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The text is divided into two main parts: Major neurological issues faced by the consulting neurologist, such as headache and seizures, are addressed in the first section, and major neurologic consultation problems seen on various hospital services, such as oncology and cardiology, are discussed in the second half. This structure, which reflects the organizational scheme of a modern hospital, will enable neurologists to quickly find the information they need. When asked to consult on a patient, the neurologist faces problems that are specific to the service where the patient resides. By thinking about the problems in this way, the physician can reduce the large number of possible diagnoses to a manageable few that are commonly encountered in each clinical context. By reading this unique text, neurologists will increase their knowledge of the conditions frequently found in other hospital services and be better equipped to provide thorough consultations.Due to changes in the delivery of medical care toward greater emphasis on primary care and ambulatory medicine, the need for hospitalists has grown. These physicians and surgeons spend all of their time in the hospital where they meet current demands for speed and efficiency that the primary care physicians can no longer provide given their heavy patient load, focuses on less acute ambulatory medicine. The hospitalists, called on to provide consultations on patients who are not under the primary care of a neurologist, have an urgent need to recognize, diagnose, and treat neurologic problems that arise in their patients.

Hospitalist Neurology, in the highly regarded Blue Books of Practical Neurology series, focuses on the clinical practice of in-patient neurology as well as the neurologic sequelae of non-neurologic conditions of hospitalized patients. It is meant to provide consulting hospital-based neurologists with a rational approach to evaluating neurological problems in a busy general hospital.

Table of Contents:

MAJOR NEUROLOGIC ISSUES FACED BY THE CONSULTING NEUROLOGIST

SYMPTOMS

Headache

Altered Mental Status

Weakness

Behavioral Disturbances

Seizures

SPECIAL ISSUES

Drugs and Toxins

Stroke

Electrolyte Disorders

HIV Positive Patients

Ethical Questions

MAJOR NEUROLOGIC CONSULTATION PROBLEMS SEEN ON VARIOUS HOSPITAL SERVICES

MEDICINE

Nephrology

Hematology

Oncology

Cardiology

The Rheumatic Diseases

Vascular Medicine and Surgery

Neurologic Consultation in the Medical Intensive Care Unit

Geriatrics

SURGERY

Cardio-Thoracic Surgery

The Neurologic Complications of Organ Transplantation

Consultations in the Operating Room and for Pain Management

Ophthalmology

Neurologic Issues in Obstetrics and Gynecology

Orthopedic Surgery

Urology

PSYCHIATRY

Neurology's Interface with Psychiatry

PEDIATRICS

Neonatal Seizures

Status Epilepticus in Children

Management of Acute Intracranial Hypertension

Pediatric Cardiology and Cardiac Surgery