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Atlas of neurologic diagnosis and treatment by R. Douglas Collins

By R. Douglas Collins

The maze of neuroanatomy, symptomatology, and neurologic syndromes should be formidable to the first care practitioner. sufferers are frequently speedy stated a expert or subjected to quite a number pricey diagnostic tests.

With this transparent and useful reference, you are going to handle the demanding situations of neurologic prognosis and administration on the fundamental care level—with basic illustrated suggestions on neuroanatomy, actual exam, the neurologic workup, diagnostic assessments, differential analysis, and remedy options.

Begin your trip from complexity to clarity.

  • In-depth coverage addresses a number more often than not encountered neurologic issues, exhibiting you what to seem for, what exams to reserve, and the way the implications impact your remedy choices.
  • Abundant, colourful illustrations assist you comprehend serious neuroanatomy and realize clinically major anomalies.
  • Synopses of etiology, prognosis, and treatment for every affliction provide the details you want to comprehend and handle the patient's problem.
  • Differential analysis of neurologic signs and signs are addressed, including the work-up of every symptom and sign—all prepared in alphabetical order for simple reference.
  • Case studies convey the illnesses to existence by means of highlighting salient good points to assist hone your actual exam and diagnostic skills.
  • Useful appendices define extra unique exam strategies, laboratory workup for neurologic signs, and therapy guidance for every disease.
  • Thorough references advisor you to assets that deal with infrequent issues and debatable diagnostic strategies now not coated within the text.
  • Handy glossary offers a fingertip connection with typical terms.

Before you review your subsequent patient...be definite this crucial reference is on your fingers. Order your replica today!

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Example text

5. Coma? Consider encephalitis, cerebral hemorrhage, meningitis, abscess, drug or alcohol intoxication, or head injury. The pathologic reflexes cannot be used to localize the lesion when there is coma. On physical examination, is (are) there: 1. Hemiplegia? Consider cerebrovascular disease or space-occupying lesion of the brain. 2. Paraplegia without cranial nerve signs? This suggests a lesion of the spinal cord, but remember, parasagittal lesions may present with this picture. 3. Paraplegia with cranial nerve signs?

2. Visual field defect? Consider space-occupying lesion, cerebrovascular disease, or multiple sclerosis. 3. Diminished pulses in the involved extremity? Consider peripheral arteriosclerosis or major artery obstruction. 4. Hypoactive reflexes in the involved extremity? Consider herniated disc, neuropathy, or plexopathy. 5. Hyperactive reflexes in the involved extremities? Consider multiple sclerosis, pernicious anemia, or spinal cord, brain, or brainstem lesion. 6. Cranial nerve signs? Consider multiple sclerosis, cerebrovascular disease, or space-occupying lesion of the brain or brainstem.

Headache? Consider a brain tumor. 4. Other members of the family affected? Consider cerebellar ataxia . On physical examination, is (are) there: 1. Loss of vibratory and position senses in the lower extremities? This would suggest pernicious anemia, Friedreich's ataxia, multiple sclerosis, advanced syringomyelia, or intramedullary tumor. 2. No loss of vibratory and position sense? Consider cerebellar tumor or degeneration. Drug or alcohol toxicity should also be considered. 3. Cranial nerve signs?

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