Manual of Neurological Emergencies

 

Description:

Based on the highly-regarded Walls Manual of Emergency Airway Management and part of the Manual of Emergency Medicine series envisioned by leading authority in emergency medicine, Dr. Ron M. Walls, Manual of Neurologic Emergencies provides evidence-based, easy-to-read coverage on the diagnosis and management of neurologic emergencies. Through the direction and expertise of editors Drs. Andy S. Jagoda and Christopher A. Lewandowski, this reference is a practical guide to approaching the patient with a neurologic complaint in a systematic way, providing a hands-on framework for clinical decision making and therapeutic interventions. 

 

Enrich Your Digital Reading Experience

• Read directly on your preferred device(s), such as computer, tablet, or smartphone.
• Easily convert to audiobook, powering your content with natural language text-to-speech.

 

 

Table of Contents:

 

SECTION 1: Approach to the Patient

1. Neuro anatomy: The Basics

CENTRAL NERVOUS SYSTEM

Cerebrum

Subcortical Structures

THE ARTERIAL VASCULAR SYSTEM

THE VENOUS VASCULAR SYSTEM

THE VENTRICULAR SYSTEM

MENINGES AND DURAL SPACES

SPINAL CORD

SPINAL CORD VASCULATURE

PERIPHERAL NERVOUS SYSTEM

Somatic Nervous System

CRANIAL NERVES

Olfactory Nerve (I)

Optic Nerve (II)

Oculomotor (III)

Trochlear (IV)

Abducens (VI) Nerves

Trigeminal Nerve (V)

Facial Nerve (VII)

Vestibulocochlear Nerve (VIII)

Glossopharyngeal Nerve (IX)

Vagus Nerve (X)

Accessory Nerve (XI)

Hypoglossal Nerve (XII)

SPINAL NERVES

Cervical Plexus

Brachial Plexus

Lumbar Plexus

Sacral Plexus

NEUROMUSCULAR JUNCTION AND MUSCLE

AUTONOMIC NERVOUS SYSTEM

PEDIATRIC ISSUES

TIPS AND PEARLS

2. The Neurologic Examination

MENTAL STATUS EXAMINATION

Consciousness

Cognition

CRANIAL NERVE EXAMINATION

Olfactory Nerve

Optic Nerve

Oculomotor Nerve (III), Trochlear Nerve (IV), and Abducens (VI)

Trigeminal Nerve

Facial Nerve

Cochlear and Vestibular Nerves

Glossopharyngeal Nerve and Vagal Nerve

Accessory Nerve

Hypoglossal Nerve

MOTOR EXAMINATION

SENSORY EXAMINATION

REFLEXES

CEREBELLAR MANEUVERS/MOVEMENT AND COORDINATION

FUNCTIONAL NEUROLOGIC EXAMINATION

TIPS AND PEARLS

3. Abnormal Vision, Pupils, and Eye Movements

CLINICAL CHALLENGE

ANATOMY AND PATHOPHYSIOLOGY

APPROACH

History

Physical Examination

CLINICAL DECISION-MAKING

Intraocular Pathology

Posterior Chamber Pathology

Optic Nerve Pathology

Neuro-Ophthalmologic and Other Retrobulbar Etiologies (Extraocular Pathology)

PEDIATRIC ISSUES

TIPS AND PEARLS

4. Weakness

CLINICAL CHALLENGE

DIFFERENTIAL DIAGNOSIS

Neurologic

Non-neurologic

APPROACH

Diagnostic Testing

DISPOSITION

TIPS AND PEARLS

5. Fundamentals of Neuroimaging

BASICS OF NEUROIMAGING

Computed Tomography (CT)

Magnetic Resonance Imaging (MRI)

