Chief Complaint Brain Tumor

At 57 years old, John Kerastas thought he was the poster child for fifty-year old healthiness: he competed in triathlons, rode in 100 mile biking events and ate a healthy diet chock full of organic vegetables. Then he discovered that he had a brain tumor the size of his wife's fist. His memoir chronicles the first year he spent addressing tumor-related health issues: preparing for his first operation, discovering a dangerous skull infection, having the infected portion of his skull surgically removed, learning about his substantial vision and cognitive losses, undergoing rehab and radiation treatments, and learning to live with his "new normal." According to Kerastas, the phrase "new normal" is the medical community's code words for "You're alive, so quit complaining." As his health changed, so did his sense of humor. He writes that his humor started out superficially light-hearted prior to the first operation; transmogrified into gallows humor after several subsequent operations; and leveled out as somewhat wry-ish after radiation and rehab. This is a surprisingly upbeat and inspiring book for anybody interested in memoirs about people dealing with personal crises, for patients trudging through rehab, for caretakers helping victims of serious illnesses, or for anybody looking for an unexpected chuckle from an unlikely subject. JOHN KERASTAS has worked at a global advertising agency, at several technology start-up companies and as a free-lance writer. Now, in addition to non-profit and charitable work, he spends his time blogging, speaking and writing about brain health, brain tumors and rehab. You can follow his blog or view his presentations schedule at www.johnstumor.blogspot.com.

As we move into the 21st century it is becoming increasingly difficult to offer appropriate introductory clinical experiences for medical students. Many schools offer clinical experiences in the first year of medical school, when the learner has little background in the traditions and origins of the doctor-patient interaction. Others begin this process in the second year, after a professional language base has been established, but concise educational materials are scarce that integrate the meaning of the privileged clinical encounter with the process and content of interviewing and examining patients. In the tertiary hospitals, where most medical schools are based, the educators must provide an orienta tion to the clinical encounter, an intensely personal experience, in the midst of glittering technological marvels that easily distract both the novice physician and the wizened teacher. Understanding the context and historical basis for the privilege of interviewing and examining another person about intimate matters relating to health and disease is essential to this process. Considering these factors, this textbook is written to assist medical educators and medical students involved in early clinical training. As the demand for "high-tech" medicine has accelerated, so has the public concern over the loss of "high-touch" or compassionate, humane interactions with physicians. Physicians are perceived as more concerned with readouts from machines and fiberoptic views of the patient than with understanding and car ing about the people we have labeled as patients.

No other quick reference comes close in covering the diagnosis and treatment of hundreds of diseases in dogs and cats. Etienne Cote's Clinical Veterinary Advisor: Dogs and Cats, 2nd Edition is like six books in one -- with concise topics within sections on diseases and disorders, procedures and techniques, differential diagnosis, laboratory tests, clinical algorithms, and a drug formulary. Revised from cover to cover, this edition includes dozens of new topics. It also includes free access to a fully searchable companion website featuring an electronic version of the text, all of the book's images, a searchable drug formulary, and 150 Client Education Sheets in both English and Spanish. Section I: Diseases and Disorders provides at-a-glance coverage of nearly 800 common medical problems, arranged alphabetically for immediate access. Entries include a definition, synonyms, epidemiology, clinical presentation, etiology and pathophysiology, differential diagnosis, workup, treatment, prognosis and outcome, plus pearls and considerations. Concise descriptions simplify diagnosis and treatment. Section II: Procedures and Techniques offers illustrated, step-by-step instructions for understanding and performing 111 important clinical procedures. Section III: Differential Diagnosis displays nearly every possible cause for 260 different clinical disorders. Section IV: Laboratory Tests summarizes essential information needed for interpreting more than 150 lab tests. Section V: Clinical Algorithms provides decision trees for the diagnostic and therapeutic decision-making processes involved in managing 91 of the most common clinical conditions/disorders. Section VI: Drug Formulary is a compilation of dosages and other relevant information for more than 300 new and current medications. 410 illustrations and photographs depict disease processes and related concepts. A companion website includes the complete text of the book in a fully searchable format, allowing quick access to information, and all of the book's images. It also includes 150 Client Education Sheets, each available in both English and Spanish. Clinical guidance added to diseases and disorders chapters helps you select appropriate tests and treatments for each case. 50 new client "how-to" handouts are added for a total of 150 client education sheets, helping to improve outcomes by informing clients. Technician Tips are inserted throughout nearly 800 diseases and disorders, providing specialized information for veterinary technicians. Enhanced electronic image collection on the companion website includes color images and additional figures not found in the text.

