Neurosurgical Consult Book, The

Nausea And Lethargy In A Shunted Patient

Consult Page 25 yo M hx VP shunt p/w lethargy and nausea. Recs? Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam and current vitals? ■ What are the patient’s symptoms? What is the timeline of symptoms? ■…

Emesis And Lethargy in A Shunted Patient

Consult Page 13yo M hx VP shunt with fall, now with emesis and lethargy Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam and current vitals? ■ What are the patient’s symptoms? What is the timeline of symptoms?…

Gait Difficulty And Falls

Consult Page 73F with NPH, unable to ambulate. Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? Why is she unable to ambulate? ■ Does she have any other medical comorbidities? ■ Is the patient having any other…

Fever And Forehead Swelling

Consult Page 7 y/o male with 2 weeks of fever and 1 day of acute midline forehead swelling Initial Imaging Walking Thoughts ■ What is the patient’s GCS and neurological status? ■ What are the patient’s vitals? ■ Does the…

Persistent Headaches

Consult Page 13 y/o male, history of “brain cysts”, here with headache, nausea, vomiting Initial Imaging None obtained prior to consult Walking Thoughts ■ What is the patient’s GCS and neurological exam? ■ What is his prior history of “brain…

Worsening Leg Pain And Weakness

Consult Page 9 year old male history of tethered cord with worsening leg weakness/pain Initial Imaging Walking Thoughts ■ What is the patient’s medical history? What is his tethered cord history? ■ Has he had prior detethering or related surgeries?…

Numbness And Weakness After Head Collision

Consult Page Young male football accident. Heard a pop in neck. Now with decreased strength/sensation on right side. Initial Imaging Walking Thoughts ■ What is the patient’s neurological exam? ■ What was the mechanism of injury? ■ Does the patient…

Right Sided Jerking And Decreased Appetite

Consult Page 2 month old with right sided jerking and decreased appetite Initial Imaging Walking Thoughts ■ Has the trauma team performed an initial assessment with attention given to the ABCs (airway, breathing, circulation)? ■ What is the mechanism of…

Loss Of Consciousness After Bike Accident

Consult Page 11 yo healthy F, fall from bike with skull fracture Initial Imaging Walking Thoughts ■ What is the patient’s GCS and neurological status? ■ What is the mechanism of injury? ■ Does the patient have any other injuries?…

Pediatric Depressed Skull Fracture

Consult Page 4 y/o male with depressed skull fracture and head laceration after fall from bed this morning Initial Imaging Walking Thoughts ■ What is the patient’s GCS and neurological status? ■ What is the mechanism of injury? ■ Does…