By Jonathan Stuart Citow
compliment for this book:
This extraordinary neurosurgery oral board assessment
complements the former variation good. it truly is an important a part of any
neurosurgeon's library and belongs in neurosurgery departmental
libraries. -- Doody's Review
The moment variation of Neurosurgery Oral Board Review builds at the luck of the bestselling first variation in assisting
you organize in your oral forums in neurosurgery. not just does the publication
pinpoint the foremost medical info you would like, however it deals functional,
confidence-building suggestions that can assist you sit back and be successful at the exam.
New to this increased and fully-updated moment Edition:
- Expanded creation on what to anticipate on the real
exam, easy methods to make the most of some time, whilst and the way to respond to the hardest questions,
and the one most crucial sector the place you need to display competency
- 45 new illustrated scientific case vignettes supply
practice in differential prognosis, work-up, remedy, and dealing with
complications; research of every case is incorporated on the finish of the ebook
- A restructured desk of contentsfollows the layout of
the examination (first hour: backbone, moment hour: cranial, 3rd hour: miscellaneous)
- The addition of 'Helpful tricks' on the finish of every
chapter provide the advantage of the authors' vast scientific event
Comprehensive but concise, this easy-to-use overview is vital in your examination
preparation and for questions that come up in medical perform. it's also an
indispensable research device and reference for all senior citizens, junior
neurosurgeons on the point of take their oral forums in neurosurgery, and neurosurgeons getting ready to take their re-certification exams.
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Halos can result in swan neck deformity in midcervical (C3–5) H. Prophylactic Surgical Antibiotics 1. Ancef—1 g intravenously (IV) 1 hour before incision and 24 hours postsurgery 2. Vancomycin—if patient allergic to Ancef 3. For nasal or oral surgery—gentamicin 120 mg IV q8h and clindamycin 300 mg IV q8h for 24 hours Helpful Hints 1. Standard spine surgical preop: consent with risks; complete blood cell count (CBC), electrolytes, prothrombin time/partial thromboplastin time (PT/PTT), blood available, urinalysis (UA), CXR, electrocardiogram (ECG); antibiotics before incision 2.
Atlantodental interval (ADI) should be < 4 mm if the transverse ligament is not lax. c. Treatment—C1–2 fusion if ADI > 6 mm or patient is symptomatic (a Brook’s fusion with sublaminar wires and possible transarticular screws to add stability) d. Dislocation may need to be reduced before surgery, with up to 7 days of traction with 5–15 lbs e. Occiput–C2 fusion may be needed if C1 laminectomy is required for decompression or if the injury is unstable (there are frequent C1 arch fractures). f. May be necessary to perform a dens resection before or after stabilization g.
Treatment 1. Loss of sympathetic tone—Levophed (norepinephrine), phenylephrine (may cause reflex bradycardia), or dopamine to maintain systolic blood pressure (SBP) > 90 mm Hg 2. Prevent pulmonary edema from overhydration 3. Use atropine for bradycardia III. I NITIAL M ANAGEMENT A. Immobilize with cervical collar and backboard B. indd 20 4/29/11 11:09 AM SPINE TR AUMA 21 C. Insert nasogastric (NG) tube (ileus common), Foley catheter, and A-line D. Initiate deep vein thrombosis (DVT) prophylaxis with TED (thromboembolic deterrent) hose, sequential compression devices (SCDs), and subcutaneous (SQ) heparin or Lovenox E.