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.
Key Features
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. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, videos, and references from the book on a variety of devices.
-도서목차-
1 Fall with gradual drowsiness 2 Dizziness with syncope and fall 3 Fall and altered mental status 4 Unresponsive after MVC 5 Unresponsive after gunshot wound to head 6 Neck pain after syncopal fall 7 Neck Pain after Trauma 8 Back pain after work accident 9 Left arm and neck pain after car accident 10 Back pain after low-impact trauma 11 Vomiting and neck pain after motor vehicle accident 12 Headache, nausea, and speech difficulty 13 Episodes of foul smell and bad taste 14 Headache and right arm weakness 15 New onset seizure with prior history of melanoma 16 Altered mental status with brain lesions 17 Incidental sellar mass after an accident 18 Sudden headache and vision loss 19 Headache, blurry vision, and intraventricular mass 20 Progressive neurocognitive decline 21 Unresponsive patient 22 Severe headache 23 Altered mental status 24 Patient found down 25 Acute aphasia and right sided weakness 26 Headache 27 Worst headache of life 28 Headaches and vomiting 29 Persistent altered mental status 30 Seizure 31 Right eye swelling and pain 32 Acute onset left hemiparesis 33 Acute loss of consciousness 34 Lower back and right leg pain 35 Neck pain and left arm weakness 36 Left neck and shoulder pain 37 Leg weakness and numbness 38 Leg pain, weakness, and saddle anesthesia 39 Right leg pain and weakness with prior lumbar fusion 40 Arm and leg weakness and numbness after MVC 41 Worsening back pain and leg weakness 42 Acute inability to walk 43 Subacute leg pain, numbness, and weakness 44 Sudden bilateral lower extremity weakness with hemodynamic instability 45 Right leg numbness and foot drop 46 Worsening back and leg pain 47 Prematurity and abnormal head imaging 48 Newborn with a lumbar spinal defect 49 Pediatric patient with headache and vomiting 50 Worsening leg weakness with a mediastinal mass 51 Pediatric depressed skull fracture 52 Loss of consciousness after bike accident 53 Right sided jerking and decreased appetite 54 Numbness and weakness after head collision 55 Worsening leg pain and weakness 56 Persistent headaches 57 Fever and forehead swelling 58 Gait difficulty and falls 59 Emesis and lethargy in a shunted patient 60 Nausea and lethargy in a shunted patient 61 Worsening vision in pseudotumor cerebri 62 Headache, confusion, and chronic rhinorrhea 63 Falls, memory loss, and fevers 64 Abdominal pain and fevers in a shunted patient 65 Increased spasticity and beeping baclofen pump 66 Baclofen pump infection due to wound breakdown 67 Abnormal eye movement 68 Right facial pain 69 Right arm swelling after surgery 70 Postoperative lethargy and left sided weakness after craniotomy 71 Postoperative leg weakness, numbness, and urinary incontinence 72 Drainage from cranial incision 73 Incisional swelling and drainage after spine surgery 74 Leakage from spinal incision with headaches 75 Hemiparesis with a previously treated arteriovenous malformation 76 Change in exam after brain tumor biopsy 77 Shunt Tap and Shunt Change 78 Intracranial Pressure Monitor 79 External ventricular drain 80 Lumbar Puncture and Lumbar Drain Placement
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