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The Neurosurgical Consult Book

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EBOOK
Descripcion
Indice
Autores
Muestra
Ficha Técnica
Descripción

Written by neurosurgery residents for neurosurgery residents and other providers, 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 will 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 treatment plan is implemented.

  • Features a real-life approach, based on actual consults, 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 patients before even meeting them, so that upon evaluation, the most important questions are asked first.

  • Covers the most essential neurosurgical grading scales, key physical exam findings, 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.

  • Stepwise video demonstration of the most common emergent bedside procedures.

  • An excellent learning tool for neurosurgery residents as well as neurosurgery fellows, neurology residents, emergency room providers, neurocritical care providers, registered nurses, clinical fellows, physician assistants, nurse practitioners, clinical nurse specialists, medical students, and nursing students.

1. Cover image - p. i 2. Title page - p. i 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Contributors - p. x 6. Acknowledgments - p. xi 7. Dedication - p. xii 8. Foreword - p. xiii 9. Preface - p. xiv 10. HTU - p. xv 11. Videos - p. xvii 12. Section 1. Trauma - p. xvii 13. Chapter 1. Fall With Gradual Drowsiness - p. xvii 14. Chapter 2. Dizziness With Syncope And Fall - p. 5 15. Chapter 3. Fall And Altered Mental Status - p. 8 16. Chapter 4. Unresponsive After MVC - p. 12 17. Chapter 5. Unresponsive After Gunshot Wound To Head - p. 16 18. Chapter 6. Neck Pain After Syncopal Fall - p. 21 19. Chapter 7. Neck Pain After Trauma - p. 25 20. Chapter 8. Back Pain After Work Accident - p. 29 21. Chapter 9. Left Arm And Neck Pain After Car Accident - p. 34 22. Chapter 10. Back Pain After Low-Impact Trauma - p. 40 23. Chapter 11. Vomiting And Neck Pain After Motor Vehicle Accident - p. 44 24. Section 2. Tumor - p. 49 25. Chapter 12. Headache, Nausea, And Speech Difficulty - p. 49 26. Chapter 13. Episodes of Foul Smell and Bad Taste - p. 56 27. Chapter 14. Headache And Right Arm Weakness - p. 62 28. Chapter 15. New Onset Seizure With Prior History Of Melanoma - p. 68 29. Chapter 16. Altered Mental Status With Brain Lesions - p. 73 30. Chapter 17. Incidental Sellar Mass After An Accident - p. 78 31. Chapter 18. Sudden Headache And Vision Loss - p. 86 32. Chapter 19. Headache, Blurry Vision, And Intraventricular Mass - p. 91 33. Chapter 20. Progressive Neurocognitive Decline - p. 96 34. Section 3. Vascular - p. 102 35. Chapter 21. Unresponsive Patient - p. 102 36. Chapter 22. Severe Headache - p. 107 37. Chapter 23. Altered Mental Status - p. 111 38. Chapter 24. Patient Found Down - p. 115 39. Chapter 25. Acute Aphasia And Right-Sided Weakness - p. 121 40. Chapter 26. Headache - p. 127 41. Chapter 27. Worst Headache Of Life - p. 134 42. Chapter 28. Headaches And Vomiting - p. 140 43. Chapter 29. Persistent Altered Mental Status - p. 146 44. Chapter 30. Seizure - p. 151 45. Chapter 31. Right Eye Swelling And Pain - p. 155 46. Chapter 32. Acute Onset Left Hemiparesis - p. 