OBJECTIVES OF NEUROIMAGING

Non-contrast CT

CT Angiography

CT Perfusion

Magnetic Resonance Imaging

Spine Imaging

SPECIAL SITUATIONS

Neuroimaging in Pediatrics

Neuroimaging in Pregnancy

TIPS AND PEARLS

SECTION 2: Clinical Presentations

6. Altered Consciousness and Behavior

THE CLINICAL CHALLENGE

PATHOPHYSIOLOGY

PREHOSPITAL CONSIDERATIONS

APPROACH/THE FOCUSED EXAMINATION

Approach

Focused History

Abcs and Cervical Spine Precautions

Neurologic Assessment

Additional High-Yield Examination Findings

Diagnostic Studies

MANAGEMENT

General Principles

Distinguishing Delirium from Dementia and Depression

Structural Diagnoses

Nonstructural Diagnoses

PEDIATRIC CONSIDERATIONS

TIPS AND PEARLS

7. Myopathies and Neuromuscular Junction Disorders

INFLAMMATORY MYOPATHIES

The Clinical Challenge

Pathophysiology

Prehospital Concerns

Approach/The Focused Examination

Management

Pediatric Issues

GENETIC MYOPATHIES

PERIODIC PARALYSIS

TOXIC MYOPATHIES

RHABDOMYOLYSIS

TIPS AND PEARLS

EVIDENCE

MYASTHENIA GRAVIS

The Clinical Challenge

Pathophysiology

Prehospital Concerns

Approach/The Focused Examination

Management

Pediatric Issues

LAMBERT-EATON MYASTHENIC SYNDROME

BOTULISM

TICK PARALYSIS

TIPS AND PEARLS

8. The Neuropathies

THE CLINICAL CHALLENGE

PATHOPHYSIOLOGY

PREHOSPITAL CONCERNS

APPROACH TO THE PATIENT WITH BELL PALSY

MANAGEMENT

TIPS AND PEARLS

THE CLINICAL CHALLENGE

PATHOPHYSIOLOGY

PREHOSPITAL CONCERNS

APPROACH TO THE PATIENT WITH GBS

MANAGEMENT

TIPS AND PEARLS

THE CLINICAL CHALLENGE

PATHOPHYSIOLOGY

PREHOSPITAL CONCERNS

APPROACH TO THE PATIENT WITH PERIPHERAL NEUROPATHY

MANAGEMENT

TIPS AND PEARLS

9. Acute Presentations in Chronic Neurologic Conditions

THE CLINICAL CHALLENGE

INFLAMMATORY CONDITIONS

Multiple Sclerosis (MS)

TRANSVERSE MYELITIS

POST STROKE SYNDROMES

POST SPINAL CORD INJURY

COMPLEX REGIONAL PAIN SYNDROME

NEUROMUSCULAR DISORDERS

Myasthenia Gravis (MG)

PARKINSON DISEASE

DISORDERS OF ELEVATED INTRACRANIAL PRESSURE

Idiopathic Intracranial Hypertension (Pseudotumor Cerebri)

NORMAL PRESSURE HYDROCEPHALUS (NPH)

