The Neurosurgical Consult Book
- 1st Edition - December 20, 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 5 - 0
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 5 6 1 6 - 7
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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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.
- 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.
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
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
- Edition: 1
- Published: December 20, 2022
- Language: English
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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.
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