Douglas J Gelb

Introduction to Clinical Neurology

• Broschiertes Buch

Produktbeschreibung

The sixth edition of Introduction to Clinical Neurology continues to present a straightforward approach to diagnosing diseases of the nervous system, using a systematic process in which the site of dysfunction is deduced based on knowing streamlined summaries of a few clinically relevant nervous system pathways. It provides a comprehensive discussion of how to do a neurologic exam and how to interpret it. In clear and concise prose, Dr. Gelb explains the neurologic diseases and presenting symptoms that non-neurologists are likely to encounter in practice.

Produktdetails

• Verlag: Oxford University Press, USA
• 6th edition
• Seitenzahl: 584
• Erscheinungstermin: 11. Juni 2024
• Englisch
• Abmessung: 211mm x 140mm x 33mm
• Gewicht: 658g
• ISBN-13: 9780197772904
• ISBN-10: 0197772900
• Artikelnr.: 70010038

Autorenporträt

Douglas J. Gelb is a general neurologist who received his MD and PhD degrees from the University of Chicago and completed neurology residency at the University of California San Francisco. Immediately after residency, he joined the faculty of the University of Michigan Neurology Department, where he is a Professor in the Clinical Track and the director of both the medical student neurology clerkship and pre-clinical education regarding diseases of the nervous system. He is a former Chair of the national Consortium of Neurology Clerkship Directors, and of the American Academy of Neurology's A.B. Baker Section of Neurologic Educators.

