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The Neurosurgical Consult Book
- 1st Edition - September 2, 2022
- Editors: Risheng Xu, Jordina Rincon-Torroella, Ann Liu
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 7 5 6 1 4 - 3
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 5 6 1 6 - 7
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 5 6 1 5 - 0
Written by neurosurgery residents for neurosurgery residents and other providers, The Neurosurgical Consult Book focuses on the initial care and treatment of the neurosurgical co… Read more
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Request a sales quoteWritten 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.
- 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.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Acknowledgments
- Dedication
- Foreword
- Preface
- HTU
- Section 1. Trauma
- Chapter 1. Fall With Gradual Drowsiness
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 2. Dizziness With Syncope And Fall
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 3. Fall And Altered Mental Status
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 4. Unresponsive After MVC
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 5. Unresponsive After Gunshot Wound To Head
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 6. Neck Pain After Syncopal Fall
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 7. Neck Pain After Trauma
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 8. Back Pain After Work Accident
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 9. Left Arm And Neck Pain After Car Accident
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 10. Back Pain After Low-Impact Trauma
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 11. Vomiting And Neck Pain After Motor Vehicle Accident
- Consult Page
- Initial Imaging
- Triage Management
- Section 2. Tumor
- Chapter 12. Headache, Nausea, And Speech Difficulty
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 13. Episodes of Foul Smell and Bad Taste
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 14. Headache And Right Arm Weakness
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 15. New Onset Seizure With Prior History Of Melanoma
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 16. Altered Mental Status With Brain Lesions
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 17. Incidental Sellar Mass After An Accident
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 18. Sudden Headache And Vision Loss
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 19. Headache, Blurry Vision, And Intraventricular Mass
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 20. Progressive Neurocognitive Decline
- Consult Page
- Initial Imaging
- Triage Management
- Section 3. Vascular
- Chapter 21. Unresponsive Patient
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 22. Severe Headache
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 23. Altered Mental Status
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 24. Patient Found Down
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 25. Acute Aphasia And Right-Sided Weakness
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 26. Headache
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 27. Worst Headache Of Life
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 28. Headaches And Vomiting
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 29. Persistent Altered Mental Status
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 30. Seizure
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 31. Right Eye Swelling And Pain
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 32. Acute Onset Left Hemiparesis
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 33. Acute Loss of Consciousness
- Consult Page
- Initial Imaging
- Triage Management
- Triage Management Continued
- Section 4. Spine
- Chapter 34. Lower Back And Right Leg Pain
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 35. Neck Pain And Left Arm Weakness
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 36. Left Neck And Shoulder Pain
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 37. Leg Weakness And Numbness
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 38. Leg Pain, Weakness, And Saddle Anesthesia
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Assessment
- Plan
- Chapter 39. Right Leg Pain And Weakness With Prior Lumbar Fusion
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 40. Arm And Leg Weakness And Numbness After MVC
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 41. Worsening Back Pain And Leg Weakness
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 42. Acute Inability To Walk
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 43. Subacute Leg Pain, Numbness, And Weakness
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 44. Sudden Bilateral Lower Extremity Weakness With Hemodynamic Instability
- Consult Page
- Initial Imaging
- Chapter 45. Right Leg Numbness And Foot Drop
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 46. Worsening Back And Leg Pain
- Consult Page
- Initial Imaging
- Triage Management
- Section 5. Pediatric
- Chapter 47. Prematurity And Abnormal Head Imaging
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 48. Newborn With a Lumbar Spinal Defect
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 49. Pediatric Patient With Headache and Vomiting
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 50. Worsening Leg Weakness With A Mediastinal Mass
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Chapter 51. Pediatric Depressed Skull Fracture
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 52. Loss Of Consciousness After Bike Accident
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 53. Right Sided Jerking And Decreased Appetite
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 54. Numbness And Weakness After Head Collision
