Clinical skills in neurology

著者

書誌事項

Clinical skills in neurology

Michael J.G. Harrison

Butterworth-Heinemann, c1996

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注記

Includes bibliographical references and index

内容説明・目次

内容説明

The ability to make a neurological diagnosis depends above all on the capacity to understand the patient's history, to carry out a reliable examination and to interpret neurological symptons and signs. 'Clinical Skills in Neurology' is a guide to the tricks of the trade in neurology - providing the student with the information needed to cope with neurological problems and their assessment. Divided into three sections, this book provides a fully illustrated guide and problem-orientated approach to neurological examination and clinical management. Chapter 1 covers the taking of the history and the technique of examination. Chapter 2 looks at common problems and their assessment, offering strategies built on critical points extracted in either the history or the examination. Chapter 3 covers available investigations - reviewing their use and application. Based on the successful 'Neurological Skills' but completly updated and revised with the addition of a substantial amount of new material, 'Clinical Skills in Neurology' should achieve its aims: to provide a complete primer of neurological diagnosis which should help to build the confidence of any student approaching a neurological examination. This book attempts to demystify neurology but retain its fascination.

目次

  • Introduction
  • I History and Examination: The history
  • The general examination
  • The Neurological Examination: Mental State and Language
  • Dysphasia
  • Mutism
  • Other faculties
  • Cranial nerves
  • Motor system
  • Extrapyramidal system
  • Dystonia
  • Cerebellar function
  • Sensation
  • The unconscious patient: Locked-in syndrome
  • Coma vigil (akinetic mutism)
  • Chronic vegetative state
  • Brain death
  • II Common Problems: Headache: Sudden headache
  • Continuous headache
  • Rapidly developing headache
  • Periodic headache
  • Attacks of loss of consciousness
  • Sleep Disorders: Excessive daytime sleepiness
  • Memory Loss
  • Visual Symptoms: Visual failure
  • Double vision
  • Some other visual symptoms
  • Facial Pain: Acute attacks
  • Shooting pains
  • Periodic pain
  • Continuous pain
  • Vertigo
  • Loss of balance
  • Dysarthria
  • Dysphonia
  • Hearing loss
  • Tinnitus
  • Pain: Peripheral nerve
  • Brachial plexus
  • Dorsal Root Ganglia
  • Nerve root
  • Spinal cord
  • Thalamus
  • Paraesthesiae
  • Muscle weakness: Generalised weakness
  • Weakness in the arm
  • The wasted hand
  • dropping things
  • Weakness of the face
  • Weakness of bulbar muscles
  • Weakness of respiratory muscles
  • Weakness of the neck
  • Weakness in the leg
  • Foot drop
  • Does the patient have Motor neurone disease?
  • Hemiplegia
  • Has the patient got Parkinson's disease?
  • Gait disorder
  • Fatigue
  • Bladder problems: Management
  • Impotence
  • III Investigations: Electromyography (EMG)
  • Nerve conduction studies
  • Evoked potentials
  • Electroencephalography (EEG)
  • Dementia
  • Metabolic encephalopathy
  • Cerebrovascular disease
  • Coma
  • Sleep disorders
  • Electronystagmography (ENG)
  • Cerebrospinal fluid: Meningitis/Encephalitis
  • Subarachnoid haemorrhage
  • Multiple Sclerosis
  • Guillain-Barre Syndrome
  • Neurosyphilis
  • Neuroimaging: Head injury
  • Strokes
  • Tumours
  • Abscesses
  • Encephalitis
  • Dementia
  • Multiple Sclerosis
  • Cerebral aneurysms
  • High density lesions on CT
  • Low density lesions on CT
  • Spine
  • CT or MRI?
  • X-ray Angiography
  • Air and Myodil ventriculography
  • Investigation of bladder dysfunction
  • Tissue Biopsies: muscle biopsy
  • nerve biopsy
  • brain biop

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