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This practical guide for trainees and advanced practice providers covers the essential management of hospitalized patients with acute neurologic conditions. Divided into five sections, this text serves as an incredibly easy-to-use, visually accessible, how-to manual that covers exactly what every responding clinician needs to know to care for the patient in front of them.
The first section provides tangible guidance about how to pre-round, structure a presentation, examine neurologically ill patients, and interpret the core diagnostics obtained in many neurology patients: CT, MRI and EEG. The next three sections cover common complaints encountered in the hospital: spanning from non-vascular admissions, vascular & stroke neurology topics, and core neurocritical care principals and chief complaints. Throughout are checklists, scoring systems, pro-tips, images, helpful reminders, as well as concise summary of the pertinent literature.
This is an ideal guide for medical students, neurology & neurosurgery trainees and advanced practice providers, as well as experienced professionals who want to brush up on the latest updates.
Pages i-xvi
Front Matter
Pages 1-1
Pre-rounding on and Presenting Neurology Floor Patients
Pages 3-4
Pre-rounding and Presenting NeuroICU Patients
Pages 5-7
Pages 9-11
Cranial Nerve Testing in Acute Neurology
Pages 13-19
Pages 21-27
Basics of Computed Tomography (CT)
Pages 29-36
Basics of Magnetic Resonance Imaging (MRI) Ordering and Assessment
Pages 37-45
Understanding Transcranial Dopplers (TCDs)
Pages 47-51
Tips and Tricks for EEG Interpretation
Pages 53-57
Front Matter
Pages 59-59
Acute Ischemic Stroke – First Encounter Assessment and Management
Pages 61-69
Pages 71-73
Ischemic Stroke: Admission Checklist
Pages 75-77
Stroke Workup – Beyond the Basics
Pages 79-88
Pages 89-93
Ischemic Stroke: Symptomatic Carotid Stenosis (“Hot Carotid”)
Pages 95-98
Ischemic Stroke – Post Stroke Management of Anticoagulation
Pages 99-104
Selected Anti-platelets and Anticoagulation in Stroke Prevention
Pages 105-107
Acute Management Strategies: tPA and Mechanical Thrombectomy Trials
Pages 109-116
Pages 117-121
Pages 123-126
Front Matter
Pages 127-127
Pages 129-132
Framework for Workup of Unknown Brain “Lesion”
Pages 133-135
Approach to First-Time Seizure
Pages 137-139
Pharmacology Tips for Commonly Used AEDS
Pages 141-144
Approach to Infectious Encephalitis and Meningitis
Pages 145-150
Pages 151-153
Inflammatory and Autoimmune Encephalitis
Pages 155-158
Infectious Workup by Neuroanatomical Location: An Ordering Guide
Pages 159-161
Autoimmune Encephalitis Testing
Pages 163-165
Approach to New Onset Weakness
Pages 167-174
Workup of New Demyelinating Lesion
Pages 175-178
Approach to the “Dizzy” Patient
Pages 179-183
Front Matter
Pages 185-185
Intracranial Pressure: Theory and Management Strategies
Pages 187-196
Management of External Ventricular Catheters
Pages 197-198
Malignant Middle Cerebral Artery Infarction
Pages 199-204
Pages 205-210
Intracranial Hemorrhage – Landmark Trials
Pages 211-214
Reversal of Selected Antithrombotics
Pages 215-220
An In-Depth Review of Reversing Direct Factor XA-Inhibitor-Related Hemorrhages
Pages 221-223
Intracranial Hemorrhage – Management of Anticoagulation
Pages 225-228
Subarachnoid Hemorrhage – Differential
Pages 229-230
Aneurysmal SAH – Admission and Early Management
Pages 231-232
Subarachnoid Hemorrhage – Scoring Systems
Pages 233-234
Aneurysmal SAH – Daily Management Principles
Pages 235-239
Subarachnoid Hemorrhage – Notable Trials
Pages 241-244
Pages 245-249
Pages 251-252
NEUROPROGNOSIS AND INDUCED NORMOTHERMIA AFTER CARDIAC ARREST
Pages 253-257
Pages 259-262
Continuous EEG Monitoring, Electrographic Seizures, and the Ictal-Interictal Continuum
Pages 263-267
Neuromuscular Crises: ICU Management of Guillain-Barré Syndrome and Myasthenia Gravis
Pages 269-272
Pages 273-276
ICU Management of Spinal Cord Injuries
Pages 277-281
Management of the Postoperative Craniotomy Patient
Pages 283-289
Postoperative Management of Cerebrovascular Patients
Pages 291-297
Preparation for Brain Death Testing
Pages 299-302
Pages 303-306
Pages 307-309
Pages 311-312
Pressors and Inotropes Commonly Used in the NeuroICU
Pages 313-314
Seizure Prophylaxis in the NeuroICU
Pages 315-316
Venous Thromboembolism Prophylaxis in the NeuroICU
Pages 317-320
Front Matter
Pages 321-321
Pages 323-324
NeuroICU Intravenous Fluid Compositions
Pages 325-326
Anti-Seizure Medication Chart for Use in Adults
Pages 327-337
Drug-Drug Interactions Common in Neurology Patients
Pages 339-342
Myasthenia Gravis: Medications to Avoid
Pages 343-346
Parkinson’s Disease: Medications to Avoid
Pages 347-349
Pages 351-364
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