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5 Cards in this Set
- Front
- Back
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Brain tumor with ICP crisis, immediate treatment |
Raise HOB to 30 degrees Hyperventilate to PCO2 25-30mm Hg Adminster sedatives, analgesics, paralytics to control agitation Hyperosmolar therapy IV steroids (if vasogenic edema) |
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Work-up for cerebellar hemangioblastoma |
Commonly associated with VHL, include the ddf work-up Ophthalmologist evaluation for retinal lesions Total spine MRI WWO contrast VMA and metanephrine levels ?preop angio/embo |
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Endo concern for patients with pituitary apoplexy |
?adrenal crisis, give hydrocortisone 100mg IV then 100mg IV q6-8 up til surgery immediately Send endo work-up (prolactin, GH, IGF1, TSH, ACTH, LH, FSH, T4, T3, serum cortisol |
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Post-op patient deteriorates, what are your 3 main differentials? |
Hematoma Stroke Seizure |
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Questions post-op to the neurosurgeon signing out the case? |
Extent of resection Intraoperative blood loss Durability of tumor tissue Any vessels sacrificed (arteries, sinus, venous) |