10. Dizziness and Vertigo

THE CLINICAL CHALLENGE

ANATOMY AND PATHOPHYSIOLOGY

PREHOSPITAL CONCERNS

APPROACH/THE FOCUSED EXAMINATION

Acute Spontaneous Vestibular Syndrome

Acute Triggered Vestibular Syndrome

Episodic Spontaneous Vestibular Syndrome

Episodic Triggered Vestibular Syndrome

MANAGEMENT

PEDIATRIC ISSUES

TIPS AND PEARLS

11. Mild Traumatic Brain Injury and Concussion

THE CLINICAL CHALLENGE

EPIDEMIOLOGY

PATHOPHYSIOLOGY

PREHOSPITAL CONCERNS

APPROACH/THE FOCUSED EXAMINATION

Evaluation Tools

DIAGNOSTIC TESTING

Neuroimaging

Biomarkers

MANAGEMENT

COMPLICATIONS/OUTCOMES

Post-Concussion Syndrome

Second-Impact Syndrome

Chronic Traumatic Encephalopathy

TIPS AND PEARLS

12. Head Trauma (Severe)

THE CLINICAL CHALLENGE

PATHOPHYSIOLOGY

Anatomy and Intracranial Physiology

Injury Patterns

Cerebral Herniation Syndromes

PREHOSPITAL CONCERNS

Airway

Blood Pressure

Agitation

THE FOCUSED EXAMINATION

Initial Assessment

Focused Neurologic Examination

Pupil Examination

Motor Examination

Invasive Monitoring

Laboratory Testing

Radiography

MANAGEMENT

Airway Management

Ventilator Management Following TBI

Blood Pressure Control and Targets

Hyperosmolar Therapy

Anticoagulant and Antiplatelet Agent Reversal

Reversal of Oral Anticoagulants

Reversal of Antiplatelet Drugs and Platelet Transfusion

Targeted Temperature Management

Seizure Prophylaxis

Intracranial Pressure Monitoring

Steroids

Antibiotics

Progesterone

Tranexamic Acid

Surgical Decompression

TIPS AND PEARLS

13. Cervical Spine Trauma and Spinal Cord Emergencies

THE CLINICAL CHALLENGE

PATHOPHYSIOLOGY

Primary and Secondary Injury

Mechanism of Injury

Anatomic Subclassifications and Injury

PREHOSPITAL CONCERNS

APPROACH/THE FOCUSED EXAMINATION

Classification of Spinal Cord Injuries

Cervical Spine Clearance and Imaging

MANAGEMENT

Cervical Spine Bracing

Cervical Traction

Early Decompression and Stabilization

Autonomic Derangements and Neurogenic Shock

Pulmonary and Airway Issues

Prevention of Venous Thromboembolism

Steroids

PEDIATRIC ISSUES

TIPS AND PEARLS

14. Thoracic and Lumbar Spine

CLINICAL CHALLENGE

PATHOPHYSIOLOGY

PREHOSPITAL CONSIDERATIONS

PEDIATRIC ISSUES

APPROACH/THE FOCUSED EXAMINATION

LABORATORY AND DIAGNOSTIC STUDIES

MANAGEMENT

Spinal Subarachnoid/Epidural Hemorrhage

Lumbar Radiculopathy

Cauda Equina/Conus Medullaris Syndrome

Epidural Abscess

TIPS AND PEARLS

15. Acute Stroke

THE CLINICAL CHALLENGE

EPIDEMIOLOGY

Transient Ischemic Attacks

Risk Factors for Stroke

PATHOPHYSIOLOGY OF ACUTE ISCHEMIC STROKE

PREHOSPITAL CONCERNS

APPROACH

Diagnosis of Acute Ischemic Stroke

Transient Ischemic Attacks

AIS Management

Management of TIA

EPIDEMIOLOGY

PATHOPHYSIOLOGY

APPROACH/THE FOCUSED EXAMINATION

Evaluation Tools

NEUROIMAGING

MANAGEMENT

Airway Management and Ventilation

Blood Pressure Management

Hemostatic Therapy

Seizure and Other Medical Therapies

Medical ICP Control Therapies

Operative Intervention

OUTCOMES

PEDIATRIC ISSUES

TIPS AND PEARLS

16. Headache

THE CLINICAL CHALLENGE

PATHOPHYSIOLOGY

PREHOSPITAL CONCERNS

APPROACH/THE FOCUSED EXAM

Stabilization

History

Physical Exam

MANAGEMENT

EPIDEMIOLOGY

PRESENTATION

DIAGNOSTICS

TREATMENT

Reversible Cerebral Vasoconstriction Syndrome

Spontaneous Intracranial Hypotension

Cervical Artery Dissection

Cerebral Venous Thrombosis

Idiopathic Intracranial Hypertension

Giant Cell Arteritis

Pediatric Issues

TIPS AND PEARLS

17. Seizures and Status Epilepticus

CLINICAL CHALLENGE

PATHOPHYSIOLOGY

PREHOSPITAL CONSIDERATIONS

APPROACH/THE FOCUSED EXAMINATION

History

The Focused Examination

Diagnostic Testing

MANAGEMENT

Status Epilepticus

Resolved Seizure

First-Time Seizure

Acute Symptomatic Seizures

SPECIAL POPULATIONS

Pediatric Consideration

Seizures in Pregnancy

Laboratory Testing

Imaging

TIPS AND PEARLS

18. Central Nervous System Infections

THE CLINICAL CHALLENGE

PATHOPHYSIOLOGY

PREHOSPITAL CONCERNS

APPROACH

Meningitis

Encephalitis

Brain Abscess

Spinal Epidural Abscess

CNS Shunt Infection

Prion Disease

PEDIATRICS

MANAGEMENT

Meningitis

Encephalitis

CNS Abscess

Other Infections

TIPS AND PEARLS

Index

 

An aparitie	29 Oct 2021
Autor	Andy S. Jagoda, Christopher A. Lewandowski Ron M. Walls
Dimensiuni	‎ 25.7 x 1.8 x 17.9 cm
Editura	LWW
Format	Paperback
ISBN	9781975142780
Limba	Engleza
Nr pag	356
Versiune digitala	DA