图书简介
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. 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.
Section One- Trauma Consults. 1. Epidural Hematoma 2. Traumatic Subarachnoid 3. Acute Subdural Hematoma 4. Diffuse Axonal Injury 5. Gunshot Wound (spine and cranial) 6. Odontoid Fracture 7. Jefferson Fracture 8. Chance Fracture 9. Perched/Jumped facets 10. Burst fracture with retropulsion 11. Clay Shoveler Fracture Section Two- Tumor Consults 12. Meningioma 13. Low grade intra-axial tumors 14. High grade intra-axial tumors 15. Supratentorial Metastases 16. Infratentorial Metastases 17. Pituitary Tumors 18. Pituitary apoplexy 19. Intraventricular tumor 20. Pituitary tumor with hypernatremia 21. Tumor mimic: stroke 22. Tumor progression vs treatment effect Section Three - Vascular Diseases 23. Supratentorial intracranial hemorrhage 24. Infratentorial intracranial hemorrhage 25. Chronic subdural hematoma 26. Hemicraniectomy for stroke 27. Thrombectomy for stroke 28. Non-ruptured aneurysm 29. Ruptured aneurysm - subarachnoid hemorrhage 30. Perimesencephalic subarachnoid hemorrhage 31. Arteriovenous malformation after radiosurgery 32. Ruptured arteriovenous malformation 33. Dural arteriovenous fistula 34. Cavernous malformation 35. Carotid-cavernous fistulas 36. Internal carotid stenosis Section Four - Spine and Peripheral Nerve Consults 37. Non-operative degenerative spine disease 38. Cervical myelopathy 39. Neck pain - ACDF 40. Thoracic myelopathy 41. Lumbar degenerative disease 42. Cauda equina 43. Sagittal balance/adjacent segment disease 44. Central cord 45. Postoperative epidural hematoma 46. Spinal tumor - intradural 47. Spinal tumor - extradural 48. Spinal dural arteriovenous fistula 49. Spinal cord intrinsic tumor mimic: MS 50. Nerve section injury 51. Nerve crush injury Section Five - Pediatric consults 52. Perinatal intraventricular hemorrhage 53. Myelomeningocele/chiari 54. Shunt malfunction 55. Endoscopic third ventriculostomy 56. Pediatric brain tumors 57. Pediatric spinal tumor 58. Depressed skull fracture 59. Non-depressed skull fracture 60. Non-accidental trauma 61. SCIWORA Section Six - Hydrocephalus 62. Normal pressure hydrocephalus 63. Acute shunt malfunction - distal 64. Acute shunt malfunction - proximal 65. Pseudotumor 66. Spontaneous CSF leak/encephalocele Section Seven - Infection Consults 67. Puffy Pott’s Tumor 68. Intraparenchymal abscess 69. Osteomyelitis/epidural abscess - operative 70. Osteomyelitis/epidural abscess - nonoperative Section Eight - Functional and Pain Consults 71. Baclofen pump malfunction 72. Baclofen pump infection 73. Spinal cord stimulator 74. Adult chiari and Ehler Danlos 75. Trigeminal Neuralgia Section Nine - Post-operative Complications 76. Post-operative DVT/PE 77. Epidural hematoma - cranial 78. Epidural hematoma - spinal 79. Septic emboli/cement emboli 80. Wound infection - cranial 81. Wound infection - spinal 82. Shunt infection 83. Postoperative CSF leak 84. Postop intracranial hemorrhage Section Ten - Procedures 85. Shunt change and shunt tap 86. Intracranial Pressure Monitor 87. Intraventricular catheter 88. Lumbar puncture 89. Lumbar drain
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