and key literature.
An excellent learning tool for neurosurgery and neurology residents as well as neurosurgery fellows, registered nurses, neurocritical care health care providers, clinical fellows, physician assistants, clinical nurse specialists, nurse practitioners, travel nurses, advance practice practitioners, emergency room providers, and medical students rotating in neurology, neurosurgery, and neurosciences.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Contributors - p. iii 6. Acknowledgments - p. iii 7. Dedication - p. iii 8. Foreword - p. iii 9. Preface - p. iii 10. htu - p. iii 11. Section 1: Trauma - p. iii 12. List of Tables - p. iii 13. Chapter 1: Fall With Gradual Drowsiness - p. iii 14. Chapter 2: Dizziness With Syncope And Fall - p. g5 15. Chapter 3: Fall And Altered Mental Status - p. g8 16. Chapter 4: Unresponsive After MVC - p. g12 17. Chapter 5: Unresponsive After Gunshot Wound To Head - p. g16 18. Chapter 6: Neck Pain After Syncopal Fall - p. g21 19. Chapter 7: Neck Pain After Trauma - p. g25 20. Chapter 8: Back Pain After Work Accident - p. g29 21. Chapter 9: Left Arm And Neck Pain After Car Accident - p. g34 22. Chapter 10: Back Pain After Low-Impact Trauma - p. g40 23. Chapter 11: Vomiting And Neck Pain After Motor Vehicle Accident - p. g44 24. Section 2: Tumor - p. g49 25. Chapter 12: Headache, Nausea, And Speech Difficulty - p. g49 26. Chapter 13: Episodes Of Foul Smell And Bad Taste - p. g55 27. Chapter 14: Headache And Right Arm Weakness - p. g62 28. Chapter 15: New Onset Seizure With Prior History Of Melanoma - p. g67 29. Chapter 16: Altered Mental Status With Brain Lesions - p. g73 30. Chapter 17: Incidental Sellar Mass After An Accident - p. g78 31. Chapter 18: Sudden Headache And Vision Loss - p. g85 32. Chapter 19: Headache, Blurry Vision, And Intraventricular Mass - p. g91 33. Chapter 20: Progressive Neurocognitive Decline - p. g96 34. Section 3: Vascular - p. g102 35. Chapter 21: Unresponsive Patient - p. g102 36. Chapter 22: Severe Headache - p. g107 37. Chapter 23: Altered Mental Status - p. g111 38. Chapter 24: Patient Found Down - p. g115 39. Chapter 25: Acute Aphasia And Right-Sided Weakness - p. g121 40. Chapter 26: Headache - p. g127 41. Chapter 27: Worst Headache Of Life - p. g132 42. Chapter 28: Headaches And Vomiting - p. g140 43. Chapter 29: Persistent Altered Mental Status - p. g146 44. Chapter 30: Seizure - p. g151 45. Chapter 31: Right Eye Swelling And Pain - p. g155 46. Chapter 32: Acute Onset Left Hemiparesis - p. g159 47. Chapter 33: Acute Loss of Consciousness - p. g163 48. Section 4: Spine - p. g168 49. Chapter 34: Lower Back And Right Leg Pain - p. g168 50. Chapter 35: Neck Pain And Left Arm Weakness - p. g173 51. Chapter 36: Left Neck And Shoulder Pain - p. g178 52. Chapter 37: Leg Weakness And Numbness - p. g182 53. Chapter 38: Leg Pain, Weakness, And Saddle Anesthesia - p. g187 54. Chapter 39: Right Leg Pain And Weakness With Prior Lumbar Fusion - p. g191 55. Chapter 40: Arm And Leg Weakness And Numbness After MVC - p. g195 56. Chapter 41: Worsening Back Pain And Leg Weakness - p. g200 57. Chapter 42: Acute Inability To Walk - p. g205 58. Chapter 43: Subacute Leg Pain, Numbness, And Weakness - p. g212 59. Chapter 44: Sudden Bilateral Lower Extremity Weakness With Hemodynamic