Inhaltsangabe

* Preface to the Sixth Edition
* Preface to the First Edition
* Contributors
* PART I: The Basic Approach
* 1. Where's the Lesion? (How We Localize)
* I. Sample Localization Problems
* II. The Game
* III. The Rules
* IV. The Play: The Long Version
* V. The Play: The Abbreviated Version
* VI. More Examples
* VII. Rules for Speed Play
* 2. The Neurologic Examination (What We Localize)
* I. More Localization Problems
* II. General Comments on the Neurologic Examination
* III. How to Do the Neurologic Examination
* A. Mental Status Examination
* B. Cranial Nerve Examination
* C. Motor Examination
* D. Reflex Examination
* E. Sensory Examination
* IV. Additional Comments on Terminology and Examination Technique
* A. Mental Status Examination
* B. Cranial Nerve Examination
* C. Motor Examination
* D. Reflex Examination
* E. Sensory Examination
* V. Interpretation of the Neurologic Examination
* A. Mental Status Examination
* B. Cranial Nerve Examination
* C. Motor Examination
* D. Reflex Examination
* E. Sensory Examination
* VI. Modifications of the Neurologic Examination
* A. Screening Neurologic Examination
* B. Video Examination
* C. Examination of Patients with Altered Level of Consciousness
* D. Inconsistent or Anomalous Examination Findings
* VII. Supplementary Table for Reference
* VIII. Discussion of Localization Problems
* 3. Diagnostic Reasoning: What's the Lesion? (Why We Localize)
* I. Case Histories
* II. Beyond Localization
* A. Localization
* B. Temporal Profile
* C. Epidemiology
* III. Etiology
* A. Degenerative Diseases
* B. Neoplastic Diseases
* C. Vascular Diseases
* D. Inflammatory Diseases
* E. Toxic and Metabolic Diseases
* F. Traumatic Diseases
* G. Congenital and Developmental Diseases
* IV. Discussion of Case Histories
* PART II: Common Diseases
* 4. Stroke
* I. Case Histories
* II. Approach to Stroke
* III. Background Information
* A. Definitions
* B. Classification of Strokes by Etiology
* C. Pathophysiology
* IV. Diagnosis
* A. Clinical Features
* B. Imaging
* V. Management of Acute Stroke
* A. Restoration of Blood Flow in Ischemic Stroke
* B. Limitation of Deficits
* C. Rehabilitation
* VI. Secondary Prevention of Ischemic Stroke
* A. Lipid Management
* B. Antiplatelet Medication
* C. Blood Pressure
* D. Other Risk Factors
* E. Cardioembolic Disease
* F. Cervical Carotid Stenosis
* G. Ischemic Stroke Mechanisms Other Than Cardioembolism and Cervical
Carotid Stenosis
* H. Determining the Underlying Mechanism of Stroke
* VII. Secondary Prevention of Cerebral Hemorrhage
* VIII. Primary Prevention
* A. Hypertension
* B. Smoking
* C. Diabetes
* D. Dyslipidemia
* E. Mechanical Heart Valves
* F. Atrial Fibrillation
* G. Cervical Carotid Stenosis
* H. Sickle Cell Disease
* I. Other Factors
* IX. Supplementary Tables for Reference
* X. Discussion of Case Histories
* 5. Seizures
* I. Case Histories
* II. Approach to Seizures
* III. Background Information
* A. Definitions
* B. Clinical Characteristics of Seizures
* C. Seizures vs. Epilepsy
* D. Epilepsy Classification
* E. Electroencephalography
* F. Pathophysiology of Seizures and Epilepsy
* IV. Diagnosis
* A. Characterizing the Presenting Spell
* B. Identifying Prior Spells
* C. Recognizing Spells That Are Not Seizures
* V. Determining the Cause of Seizures
* A. Provoked Seizures
* B. Epilepsy
* C. The Diagnostic Evaluation
* VI. Management of Seizures and Epilepsy
* A. Patients with Seizures but No Proven Epilepsy
* B. Patients with Epilepsy
* C. Patient Education (for People with Isolated Seizures or Epilepsy)
* D. Restrictions (for People with Isolated Seizures or Epilepsy)
* VII. Special Clinical Problems
* A. Status Epilepticus
* B. Seizures and Pregnancy
* C. Refractory Seizures
* VIII. Supplementary Tables for Reference
* IX. Discussion of Case Histories
* 6. Neuromuscular Disorders
* I. Case Histories
* II. Approach to Neuromuscular Diseases
* III. Background Information
* A. Functional Divisions of the Peripheral Nervous System and
Associated Symptoms
* B. Proximal-to-Distal Organization of the Peripheral Nervous System
* C. Electrodiagnostic and Other Laboratory Studies
* IV. Specific Neuromuscular Diseases
* A. Motor Neuron Diseases
* B. Nerve Root Disorders (Radiculopathies)
* C. Plexus Disorders (Plexopathies)
* D. Peripheral Nerve Disorders (Neuropathies)
* E. Neuromuscular Junction Disorders
* F. Muscle Disorders (Myopathies)
* V. Symptomatic Treatment
* A. Emergency Measures
* B. Non-Urgent Measures: Motor Symptoms
* C. Non-Urgent Measures: Sensory Symptoms
* VI. Supplementary Tables for Reference
* VII. Discussion of Case Histories
* 7. Dementing Illnesses
* Linda M. Selwa and Douglas J. Gelb
* I. Case Histories
* II. Approach to Dementing Illnesses
* A. Is It Abnormal?
* B. Are There Any Potentially Reversible Components?
* C. Which Primary Degenerative Dementing Illness Is Most Likely?
* III. Primary Dementing Illnesses
* A. Alzheimer Disease
* B. Dementia with Lewy Bodies (DLB)
* C. Frontotemporal Dementia (FTD)
* D. Vascular Cognitive Impairment
* E. Limbic-predominant Age-related TDP-43 Encephalopathy (LATE)
* F. Creutzfeldt-Jakob Disease (CJD)
* G. Other Neurologic Diseases That Produce Dementia
* IV. Supplementary Tables for Reference
* V. Discussion of Case Histories
* 8. Movement Disorders
* Linda M. Selwa and Douglas J. Gelb
* I. Case Histories
* II. Approach to Movement Disorders
* III. Background Information