159 47. Chapter 33. Acute Loss of Consciousness - p. 163 48. Section 4. Spine - p. 168 49. Chapter 34. Lower Back And Right Leg Pain - p. 168 50. Chapter 35. Neck Pain And Left Arm Weakness - p. 173 51. Chapter 36. Left Neck And Shoulder Pain - p. 178 52. Chapter 37. Leg Weakness And Numbness - p. 183 53. Chapter 38. Leg Pain, Weakness, And Saddle Anesthesia - p. 187 54. Chapter 39. Right Leg Pain And Weakness With Prior Lumbar Fusion - p. 191 55. Chapter 40. Arm And Leg Weakness And Numbness After MVC - p. 195 56. Chapter 41. Worsening Back Pain And Leg Weakness - p. 200 57. Chapter 42. Acute Inability To Walk - p. 205 58. Chapter 43. Subacute Leg Pain, Numbness, And Weakness - p. 212 59. Chapter 44. Sudden Bilateral Lower Extremity Weakness With Hemodynamic Instability - p. 217 60. Chapter 45. Right Leg Numbness And Foot Drop - p. 223 61. Chapter 46. Worsening Back And Leg Pain - p. 229 62. Section 5. Pediatric - p. 234 63. Chapter 47. Prematurity And Abnormal Head Imaging - p. 234 64. Chapter 48. Newborn With a Lumbar Spinal Defect - p. 239 65. Chapter 49. Pediatric Patient With Headache and Vomiting - p. 242 66. Chapter 50. Worsening Leg Weakness With A Mediastinal Mass - p. 245 67. Chapter 51. Pediatric Depressed Skull Fracture - p. 249 68. Chapter 52. Loss Of Consciousness After Bike Accident - p. 253 69. Chapter 53. Right Sided Jerking And Decreased Appetite - p. 257 70. Chapter 54. Numbness And Weakness After Head Collision - p. 262 71. Chapter 55. Worsening Leg Pain And Weakness - p. 266 72. Chapter 56. Persistent Headaches - p. 270 73. Chapter 57. Fever And Forehead Swelling - p. 274 74. Section 6. Hydrocephalus - p. 278 75. Chapter 58. Gait Difficulty And Falls - p. 278 76. Chapter 59. Emesis And Lethargy in A Shunted Patient - p. 283 77. Chapter 60. Nausea And Lethargy In A Shunted Patient - p. 289 78. Chapter 61. Worsening Vision In Pseudotumor Cerebri - p. 293 79. Chapter 62. Headache, Confusion, And Chronic Rhinorrhea - p. 298 80. Chapter 63. Falls, Memory Loss, And Fevers - p. 303 81. Chapter 64. Abdominal Pain And Fevers in A Shunted Patient - p. 308 82. Section 7. Functional - p. 314 83. Chapter 65. Increased Spasticity And Beeping Baclofen Pump - p. 314 84. Chapter 66. Baclofen Pump Infection Due To Wound Breakdown - p. 319 85. Chapter 67. Abnormal Eye Movement - p. 322 86. Chapter 68. Right Facial Pain - p. 326 87. Section 8. Postoperative Complications - p. 330 88. Chapter 69. Right Arm Swelling After Surgery - p. 330 89. Chapter 70. Postoperative Lethargy And Left Sided Weakness After Craniotomy - p. 335 90. Chapter 71. Postoperative Leg Weakness, Numbness, And Urinary Incontinence - p. 339 91. Chapter 72. Drainage From Cranial Incision - p. 343 92. Chapter 73. Incisional Swelling And Drainage After Spine Surgery - p. 348 93. Chapter 74. Leakage From Spinal Incision With Headaches - p. 352 94. Chapter 75. Hemiparesis With A Previously Treated Arteriovenous Malformation - p. 357 95. Chapter 76. Change In Exam After Brain Tumor Biopsy - p. 361 96. Section 9. Procedures - p. 366 97. Chapter 77. Shunt Tap - p. 366 98. Chapter 78. Intracranial Pressure Monitor - p. 369.e1 99. Chapter 79. External Ventricular Drain - p. 373.e1 100. Chapter 80. Lumbar Puncture And Lumbar Drain Placement - p. 379.e1 101. Index - p. 386.e1