Instability - p. g217 60. Chapter 45: Right Leg Numbness And Foot Drop - p. g221 61. Chapter 46: Worsening Back And Leg Pain - p. g228 62. Section 5: Pediatric - p. g234 63. Chapter 47: Prematurity And Abnormal Head Imaging - p. g234 64. Chapter 48: Newborn With a Lumbar Spinal Defect - p. g239 65. Chapter 49: Pediatric Patient With Headache and Vomiting - p. g242 66. Chapter 50: Worsening Leg Weakness With A Mediastinal Mass - p. g245 67. Chapter 51: Pediatric Depressed Skull Fracture - p. g249 68. Chapter 52: Loss Of Consciousness After Bike Accident - p. g253 69. Chapter 53: Right Sided Jerking And Decreased Appetite - p. g257 70. Chapter 54: Numbness And Weakness After Head Collision - p. g262 71. Chapter 55: Worsening Leg Pain And Weakness - p. g266 72. Chapter 56: Persistent Headaches - p. g270 73. Chapter 57: Fever And Forehead Swelling - p. g274 74. Section 6: Hydrocephalus - p. g278 75. Chapter 58: Gait Difficulty And Falls - p. g278 76. Chapter 59: Emesis And Lethargy In A Shunted Patient - p. g283 77. Chapter 60: Nausea And Lethargy In A Shunted Patient - p. g289 78. Chapter 61: Worsening Vision In Pseudotumor Cerebri - p. g293 79. Chapter 62: Headache, Confusion, And Chronic Rhinorrhea - p. g298 80. Chapter 63: Falls, Memory Loss, And Fevers - p. g303 81. Chapter 64: Abdominal Pain And Fevers In A Shunted Patient - p. g308 82. Section 7: Functional - p. g314 83. Chapter 65: Increased Spasticity And Beeping Baclofen Pump - p. g314 84. Chapter 66: Baclofen Pump Infection Due To Wound Breakdown - p. g319 85. Chapter 67: Abnormal Eye Movement - p. g322 86. Chapter 68: Right Facial Pain - p. g326 87. Section 8: Postoperative Complications - p. g330 88. Chapter 69: Right Arm Swelling After Surgery - p. g330 89. Chapter 70: Postoperative Lethargy And Left Sided Weakness After Craniotomy - p. g335 90. Chapter 71: Postoperative Leg Weakness, Numbness, And Urinary Incontinence - p. g339 91. Chapter 72: Drainage From Cranial Incision - p. g343 92. Chapter 73: Incisional Swelling And Drainage After Spine Surgery - p. g348 93. Chapter 74: Leakage From Spinal Incision With Headaches - p. g352 94. Chapter 75: Hemiparesis With A Previously Treated Arteriovenous Malformation - p. g357 95. Chapter 76: Change In Exam After Brain Tumor Biopsy - p. g361 96. Section 9: Procedures - p. g366 97. Chapter 77: Shunt Tap - p. g366 98. Chapter 78: Intracranial Pressure Monitor - p. g369 99. Chapter 79: External Ventricular Drain - p. g373 100. Chapter 80: Lumbar Puncture And Lumbar Drain Placement - p. g379 101. Index - p. g384
Written by neurosurgery residents for neurosurgery residents, The Neurosurgical Consult Book focuses on the initial care and treatment of the neurosurgical consult patient, providing the key guidance you need when quick clinical management decisions are critical. You’ll learn to recognize the acuity of patient presentation and determine how to immediately triage the needs of the patient at an appropriate level of care. This portable, practical guide helps you quickly steer neurosurgical patients to medical stability and safety until a definitive clinical management plan is determined.
Features a real-life approach with chapters titled by the symptoms and clinical presentation of the patient, not by neurosurgical diagnosis.
