The Neurosurgical Consult Book (Jan 5, 2023)_(032375614X)_(Elsevier)

Cover The Neurosurgical Consult Book Copyright Contributors Acknowledgments Dedication Foreword Preface HTU 1 - Fall With Gradual Drowsiness Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 2 - Dizziness With Syncope And Fall Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 3 - Fall And Altered Mental Status Consult Page Initial Imaging Walking Thoughts History of Present Illness Vitals Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 4 - Unresponsive After MVC Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 5 - Unresponsive After Gunshot Wound To Head Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 6 - Neck Pain After Syncopal Fall Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 7 - Neck Pain After Trauma Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 8 - Back Pain After Work Accident Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam American Spinal Injury Association (ASIA) Impairment Scale Thoracolumbar Injury Classification and Severity Scale (TLICS) (Table 8.1) Triage Management Assessment Plan References 9 - Left Arm And Neck Pain After Car Accident Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam American Spinal Injury Association (ASIA) Impairment Scale Triage Management Additional Imaging Assessment Plan References 10 - Back Pain After Low-Impact Trauma Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 11 - Vomiting And Neck Pain After Motor Vehicle Accident Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Initial Plan Imaging Assessment Plan References 12 - Headache, Nausea, And Speech Difficulty Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 13 - Episodes Of Foul Smell And Bad Taste Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan Follow-­Up References 14 - Headache And Right Arm Weakness Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan Follow-­Up References 15 - New Onset Seizure With Prior History Of Melanoma Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Follow-­Up Imaging Assessment Plan References 16 - Altered Mental Status With Brain Lesions Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Examination Triage Management Assessment Follow-­Up Plan Hospital Course References 17 - Incidental Sellar Mass After An Accident Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan Follow-­Up References 18 - Sudden Headache And Vision Loss Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 19 - Headache, Blurry Vision, And Intraventricular Mass Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 20 - Progressive Neurocognitive Decline Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan Follow-­Up References 21 - Unresponsive Patient Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 22 - Severe Headache Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 23 - Altered Mental Status Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 24 - Patient Found Down Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan Follow-­Up References 25 - Acute Aphasia And Right-Sided Weakness Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan Follow-­Up Imaging References 26 - Headache Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan Follow-­Up References 27 - Worst Headache Of Life Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan Follow-­Up References 28 - Headaches And Vomiting Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan Follow-­Up References 29 - Persistent Altered Mental Status Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan Follow-­Up References 30 - Seizure Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 31 - Right Eye Swelling And Pain Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan Follow-­Up References 32 - Acute Onset Left Hemiparesis Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 33 - Acute Loss of Consciousness Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Intracerebral hemorrhage (ICH) score Triage Management Follow-­Up Imaging Triage Management Continued Assessment Plan References 34 - Lower Back And Right Leg Pain Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 35 - Neck Pain And Left Arm Weakness Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 36 - Left Neck And Shoulder Pain Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 37 - Leg Weakness And Numbness Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 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 References 39 - Right Leg Pain And Weakness With Prior Lumbar Fusion Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 40 - Arm And Leg Weakness And Numbness After MVC Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 41 - Worsening Back Pain And Leg Weakness Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 42 - Acute Inability To Walk Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Spinal Instability Neoplastic Score (SINS) Triage Management Assessment Plan References 43 - Subacute Leg Pain, Numbness, And Weakness Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Physical Exam Triage Management Assessment Plan Follow-­up References 44 - Sudden Bilateral Lower Extremity Weakness With Hemodynamic Instability Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 45 - Right Leg Numbness And Foot Drop Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan Follow-­up References 46 - Worsening Back And Leg Pain Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 47 - Prematurity And Abnormal Head Imaging Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Physical Exam Triage Management Assessment Plan References 48 - Newborn With a Lumbar Spinal Defect Consult Page Initial Imaging Wallking Thoughts History of Present Illness Vital Signs Physical Exam Triage Management Assessment Plan References 49 - Pediatric Patient With Headache and Vomiting Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 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 Assessment Plan Follow-­up References 51 - Pediatric Depressed Skull Fracture Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 52 - Loss Of Consciousness After Bike Accident Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 53 - Right Sided Jerking And Decreased Appetite Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 54 - Numbness And Weakness After Head Collision Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Physical Exam Triage Management Assessment Plan Follow-­Up References 55 - Worsening Leg Pain And Weakness Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Physical Exam Triage Management Assessment Plan References 56 - Persistent Headaches Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan Follow-­Up References 57 - Fever And Forehead Swelling Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Glasgow Coma Scale Physical Exam Triage Management Assessment Plan References 58 - Gait Difficulty And Falls Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan Follow-­Up References 59 - Emesis And Lethargy In A Shunted Patient Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan References 60 - Nausea And Lethargy In A Shunted Patient Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Shunt Tap Assessment Plan References 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 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 Follow-­Up 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 References 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 65 - Increased Spasticity And Beeping Baclofen Pump Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Baclofen Pump Interrogation Triage Management Assessment Plan 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 67 - Abnormal Eye Movement Consult Page Initial Imaging Walking Thoughts History of Present Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan 68 - Right Facial Pain Consult Page Initial Imaging Walking Thoughts History of Presenting Illness Vital Signs Pertinent Labs Physical Exam Triage Management Assessment Plan 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 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 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 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 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 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 References 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 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 Physical Exam Triage Management Follow-­Up Assessment Plan 77. Shunt Tap Indications and Contraindications Stepwise Procedure (Video 77.1) Preprocedural Considerations Supplies Positioning and Preparation Shunt Tap Complications 78 - Intracranial Pressure Monitor Indications and Contraindications Stepwise Procedure (Video 78.1) Preprocedural Considerations Supplies ICP Monitor Insertion ICP Monitor Setup Waveform and ICP Monitoring Potential Complications 79 - External Ventricular Drain Indications and Contraindications Stepwise Procedure (Video 79.1) Preprocedural Considerations Supplies Procedure Catheter trajectory Catheter insertion Removal Practical Pearls and Bailout Options Potential Complications 80 - Lumbar Puncture And Lumbar Drain Placement Indications Contraindications Stepwise Procedure (Video 80.1) Pre­procedural Considerations Supplies Positioning Anatomic Landmarks Preparation and Local Anesthesia Lumbar Puncture and Access to the Subarachnoid Space Lumbar Puncture: Opening Pressure and Specimen Collection Lumbar Drain: Catheter Insertion and Drainage Lumbar Drain Removal Complications