* A. Anatomic Definitions
* B. Clinical Definitions
* C. Classification of Movement Disorders
* IV. Specific Movement Disorders
* A. Essential Tremor
* B. Parkinson Disease
* C. Other Parkinsonian Syndromes
* D. Hereditary Ataxias
* E. Huntington Disease
* F. Tardive Dyskinesia
* G. Dystonias
* H. Wilson Disease
* I. Tourette Syndrome
* V. Supplementary Tables for Reference
* VI. Discussion of Case Histories
* 9. Sleep Disorders
* I. Case Histories
* II. Approach to Sleep Disorders
* III. Background Information
* A. Definitions
* B. Sleep Physiology
* C. Diagnostic Tests
* D. Classification of Sleep Disorders
* IV. Trouble Staying Awake
* A. Insufficient Sleep
* B. Sleep Apnea
* C. Narcolepsy
* D. Other Causes of Hypersomnolence
* V. Trouble Sleeping
* A. Sleep-Onset Delay
* B. Early Morning Awakening
* C. Sleep Fragmentation
* D. Sleep State Misperception
* VI. Abnormal Behavior During Sleep
* A. Nonrapid Eye Movement (NREM) Sleep Parasomnias
* B. Rapid Eye Movement (REM) Sleep Parasomnias
* VII. Discussion of Case Histories
* 10. Multifocal Central Nervous System Disorders
* I. Case Histories
* II. Approach to Multifocal Disorders
* III. Focal Diseases with Multifocal Propagation
* A. Neurologic Manifestations of Systemic Cancer
* B. Central Nervous System Infections
* IV. Inherently Multifocal Diseases
* A. Multiple Sclerosis (MS) and Related Disorders
* B. Rheumatologic Diseases
* C. Sarcoidosis
* D. Coagulation Disorders
* E. Functional Disorders
* V. Supplementary Tables for Reference
* VI. Discussion of Case Histories
* PART III: Common Symptoms
* 11. Acute Mental Status Changes
* I. Case Histories
* II. Background Information
* A. Definitions
* B. Focal Mental Status Changes vs. Altered Level of Consciousness
* C. Physiology of Normal and Altered Consciousness
* III. Approach to Acute Changes in Level of Consciousness
* A. ABCs: Airway, Breathing, Circulation
* B. Oxygen, Glucose, Naloxone
* C. Pupils, Doll's Eyes, Motor Asymmetry
* D. Other Electrolytes, Renal, Hepatic, Temperature Abnormalities
* E. Everything Else
* IV. Special Circumstances
* A. Head Trauma
* B. Increased Intracranial Pressure
* C. Brain Death
* V. Discussion of Case Histories
* 12. Headache
* I. Case Histories
* II. Approach to Headache
* III. Background Information
* A. Primary vs. Secondary Headaches
* B. Pathophysiology of Migraine
* IV. Headache Emergencies: Subarachnoid Hemorrhage and Bacterial
Meningitis
* V. Other Secondary Headaches
* A. Viral Meningitis or Encephalitis
* B. Fungal or Tuberculous Meningitis
* C. Mass Lesions
* D. Giant Cell (Temporal) Arteritis
* E. Idiopathic Intracranial Hypertension (IIH)
* F. Spontaneous Intracranial Hypotension
* G. Cerebral Venous Thrombosis
* H. Arterial Dissection
* I. Reversible Cerebral Vasoconstriction Syndrome (RCVS)
* J. Systemic Conditions
* K. Secondary Headache Syndromes with Diagnostic Ambiguity
* VI. Primary Headaches
* A. Migraine and Tension Headaches
* B. Trigeminal Neuralgia
* C. Glossopharyngeal Neuralgia
* D. Cluster Headaches
* E. Other Trigeminal Autonomic Cephalalgias (TACs)
* F. Primary Stabbing Headache
* G. Persistent Idiopathic Facial Pain
* VII. Supplementary Tables for Reference
* VIII. Discussion of Case Histories
* 13. Visual Symptoms
* I. Case Histories
* II. Background Information
* A. Definitions
* B. Overview of the Visual System
* III. Approach to Visual Symptoms
* IV. Monocular Vision Loss
* A. Acute or Subacute Monocular Vision Loss in Young People
* B. Acute, Subacute, or Chronic Monocular Vision Loss in Older People
* V. Transient Vision Loss (Monocular or Binocular)
* VI. Persistent Binocular Vision Loss
* VII. Diplopia
* A. Localization
* B. Differential Diagnosis and Management
* VIII. Discussion of Case Histories
* 14. Dizziness and Disequilibrium
* I. Case Histories
* II. Approach to Dizziness
* III. Localization
* IV. Differential Diagnosis
* A. Central Vertigo
* B. Peripheral Vertigo
* V. Disequilibrium
* VI. Discussion of Case Histories
* 15. Back Pain and Neck Pain
* I. Case Histories
* II. Approach to Back or Neck Pain
* A. Emergency Situations
* B. Non-Urgent Indications for Surgery
* III. Specific Conditions Causing Back or Neck Pain
* A. Musculoskeletal Pain
* B. Disc Herniation
* C. Spinal Stenosis
* IV. Discussion of Case Histories
* 16. Incontinence
* I. Case Histories
* II. Background Information
* III. Approach to Incontinence
* A. Non-neurologic Causes of Incontinence
* B. Central vs. Peripheral Nervous System Causes of Incontinence
* IV. Supplementary Table for Reference
* V. Discussion of Case Histories
* PART IV: Bookends
* 17. Pediatric Neurology
* I. Case Histories
* II. Developmental Considerations
* III. Hypotonic Infants
* IV. Developmental Delay and Developmental Regression
* V. Paroxysmal Symptoms
* A. Migraine
* B. Seizures
* C. Breath-Holding Spells
* D. Benign Paroxysmal Vertigo
* VI. Gait Disturbance
* A. Spasticity
* B. Weakness 434
* C. Ataxia
* VII. Functional Disorders
* VIII. Discussion of Case Histories
* 18. Geriatric Neurology
* I. Case Histories
* II. Geriatric Issues
* III. The Neurologic Examination in Normal Aging
* A. Mental Status
* B. Cranial Nerves
* C. Motor System
* D. Reflexes
* E. Sensation
* IV. Common Neurologic Symptoms in the Elderly
* A. Dizziness
* B. Gait Disturbance
* C. Incontinence
* D. Dementia
* E. Pain
* V. Discussion of Case Histories
* 19. Practice Cases
* I. Case Histories
* II. Answers
* Index