Introduction to Clinical Neurology

Häftad, Engelska, 2016

Av Douglas J Gelb, University of Michigan) Gelb, Douglas J, MD (Prof, Prof

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Newly updated to reflect recent discoveries, fifth edition of Introduction to Clinical Neurology covers all the take home points beneficial to everyone who relies on this quick and handy guide. This book focuses on the "how" and "why" of clinical neurology. It includes extensive factual material about individual disease processes, but the emphasis is on information that is important for understanding why patients with neurologic conditions are managed the way they are. This book covers what clinicians need to know in order to assess and manage the patients they will encounter in general medical practice, including the application of a logical approach to diagnosis, neurologic examination and how to interpret the findings, and the management of specific disease categories and symptoms. A highly accessible and engaging text, this is the go-to in all things neurology.

Produktinformation

Utgivningsdatum2016-06-30
Mått211 x 137 x 20 mm
Vikt544 g
FormatHäftad
SpråkEngelska
Antal sidor544
Upplaga5
FörlagOUP USA
ISBN9780190467197

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Neurologi och klinisk neurofysiologi inom Medicin

Born in Minnesota, Douglas J. Gelb moved to Cambridge, MA for college (Harvard), Chicago, IL for medical and graduate school (University of Chicago), and San Francisco for internship and neurology residency (University of California, San Francisco). He did graduate research in human visual perception, but his clinical experiences in medical school and residency convinced him that his principal interests were patient care and teaching. In 1988, immediately after completing his residency, he moved to the University of Michigan and became the first faculty member in the Department of Neurology to be hired in the clinical academic track. At the University of Michigan, he directs the required third-year neurology clerkship and the second-year course on diseases of the nervous system. Nationally, he has been the Chair of the Consortium of Neurology Clerkship Directors and the Chair of the American Academy of Neurology A.B. Baker Section on Neurologic Education.