Begins each chapter with the actual consult notification from the consulting team, mimicking how the neurosurgery provider is notified about a new patient in practice.
Presents initial imaging as it occurs in real life—whether imaging has already been done or whether the consulting physician needs guidance on what imaging is needed.
Includes Walking Thoughts, guidance on how to tailor your thoughts toward the most important and pressing issues facing the patient before even meeting them, so that upon seeing the patient, the most important questions are asked first.
Covers the Glasgow Coma Scale, the systematic thought process behind triage management, and learning points to remember when seeing a particular type of neurosurgical patient.
Summarizes evidence-based standards of care and key literature.
An excellent learning tool for neurosurgery and neurology residents as well as neurosurgery fellows, registered nurses, neurocritical care health care providers, clinical fellows, physician assistants, clinical nurse specialists, nurse practitioners, travel nurses, advance practice practitioners, emergency room providers, and medical students rotating in neurology, neurosurgery, and neurosciences.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Contributors - p. iii 6. Acknowledgments - p. iii 7. Dedication - p. iii 8. Foreword - p. iii 9. Preface - p. iii 10. htu - p. iii 11. Section 1: Trauma - p. iii 12. List of Tables - p. iii 13. Chapter 1: Fall With Gradual Drowsiness - p. iii 14. Chapter 2: Dizziness With Syncope And Fall - p. g5 15. Chapter 3: Fall And Altered Mental Status - p. g8 16. Chapter 4: Unresponsive After MVC - p. g12 17. Chapter 5: Unresponsive After Gunshot Wound To Head - p. g16 18. Chapter 6: Neck Pain After Syncopal Fall - p. g21 19. Chapter 7: Neck Pain After Trauma - p. g25 20. Chapter 8: Back Pain After Work Accident - p. g29 21. Chapter 9: Left Arm And Neck Pain After Car Accident - p. g34 22. Chapter 10: Back Pain After Low-Impact Trauma - p. g40 23. Chapter 11: Vomiting And Neck Pain After Motor Vehicle Accident - p. g44 24. Section 2: Tumor - p. g49 25. Chapter 12: Headache, Nausea, And Speech Difficulty - p. g49 26. Chapter 13: Episodes Of Foul Smell And Bad Taste - p. g55 27. Chapter 14: Headache And Right Arm Weakness - p. g62 28. Chapter 15: New Onset Seizure With Prior History Of Melanoma - p. g67 29. Chapter 16: Altered Mental Status With Brain Lesions - p. g73 30. Chapter 17: Incidental Sellar Mass After An Accident - p. g78 31. Chapter 18: Sudden Headache And Vision Loss - p. g85 32. Chapter 19: Headache, Blurry Vision, And Intraventricular Mass - p. g91 33. Chapter 20: Progressive Neurocognitive Decline - p. g96 34. Section 3: Vascular - p. g102 35. Chapter 21: Unresponsive Patient - p. g102 36. Chapter 22: Severe Headache - p. g107 37. Chapter 23: Altered Mental Status - p. g111 38. Chapter 24: Patient Found Down - p. g115 39. Chapter 25: Acute Aphasia And Right-Sided Weakness - p. g121 40. Chapter 26: Headache - p. g127 41. Chapter 27: Worst Headache Of Life - p. g132 42. Chapter 28: Headaches And Vomiting - p. g140 43. Chapter 29: Persistent Altered Mental Status - p. g146 44. Chapter 30: Seizure - p. g151 45. Chapter 31: Right Eye Swelling And Pain - p. g155 46. Chapter 32: Acute Onset Left Hemiparesis - p. g159 47. Chapter 