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Triage Management
- Assessment
- Plan
- Chapter 55. Worsening Leg Pain And Weakness
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 56. Persistent Headaches
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 57. Fever And Forehead Swelling
- Consult Page
- Initial Imaging
- Triage Management
- Section 6. Hydrocephalus
- Chapter 58. Gait Difficulty And Falls
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 59. Emesis And Lethargy in A Shunted Patient
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 60. Nausea And Lethargy In A Shunted Patient
- Consult Page
- Initial Imaging
- Triage Management
- Chapter 61. Worsening Vision In Pseudotumor Cerebri
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Assessment
- Plan
- Postoperative Imaging
- Chapter 62. Headache, Confusion, And Chronic Rhinorrhea
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vitals
- Pertinent Labs
- Glasgow Coma Scale
- Physical Exam
- Triage Management
- Assessment
- Plan
- Chapter 63. Falls, Memory Loss, And Fevers
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Glasgow Coma Scale
- Physical Exam
- Triage Assessment
- Assessment
- Plan
- Follow-Up
- Chapter 64. Abdominal Pain And Fevers in A Shunted Patient
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Glasgow Coma Scale
- Physical Exam
- Triage Management
- Assessment
- Plan
- Section 7. Functional
- Chapter 65. Increased Spasticity And Beeping Baclofen Pump
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Assessment
- Chapter 66. Baclofen Pump Infection Due To Wound Breakdown
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Assessment
- Plan
- Chapter 67. Abnormal Eye Movement
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Assessment
- Plan
- Chapter 68. Right Facial Pain
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Presenting Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Assessment
- Plan
- Section 8. Postoperative Complications
- Chapter 69. Right Arm Swelling After Surgery
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Follow-up Imaging
- Assessment
- Plan
- Follow-up
- Chapter 70. Postoperative Lethargy And Left Sided Weakness After Craniotomy
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Glasgow Coma Scale
- Physical Exam
- Triage Management
- Follow-Up Imaging
- Assessment
- Plan
- Chapter 71. Postoperative Leg Weakness, Numbness, And Urinary Incontinence
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness:
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Assessment
- Plan
- Chapter 72. Drainage From Cranial Incision
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Follow-Up Imaging
- Assessment
- Plan
- Chapter 73. Incisional Swelling And Drainage After Spine Surgery
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Assessment
- Plan
- Chapter 74. Leakage From Spinal Incision With Headaches
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Assessment
- Plan
- Chapter 75. Hemiparesis With A Previously Treated Arteriovenous Malformation
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Physical Exam
- Triage Management
- Assessment
- Plan
- Chapter 76. Change In Exam After Brain Tumor Biopsy
- Consult Page
- Initial Imaging
- Walking Thoughts
- History of Present Illness
- Vital Signs
- Pertinent Labs
- Glasgow Coma Scale
- Triage Management
- Follow-Up
- Assessment
- Plan
- Section 9. Procedures
- Chapter 77. Shunt Tap
- Indications and Contraindications
- Stepwise Procedure ( Video 77.1)
- Complications
- Other Considerations With Shunt Evaluation and Adjustments
- Chapter 78. Intracranial Pressure Monitor
- Indications and Contraindications
- Stepwise Procedure ( Video 78.1)
- Potential Complications
- Chapter 79. External Ventricular Drain
- Indications and Contraindications
- Stepwise Procedure ( Video 79.1)
- Removal
- Practical Pearls and Bailout Options
- Potential Complications
- Chapter 80. Lumbar Puncture And Lumbar Drain Placement
- Indications
- Contraindications
- Stepwise Procedure ( Video 80.1)
- Complications
- Index
- No. of pages: 416
- Language: English
- Edition: 1
- Published: September 2, 2022
- Imprint: Elsevier
- Paperback ISBN: 9780323756143
- eBook ISBN: 9780323756167
- eBook ISBN: 9780323756150
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Risheng Xu
Dr. Xu is an assistant professor of neurosurgery at Johns Hopkins Hospital, where he specializes in cerebrovascular/skull base and endovascular neurosurgery. He has published over 100 peer-reviewed papers in journals such as Nature, Neuron, Science Advances, Proceedings of the National Academy of Sciences, Neurosurgery, and Journal of Neurosurgery. He was a News Executive of The Harvard Crimson and was a contributing editor towards 50 Successful Harvard Application Essays: What Worked for Them Can Help You Get into the College of Your Choice.
JR
Jordina Rincon-Torroella
Dr. Rincon-Torroella is a chief resident at the Johns Hopkins Hospital Department of Neurosurgery. She has published over 90 book chapters and peer-reviewed papers in clinical and translational research. She has served as a content developer working together with Elsevier and Dr. Alfredo Quiñones-Hinojosa as an editor for The Video Atlas of Neurosurgery: Contemporary Tumor and Skull Base Surgery. She also co-authored chapters for major neurosurgical textbooks such as Youmans & Winn Neurological Surgery , Kumar’s Neurocritical Care Management of the Neurosurgical Patient, and Goodman’s Neurosurgery Oral Board Review.
AL
Ann Liu
Dr. Liu is currently a PGY7 resident completing an enfolded spine fellowship at the Johns Hopkins Hospital Department of Neurosurgery. She has published over 40 peer-reviewed papers and was the 2020–2021 NEUROSURGERY® Publications Resident Fellow. She continues to serve as an editor for Neurosurgery and Operative Neurosurgery.