NS 1st rotation as a resident-What do I have to know?

Discussion in 'Neurosurgery' started by skiz knot, Jun 3, 2008.

  1. skiz knot

    skiz knot Legendary Dr. X

    Joined:
    Apr 14, 2004
    Messages:
    1,441
    Likes Received:
    18
    I am a soon to be ortho intern and my 1st rotation is neurosurgery. The problem is that I have no idea what the NS bread and butter cases are. I assume craniotomies and decompressions of the spine, but what else do I have to know??? Any pearls, advice, etc...?
     
  2. Thread continues after this sponsor message. SDN Members do not see this ad.

  3. Chronic Student

    Chronic Student So Fresh, So Clean

    Joined:
    Feb 7, 2006
    Messages:
    808
    Likes Received:
    19
    Status:
    Non-Student
    Greenbergs handbook of neurosurgery is a good place to start.

    BB cases: Crani for bleed (Know difference and management for subdural, epidural, ICH, etc). Crani for tumor, ventriculostomy, ACDF, discectomy, lumbar fusion, laminectomy, CTR, VP shunt, etc.

    Know management of severe HTN, correction of coags (always know your coag values, know how to reverse elevated INR. Most want it around 1.2). Obstructive vs. communicating hydrocephalus. Different types of herniation syndromes transtentorial vs. subfalcine

    Basics of ICP, cushings response, hydrocephalus, chiari malformations, concusion/decreased LOC, etc. Oh, know how to read a CT as far as what acute vs. chronic blood looks like, epidural vs. subdural, hydrocephalus, is the fourth ventricle open, midline shift, etc.

    The neuro exam to include pupils, pronator drift, signs of myelopathy, babinski and what it means, hoffmans reflex, dermatomes, disc herniation syndromes (what disc causes weakness, dermatomal distribution) and Brown-sequard, central cord syndromes, etc

    Thats pretty brief but should get you started and if you know this stuff you'll be a rock star!
     
  4. skiz knot

    skiz knot Legendary Dr. X

    Joined:
    Apr 14, 2004
    Messages:
    1,441
    Likes Received:
    18
    Rock on with your bad self! Thanks!
     
  5. Blake

    Joined:
    Jun 21, 2004
    Messages:
    1,801
    Likes Received:
    1
    Status:
    Resident [Any Field]
    Funny, I'm in the opposite situation (NS intern starting with 2 months of ortho).
     
  6. neuroethicist

    neuroethicist Junior Member

    Joined:
    Oct 12, 2003
    Messages:
    17
    Likes Received:
    0
     
  7. Habeed

    Habeed Banned
    Banned

    Joined:
    Sep 25, 2003
    Messages:
    796
    Likes Received:
    4
    I am not even in medical school, but I would hazard a guess that it is "brain bleed"
     
  8. TheMightyAngus

    Joined:
    Jun 14, 2005
    Messages:
    1,193
    Likes Received:
    5
    Status:
    Medical Student
    BB = Bread & Butter
     
  9. Chronic Student

    Chronic Student So Fresh, So Clean

    Joined:
    Feb 7, 2006
    Messages:
    808
    Likes Received:
    19
    Status:
    Non-Student
    Ding! Ding! Ding!
     

Share This Page