Get much-needed exposure to real-world clinical scenarios and psychiatric evaluations, with this invaluable guide to positive, effective psychiatric advance practice nursing care. For an expert guide to providing patient-centered, evidence-based psychiatric care, keep Psychiatric Case Studies for Advanced Practice by your side. Practical and easy-to-follow, these more than 50 case scenarios clearly display the complaints, diagnoses, and treatments of the most common psychiatric disorders, supporting the critical decision-making skills of nurses practicing in a broad range of settings. Psychiatric, family, emergency, and general practice nurse practitioners of all experience levels will find this an invaluable aid for creating an informed, holistic practice. Follow the real-life cases and expert analysis of psychiatric patients of a wide variety of ages, backgrounds, and conditions . . . Real-world child, adolescent, adult, and geriatric inpatient and outpatient psychiatric case studies that emphasize problem-based learning and an evidence-based practice Current diagnostic content from the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), that includes DSM-5’s newer diagnoses—gender dysphoria, binge eating disorder, and autism spectrum, plus current treatments for alcohol and opiate addiction Sample routine screening tools that offer convenient checklists and handouts to support patient treatment Content presented in a simple format—organized by age and indexed by diagnostic category for quick reference Each case presented in a standard format: chief complaint, history, mental status, diagnosis, differential diagnosis, treatment plan, and rationale for treatment prescribed—with questions at the end that guide you to create a diagnosis using the DSM-5 Cases addressing a wide range of disorders and supporting all experience levels in a variety of treatment settings—counseling centers, correctional facilities, homeless shelters, inpatient psychiatric units, and hospital consultation and liaison services Treatments and rationales that represent current, evidence-based research—treatment sections divided into psychopharmacology, diagnostic tests, referral, psychotherapy, and psychoeducatio Supplemental teaching tool for graduate psychiatric nurse practitioner/APN programs

Sleep in Childhood Neurological Disorders addresses the myriad sleep-wake issues associated with neurological disturbances from the newborn period through adolescence. The editors and contributing authors are internationally recognized authorities who cover everything from sleep and ADHD, headaches, restless leg syndrome, parasomnias, hypersomnias, autism, brain tumors, epilepsy, traumatic brain injury, and other primary disorders to sleep co-morbidities, assessment, testing, interventions, pharmacology and more. The first book devoted to the growing field of pediatric neurosomnology, Sleep in Childhood Neurological Disorders is an invaluable text for clinicians looking for current information and practical guidance to successfully manage their pediatric sleep patients. Sleep in Childhood Neurological Disorders features Dedicated focus on neurologically-based sleep disorders in children Diagnostic tables, key points, clinical pearls, and treatment algorithms throughout to enhance clinical utility Directions for "Future Research" in each chapter highlight promising studies and new therapies Broad-based coverage of the full range of common sleep disorders and co-morbidities

Unique in the field, Intrinsic and Skull Base Tumors presents commonly encountered skull base and intrinsic neoplasm cases with side-by-side, case-by-case comparisons that clearly show how various experts would handle the same case. This inaugural volume in the Neurosurgery: Case Comparison Series offers multiple opinions from international experts in neurosurgery who provide various approaches and management styles for the same case. This format allows for quick and helpful comparisons of different ways to approach a lesion, advantages and disadvantages of each approach, and what each expert is looking for in how they would manage a particular case. Offers 3 to 4 expert opinions on each case in a templated format designed to help you quickly make side-by-side comparisons—an ideal learning tool for both trainees and practicing neurosurgeons for board review and case preparation. Helps you easily grasp different approaches to brain tumor management with different expert approaches to the same case and summaries from the editors on the advantages and disadvantages to each approach. Features a wide variety of management decisions, from preoperative studies to surgical approach, surgical adjuncts, and postoperative care, from experts in the field who specialize in different aspects of neurosurgery. Covers low and high grade gliomas, metastatic brain cancers, meningiomas, sellar and parasellar lesions, skull base lesions, and other brain lesions such as colloid cyst, cavernoma, hemangioblastoma, brain abscess, and more.

This book serves as a casebook for clinical nuclear medicine neuroimaging. Clinical interpretation of nuclear medicine neuroimaging studies is often challenging, mainly due to the complexity of neuroanatomy and a lack of supportive reference books. This is an unmet need in many teaching hospitals. Utilizing a hands-on, case-based approach, this textbook guides readers through clinical nuclear medicine neuroimaging of major neurological diseases and conditions, including dementia, epilepsy, and brain death. Included here are basic guidelines and techniques for nuclear medicine neuroimaging practices, set alongside case examples that include standardized imaging display and detailed interpretation. Each chapter begins with examples of normal brain imaging as a reference point for the remainder of the chapter, which then presents detailed case examples of these diseases through various imaging techniques. Each of the cases highlights clinical and imaging key findings and precise impressions. This is an ideal guide for residents, fellows, and even practicing nuclear medicine physicians as a reference and teaching tool for neuroimaging in clinical nuclear medicine. It will be of significant value to residents, trainees, and young physicians in preparation for their in-service tests and board examinations.