PrefacePreface to the First EditionContributorsPart I: The Basic ApproachChapter 1 Where's the Lesion?I. Sample Localization ProblemsII. The GameIII. The RulesIV. The Play: The Long VersionV. The Play: The Abbreviated VersionVI. Rules for Speed PlayChapter 2 The Neurologic ExaminationI. More Localization ProblemsII. General Comments on the Neurologic ExaminationIII. How to Do the Neurologic ExaminationA. Mental Status ExaminationB. Cranial Nerve ExaminationC. Motor ExaminationD. Re?ex ExaminationE. Sensory ExaminationIV. Additional Comments on Terminology and Examination TechniqueA. Mental Status ExaminationB. Cranial Nerve ExaminationC. Motor ExaminationD. Re?ex ExaminationE. Sensory ExaminationV. Interpretation of the Neurologic ExaminationA. Mental Status ExaminationB. Cranial Nerve ExaminationC. Motor ExaminationD. Re?ex ExaminationE. Sensory ExaminationVI. Modi?cations of the Neurologic ExaminationA. Screening Neurologic ExaminationB. Examination of Stuporous or Comatose PatientsVII. Discussion of Localization ProblemsChapter 3 What's the Lesion?James W. Albers and Douglas J. GelbI. Case HistoryII. Beyond LocalizationA. LocalizationB. Temporal Pro?leC. EpidemiologyIII. EtiologyA. Degenerative DiseasesB. Neoplastic DiseasesC. Vascular DiseasesD. In?ammatory DiseasesE. Toxic and Metabolic DiseasesF. Traumatic DiseasesG. Congenital and Developmental DiseasesIV. Discussion of Case HistoriesChapter 4 StrokeI. Case HistoriesII. Approach to StrokeIII. Background InformationA. De?nitionsB. Classi?cation of Strokes by EtiologyC. PathophysiologyIV. DiagnosisA. Clinical FeaturesB. ImagingV. Management of Acute StrokeA. Restoration of Blood Flow in Ischemic StrokeB. Limitation of De?citsC. RehabilitationVI. Primary PreventionA. HypertensionB. SmokingC. DiabetesD. DyslipidemiaE. Mechanical Heart ValvesF. Atrial FibrillationG. Carotid StenosisH. Sickle Cell DiseaseI. Other FactorsVII. Secondary Prevention of Ischemic StrokeA. Cardioembolic DiseaseB. Carotid StenosisC. Anti-Platelet MedicationsD. Statin TherapyE. Risk Factor Modi?cationF. Stroke Mechanisms Other Than Cardioembolism and Carotid StenosisG. Determining the Underlying Mechanism of StrokeVIII. Secondary Prevention of Cerebral HemorrhageIX. Discussion of Case HistoriesChapter 5 SeizuresI. Case HistoriesII. Approach to SeizuresIII. Background InformationA. De?nitionsB. Clinical Characteristics of SeizuresC. Seizures vs. EpilepsyD. Epilepsy SyndromesE. ElectroencephalographyF. Pathophysiology of Seizures and EpilepsyIV. DiagnosisA. Characterizing the Presenting SpellB. Identifying Prior SpellsC. Recognizing Spells that are Not SeizuresV. Determining the Cause of SeizuresA. Provoked SeizuresB. EpilepsyC. The Diagnostic EvaluationVI. Management of Seizures and EpilepsyA. Patients with Seizures but No Proven EpilepsyB. Patients with EpilepsyC. Patient Education (for Patients with Isolated Seizures or Epilepsy)D. Restrictions (for Patients with Isolated Seizures or Epilepsy)VII. Special Clinical ProblemsA. Status EpilepticusB. Seizures and PregnancyC. Refractory SeizuresVIII. Discussion of Case HistoriesChapter 6 Neuromuscular DisordersMark B. Bromberg and Douglas J. GelbI. Case HistoriesII. Approach to Neuromuscular DiseasesIII. Background InformationA. Functional Divisions of the Peripheral Nervous SystemB. Proximal-to-Distal Organization of the Peripheral Nervous SystemC. Electrodiagnostic and Other Laboratory StudiesIV. Speci?c Neuromuscular DiseasesA. Motor Neuron DiseasesB. Nerve Root Disorders (Radiculopathies)C. Plexus Disorders (Plexopathies)D. Peripheral Nerve Disorders (Neuropathies)E. Neuromuscular Junction DisordersF. Muscle Disorders (Myopathies)V. Symptomatic TreatmentA. Emergency MeasuresB. Non-Urgent Measures: Motor SymptomsC. Non-Urgent Measures: Sensory SymptomsVI. Discussion of Case HistoriesChapter 7 Dementing IllnessesI. Case HistoriesII. Approach to Dementing IllnessesA. Is It Abnormal?B. Is It Dementia?C. Is It Progressive?D. Is There a Potentially Reversible Cause?E. Which Diagnosis Is Most Likely?III. Primary Dementing IllnessesA. Alzheimer's DiseaseB. Dementia with Lewy Bodies (DLB)C. Frontotemporal Dementia (FTD)D. Vascular DementiaE. Normal Pressure Hydrocephalus (NPH)F. Creutzfeldt-Jakob Disease (CJD)G. Other Neurologic Diseases That Produce DementiaIV. Discussion of Case HistoriesChapter 8 Movement DisordersI. Case HistoriesII. Approach to Movement DisordersIII. Background InformationA. Anatomic De?nitionsB. Clinical De?nitionsC. Classi?cation of Movement