Neurosurgical Consult Book

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. 

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.

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

Author Information

Edited by Risheng Xu, MD/PhD; Jordina Rincon-Torroella, MD and Ann Liu, MD.

RECENZII