33: Acute Loss of Consciousness - p. g163 48. Section 4: Spine - p. g168 49. Chapter 34: Lower Back And Right Leg Pain - p. g168 50. Chapter 35: Neck Pain And Left Arm Weakness - p. g173 51. Chapter 36: Left Neck And Shoulder Pain - p. g178 52. Chapter 37: Leg Weakness And Numbness - p. g182 53. Chapter 38: Leg Pain, Weakness, And Saddle Anesthesia - p. g187 54. Chapter 39: Right Leg Pain And Weakness With Prior Lumbar Fusion - p. g191 55. Chapter 40: Arm And Leg Weakness And Numbness After MVC - p. g195 56. Chapter 41: Worsening Back Pain And Leg Weakness - p. g200 57. Chapter 42: Acute Inability To Walk - p. g205 58. Chapter 43: Subacute Leg Pain, Numbness, And Weakness - p. g212 59. Chapter 44: Sudden Bilateral Lower Extremity Weakness With Hemodynamic Instability - p. g217 60. Chapter 45: Right Leg Numbness And Foot Drop - p. g221 61. Chapter 46: Worsening Back And Leg Pain - p. g228 62. Section 5: Pediatric - p. g234 63. Chapter 47: Prematurity And Abnormal Head Imaging - p. g234 64. Chapter 48: Newborn With a Lumbar Spinal Defect - p. g239 65. Chapter 49: Pediatric Patient With Headache and Vomiting - p. g242 66. Chapter 50: Worsening Leg Weakness With A Mediastinal Mass - p. g245 67. Chapter 51: Pediatric Depressed Skull Fracture - p. g249 68. Chapter 52: Loss Of Consciousness After Bike Accident - p. g253 69. Chapter 53: Right Sided Jerking And Decreased Appetite - p. g257 70. Chapter 54: Numbness And Weakness After Head Collision - p. g262 71. Chapter 55: Worsening Leg Pain And Weakness - p. g266 72. Chapter 56: Persistent Headaches - p. g270 73. Chapter 57: Fever And Forehead Swelling - p. g274 74. Section 6: Hydrocephalus - p. g278 75. Chapter 58: Gait Difficulty And Falls - p. g278 76. Chapter 59: Emesis And Lethargy In A Shunted Patient - p. g283 77. Chapter 60: Nausea And Lethargy In A Shunted Patient - p. g289 78. Chapter 61: Worsening Vision In Pseudotumor Cerebri - p. g293 79. Chapter 62: Headache, Confusion, And Chronic Rhinorrhea - p. g298 80. Chapter 63: Falls, Memory Loss, And Fevers - p. g303 81. Chapter 64: Abdominal Pain And Fevers In A Shunted Patient - p. g308 82. Section 7: Functional - p. g314 83. Chapter 65: Increased Spasticity And Beeping Baclofen Pump - p. g314 84. Chapter 66: Baclofen Pump Infection Due To Wound Breakdown - p. g319 85. Chapter 67: Abnormal Eye Movement - p. g322 86. Chapter 68: Right Facial Pain - p. g326 87. Section 8: Postoperative Complications - p. g330 88. Chapter 69: Right Arm Swelling After Surgery - p. g330 89. Chapter 70: Postoperative Lethargy And Left Sided Weakness After Craniotomy - p. g335 90. Chapter 71: Postoperative Leg Weakness, Numbness, And Urinary Incontinence - p. g339 91. Chapter 72: Drainage From Cranial Incision - p. g343 92. Chapter 73: Incisional Swelling And Drainage After Spine Surgery - p. g348 93. Chapter 74: Leakage From Spinal Incision With Headaches - p. g352 94. Chapter 75: Hemiparesis With A Previously Treated Arteriovenous Malformation - p. g357 95. Chapter 76: Change In Exam After Brain Tumor Biopsy - p. g361 96. Section 9: Procedures - p. g366 97. Chapter 77: Shunt Tap - p. g366 98. Chapter 78: Intracranial Pressure Monitor - p. g369 99. Chapter 79: External Ventricular Drain - p. g373 100. Chapter 80: Lumbar Puncture And Lumbar Drain Placement - p. g379 101. Index - p. g384
