NEUROSURGICAL DICTATION TEMPLATES
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מרפאת זכרון (הדסה ה"צ) - שלום ציון כהנא.
ביקורת במרפאה אוקולופלסטיקה הר הצופים (ע"י ד"ר שי קהת אופיר) בתיאום תור מראש (0523371551 - מזכירה נורית).
ביקורת במרפאה נוירוכירורגית (יח׳ ילדים), ע"י ד"ר שוויקי, ב-@@@. יש לתאם תור מראש (025842111).
Random ICD 9 Dx codes
Baclofen pump malfunction (Other complications due to other internal prosthetic device, implant, and graft) 996.79
Anticoagulant vs Antiplatelet
Xarelto (Rivaroxaban) - anticoagulant
Eliquis (Apixaban) - anticoagulant
Plavix (Clopidogrel) - antiplatelet
Labs
DIC - PLT ↓, Fibrinogen ↓, PT ↑, PTT ↑, D-dimer ↑, smear - schistocytes, helmet cells
Germinoma - tumor markers: AFP (232020), β-HCG (232399), placental alkaline phosphatase (PLAP, 232329)
Rx
Peds abx (Mickey) - Meningeal dosing, s/p VPS - Vancomycin 15mg/kg * q6h; Gentamycin 2.5mg/kg * q8h
Clexane - 1mg/kg q24h (peds pPx dose)
Hexakapron - 10mg/kg (peds)
CPP>50
Triple H Tx (hypertension, hypervolemia & hemodilution) - can start only when the aneurysm is secured.
Midodrine - ↑BP
Dolichoectatic disease
Hypoxia + Hypotension → Secondary insult (DCI - Delayed cerebral ischemia/infarction/injury)
Lumbar spine Qx positioning
Regular table
Lumbar lordosis toward kyphosis
Suitable for decompression w/o fusion, discectomy
Jackson table
Lumbar lordosis emphasis
Suitable for instrumentation
DBS for PD - stop Rx (dopamine) 12hrs preop; postop → return to nml Rx
Spine Qx w/ intradural or accidental dural opening → watertight closure w/ nylon
כמה דרכים יש להגיע ל-GCS
3rd ventricle endoscopic anatomy
Trigeminal nerve
SCA coming above the nerve
AICA coming from below the nerve
7th & 8th CN complex
On retrosigmoid approach, the facial is deeper to the CN8
EOM
LR6(SO4)3
Spinal Dura → single layer
Rathke cleft cysts derived from → Ectoderm
The orbit composed of 7 bones:
Frontal bone (Pars orbitalis)
Lacrimal bone
Ethmoid bone (Lamina Papyracea)
Zygomatic bone
Maxillary bone
Palatine bone
Sphenoid bone (greater & lesser wings)
The nasal septum composed of 5 parts:
Ethmoid bone (perpendicular plate)
Vomer bone
Septum cartilage
Maxillary bone
Palatine bone
In a surgery with cranial nerves monitoring- no muscle relaxants should be used
Meige syndrome
Dynamic scan for pituitary adenoma
Brain structures outside bbb!!!
neuromuscular junction disorders) and ophthalmic disorders (i.e., decompensation of a pre-existing strabismus). In contrast, monocular diplopia is generally explained by intraocular pathology (i.e., refractive errors, ocular media abnormalities, dry eyes), causing the image of a single object to fall, at the same time, on the fovea and on the extra-foveal retina of the same eye.
Nelson salassa syndrome
Chordoma- Clovis involvement → cn6 palsy
שיקום קוגניטיבי - דר איה גל
שיקום קוגניטיבי - מכון פורשטיין, מכון רקנאטי, מכון
מרפאת ספסטיות - דר צנתנר - שיקום הר הצופים
מרפאת כאב - כאבי ראש - מקסים באוור
Chordoma- Clovis involvement → cn6 palsy
SINS NOMS score
Dural ectasia spinal → r/o nf1
Som → ddx fibrous displacement
Chondrisarcoma
DECIMAL, DESTINY, HAMLET
שלושה מחקרים (אחד) - רנדויזמצחה של חולים עם McA or ICA stroke. נכנסו חולים עד גיל 60 או פחות - דיקומפרסיה מול טיפול שמרני.
78% 28 לטובת דיקומפרסיה. הופסק בגלל חוסר אטיות.
75% of my terutorry infarcts > go for dc.
Modified rankel score
Rescue ICP - secondary decompression
Half of them had good outcome
Opto-colliery shunt vessels for optic sheath meningioma
Rotterdam
1.hospitals
2. EDH
3. Sah/ivh
4. MLS
5. Cisterns
Urologist→ urometria to r/o neurogenic bladder
מהאומר brain trauma - ct לא תקין, קומה → צריך ניטור
מה אומר מילאן - אם אין סימנים של icp מוגבר אפשר לעקוב הדמייתית
Leatgalo dose 50 - the high from with 50% die after fall
Lethal dose 50 - the high wich 50% die
Max allowed dose for 3% is 45ml/h
Qx for lumbar vertebrae frx indication
Instability
50 canal compromise
50% loss of vertebral body height
חבלת ראש, קומה8, סיטי פאטולןגי
מילנו - אפ אין סימני אי סי פי
ליקופניה- נויטרופנית anc פחות מ...
A man from Texas walks into a bar. He sees a Chinese man, approaches him, and punches him in the face.
Surprised, the Chinese man exclaims, "Hey! What was that for?"
The Texan man replies, "That's for Pearl Harbor."
"I'm Chinese, not Japanese!" the man protests.
"To me, Chinese, Japanese, you're all the same," the Texan man retorts.
Later, a Jewish man enters the bar. The Texan man asks, "What's your name?"
The man answers, "Rosenberg."
Without warning, the Texan man punches him in the face.
Startled, the Jewish man cries out, "Hey! What was that for?"
The Texan man gruffly replies, "That's for the Titanic."
"But the Titanic was sunk by an iceberg!" the Jewish man points out.
"Iceberg, Rosenberg, to me, you're all the same," the Texan man dismisses.
EOM innovation - LR6(SO4)3
Frontal discharge symptoms
50866805 10/5/22
60173499 - epidermoid cyst
211375795 - colloid cyst
Air embolus
in awake craniotomy → pts starts coughing (vagal reflex)
↓ etO2, hypotension
if happens → irrigation, head ↓, squeeze neck veins;