Descripcion
Descripción

Written by neurosurgery residents for neurosurgery residents and other providers, 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 will 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 treatment plan is implemented.

  • Features a real-life approach, based on actual consults, 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 patients before even meeting them, so that upon evaluation, the most important questions are asked first.

  • Covers the most essential neurosurgical grading scales, key physical exam findings, 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.

  • Stepwise video demonstration of the most common emergent bedside procedures.

  • An excellent learning tool for neurosurgery residents as well as neurosurgery fellows, neurology residents, emergency room providers, neurocritical care providers, registered nurses, clinical fellows, physician assistants, nurse practitioners, clinical nurse specialists, medical students, and nursing students.

1. Cover image - p. i 2. Title page - p. i 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Contributors - p. x 6. Acknowledgments - p. xi 7. Dedication - p. xii 8. Foreword - p. xiii 9. Preface - p. xiv 10. HTU - p. xv 11. Videos - p. xvii 12. Section 1. Trauma - p. xvii 13. Chapter 1. Fall With Gradual Drowsiness - p. xvii 14. Chapter 2. Dizziness With Syncope And Fall - p. 5 15. Chapter 3. Fall And Altered Mental Status - p. 8 16. Chapter 4. Unresponsive After MVC - p. 12 17. Chapter 5. Unresponsive After Gunshot Wound To Head - p. 16 18. Chapter 6. Neck Pain After Syncopal Fall - p. 21 19. Chapter 7. Neck Pain After Trauma - p. 25 20. Chapter 8. Back Pain After Work Accident - p. 29 21. Chapter 9. Left Arm And Neck Pain After Car Accident - p. 34 22. Chapter 10. Back Pain After Low-Impact Trauma - p. 40 23. Chapter 11. Vomiting And Neck Pain After Motor Vehicle Accident - p. 44 24. Section 2. Tumor - p. 49 25. Chapter 12. Headache, Nausea, And Speech Difficulty - p. 49 26. Chapter 13. Episodes of Foul Smell and Bad Taste - p. 56 27. Chapter 14. Headache And Right Arm Weakness - p. 62 28. Chapter 15. New Onset Seizure With Prior History Of Melanoma - p. 68 29. Chapter 16. Altered Mental Status With Brain Lesions - p. 73 30. Chapter 17. Incidental Sellar Mass After An Accident - p. 78 31. Chapter 18. Sudden Headache And Vision Loss - p. 86 32. Chapter 19. Headache, Blurry Vision, And Intraventricular Mass - p. 91 33. Chapter 20. Progressive Neurocognitive Decline - p. 96 34. Section 3. Vascular - p. 102 35. Chapter 21. Unresponsive Patient - p. 102 36. Chapter 22. Severe Headache - p. 107 37. Chapter 23. Altered Mental Status - p. 111 38. Chapter 24. Patient Found Down - p. 115 39. Chapter 25. Acute Aphasia And Right-Sided Weakness - p. 121 40. Chapter 26. Headache - p. 127 41. Chapter 27. Worst Headache Of Life - p. 134 42. Chapter 28. Headaches And Vomiting - p. 140 43. Chapter 29. Persistent Altered Mental Status - p. 146 44. Chapter 30. Seizure - p. 151 45. Chapter 31. Right Eye Swelling And Pain - p. 155 46. Chapter 32. Acute Onset Left Hemiparesis - p. 159 47. Chapter 33. Acute Loss of Consciousness - p. 163 48. Section 4. Spine - p. 168 49. Chapter 34. Lower Back And Right Leg Pain - p. 168 50. Chapter 35. Neck Pain And Left Arm Weakness - p. 173 51. Chapter 36. Left Neck And Shoulder Pain - p. 178 52. Chapter 37. Leg Weakness And Numbness - p. 183 53. Chapter 38. Leg Pain, Weakness, And Saddle Anesthesia - p. 187 54. Chapter 39. Right Leg Pain And Weakness With Prior Lumbar Fusion - p. 191 55. Chapter 40. Arm And Leg Weakness And Numbness After MVC - p. 195 56. Chapter 41. Worsening Back Pain And Leg Weakness - p. 200 57. Chapter 42. Acute Inability To Walk - p. 205 58. Chapter 43. Subacute Leg Pain, Numbness, And Weakness - p. 212 59. Chapter 44. Sudden Bilateral Lower Extremity Weakness With Hemodynamic Instability - p. 217 60. Chapter 45. Right Leg Numbness And Foot Drop - p. 223 61. Chapter 46. Worsening Back And Leg Pain - p. 229 62. Section 5. Pediatric - p. 234 63. Chapter 47. Prematurity And Abnormal Head Imaging - p. 234 64. Chapter 48. Newborn With a Lumbar Spinal Defect - p. 239 65. Chapter 49. Pediatric Patient With Headache and Vomiting - p. 242 66. Chapter 50. Worsening Leg Weakness With A Mediastinal Mass - p. 245 67. Chapter 51. Pediatric Depressed Skull Fracture - p. 249 68. Chapter 52. Loss Of Consciousness After Bike Accident - p. 253 69. Chapter 53. Right Sided Jerking And Decreased Appetite - p. 257 70. Chapter 54. Numbness And Weakness After Head Collision - p. 262 71. Chapter 55. Worsening Leg Pain And Weakness - p. 266 72. Chapter 56. Persistent Headaches - p. 270 73. Chapter 57. Fever And Forehead Swelling - p. 274 74. Section 6. Hydrocephalus - p. 278 75. Chapter 58. Gait Difficulty And Falls - p. 278 76. Chapter 59. Emesis And Lethargy in A Shunted Patient - p. 283 77. Chapter 60. Nausea And Lethargy In A Shunted Patient - p. 289 78. Chapter 61. Worsening Vision In Pseudotumor Cerebri - p. 293 79. Chapter 62. Headache, Confusion, And Chronic Rhinorrhea - p. 298 80. Chapter 63. Falls, Memory Loss, And Fevers - p. 303 81. Chapter 64. Abdominal Pain And Fevers in A Shunted Patient - p. 308 82. Section 7. Functional - p. 314 83. Chapter 65. Increased Spasticity And Beeping Baclofen Pump - p. 314 84. Chapter 66. Baclofen Pump Infection Due To Wound Breakdown - p. 319 85. Chapter 67. Abnormal Eye Movement - p. 322 86. Chapter 68. Right Facial Pain - p. 326 87. Section 8. Postoperative Complications - p. 330 88. Chapter 69. Right Arm Swelling After Surgery - p. 330 89. Chapter 70. Postoperative Lethargy And Left Sided Weakness After Craniotomy - p. 335 90. Chapter 71. Postoperative Leg Weakness, Numbness, And Urinary Incontinence - p. 339 91. Chapter 72. Drainage From Cranial Incision - p. 343 92. Chapter 73. Incisional Swelling And Drainage After Spine Surgery - p. 348 93. Chapter 74. Leakage From Spinal Incision With Headaches - p. 352 94. Chapter 75. Hemiparesis With A Previously Treated Arteriovenous Malformation - p. 357 95. Chapter 76. Change In Exam After Brain Tumor Biopsy - p. 361 96. Section 9. Procedures - p. 366 97. Chapter 77. Shunt Tap - p. 366 98. Chapter 78. Intracranial Pressure Monitor - p. 369.e1 99. Chapter 79. External Ventricular Drain - p. 373.e1 100. Chapter 80. Lumbar Puncture And Lumbar Drain Placement - p. 379.e1 101. Index - p. 386.e1

Indice
Autores
Muestra
Ficha Técnica