DisordersIV. Speci?c Movement DisordersA. Essential TremorB. Parkinson's DiseaseC. Other Parkinsonian SyndromesD. Hereditary AtaxiasE. Huntington's DiseaseF. Tardive DyskinesiaG. DystoniasH. Wilson's DiseaseI. Gilles de la Tourette's SyndromeV. Discussion of Case HistoriesChapter 9 Sleep DisordersI. Case HistoriesII. Approach to Sleep DisordersIII. Background InformationA. De?nitionsB. Sleep PhysiologyC. Diagnostic TestsD. Classi?cation of Sleep DisordersIV. Trouble Staying AwakeA. Insuf?cient SleepB. Sleep ApneaC. NarcolepsyD. Other Causes of HypersomnolenceV. Trouble SleepingA. Sleep-Onset DelayB. Early Morning AwakeningC. Sleep FragmentationD. Sleep State MisperceptionVI. Abnormal Behavior During SleepA. Nonrapid Eye Movement (NREM) Sleep ParasomniasB. Rapid Eye Movement (REM) Sleep ParasomniasVII. Discussion of Case HistoriesChapter 10 Multifocal Central Nervous System DisordersI. Case HistoriesII. Approach to Multifocal DisordersIII. Focal Diseases with Multifocal PropagationA. Metastatic CancerB. Central Nervous System InfectionsIV. Inherently Multifocal DiseasesA. Multiple SclerosisB. Connective Tissue DiseasesC. SarcoidosisD. Coagulation DisordersV. Discussion of Case HistoriesChapter 11 Acute Mental Status ChangesI. Case HistoriesII. Background InformationA. De?nitionsB. Focal Mental Status Changes vs. Altered Level of ConsciousnessC. Physiology of Normal and Altered ConsciousnessIII. Approach to Acute Changes in Level of ConsciousnessA. ABCs: Airway, Breathing, CirculationB. Oxygen, Glucose, NaloxoneC. Pupils, Doll's Eyes, Motor AsymmetryD. Other Electrolytes, Renal, Hepatic, Temperature AbnormalitiesE. Everything ElseIV. Special CircumstancesA. Head TraumaB. Increased Intracranial PressureC. Brain DeathV. Discussion of Case HistoriesChapter 12 HeadacheI. Case HistoriesII. Approach to HeadacheIII. Background InformationA. Primary vs. Secondary HeadachesB. Pathophysiology of MigraineIV. Headache Emergencies: Subarachnoid Hemorrhage and Bacterial MeningitisV. Other Secondary HeadachesA. Viral Meningitis or EncephalitisB. Fungal or Tuberculous MeningitisC. Mass LesionsD. Giant Cell (Temporal) ArteritisE. Idiopathic Intracranial Hypertension (IIH; Pseudotumor Cerebri)F. Spontaneous Intracranial HypotensionG. Cerebral Venous ThrombosisH. Arterial DissectionI. Systemic ConditionsJ. Secondary Headache Syndromes with Diagnostic AmbiguityVI. Primary HeadachesA. Migraine and Tension HeadachesB. Cluster HeadachesC. Trigeminal NeuralgiaD. Glossopharyngeal NeuralgiaE. Chronic Paroxysmal Hemicrania and Related ConditionsF. Atypical Facial PainVII. Discussion of Case HistoriesChapter 13 Visual SymptomsI. Case HistoriesII. Background InformationA. De?nitionsB. Overview of the Visual SystemIII. Approach to Visual SymptomsIV. Monocular Vision LossA. Acute or Subacute Monocular Vision Loss in Young PatientsB. Acute, Subacute, or Chronic Monocular Vision Loss in Older PatientsV. Transient Vision Loss (Monocular or Binocular)VI. Persistent Binocular Vision LossVII. DiplopiaA. LocalizationB. Differential Diagnosis and ManagementVIII. Discussion of Case HistoriesChapter 14 Dizziness and DisequilibriumI. Case HistoriesII. Approach to DizzinessIII. LocalizationIV. Differential DiagnosisV. DisequilibriumVI. Discussion of Case HistoriesChapter 15 Back Pain and Neck PainI. Case HistoriesII. Approach to Back or Neck PainA. Emergency SituationsB. Non-urgent Indications for SurgeryIII. Speci?c Conditions Causing Back or Neck PainA. Musculoskeletal PainB. Disc HerniationC. Spinal StenosisIV. Discussion of Case HistoriesChapter 16 IncontinenceI. Case HistoriesII. Background InformationIII. Approach to IncontinenceA. Neurologic vs. Urologic Causes of Incontinence B. Central vs. Peripheral Nervous System Causes of IncontinenceIV. Discussion of Case HistoriesChapter 17 Pediatric NeurologyI. Case HistoriesII. Developmental ConsiderationsIII. Hypotonic InfantsIV. Developmental Delay and Developmental RegressionV. Paroxysmal SymptomsA. HeadachesB. SeizuresC. Breath-Holding SpellsD. Benign Paroxysmal VertigoVI. Gait DisturbanceA. SpasticityB. WeaknessC. AtaxiaVII. Discussion of Case HistoriesChapter 18 Geriatric NeurologyI. Case HistoriesII. Geriatric IssuesIII. The Neurologic Examination in Normal AgingA. Mental StatusB. Cranial NervesC. Motor SystemD. Re?exesE. SensationIV. Common Neurologic Symptoms in the ElderlyA. DizzinessB. Gait DisturbanceC. IncontinenceD. DementiaE. PainV. Discussion of Case HistoriesChapter 19 Practice CasesI. Case HistoriesII. Answers