Field Guide to the Neurologic Examination by Steven L. Lewis MD

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By Steven L. Lewis MD

This new quantity within the Field advisor Series offers a close evaluate of the elemental neurologic examination, supplying you with the instruments had to receive precious diagnostic info and tackle particular scientific shows. The guide's 3 sections contain a short assessment of neurologic prognosis, directions on the right way to practice the elemental parts of the neurologic examination, and how you can tailor the examination to precise medical situations.

Make the main of your subsequent neurologic assessment!

  • Complete coverage promotes a radical, functional, and clinically revealing examination strategy, with insightful fabric on psychological prestige, the cranial nerve, motor, sensory, and cerebellar examinations, and review of reflexes and gait.
  • Insight into the aim of the several parts of the examination, realizing while those exam components could be played, what you'll want to search for, and what the findings mean.
  • Clinical focus assists within the functional bedside evaluate of universal neurologic indicators to aid practitioners study the significance of tailoring the background and neurologic exam in accordance with the scientific setting.
  • Concise appendix of universal neurologic tests offers short summaries that will help you decide upon the easiest method for every patient.

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Extra resources for Field Guide to the Neurologic Examination

Example text

Difficulties with concentration are not localizable to a particular hemispheric region and can be seen due to any cause of diffuse or multifocal brain dysfunction. Knowledge Lack of knowledge of personal information, such as home address or information about family members, is usually clearly abnormal. Be careful, though, not to overinterpret gaps in knowledge of current events or knowledge of public figures (such as the name of the President or especially the Vice President), unless it is clear that this information would have been known at baseline.

Fm Page 21 Friday, June 11, 2004 11:01 AM 6. LANGUAGE TESTING 21 3. Ask the patient to repeat a sentence after you have said it, such as “I am in the hospital” or any sentence of your choice. It is also helpful to ask the patient to repeat the phrase “no ifs, ands, or buts,” because this kind of phrase is particularly difficult for aphasic patients to say. 4. Give the patient a sheet of paper and a pen or pencil and ask the patient to write any sentence of his or her choice. 5. Hand the patient a magazine or brochure (or other nontechnical material available nearby) and ask the patient to read a few sentences to you.

11–3). Optic Atrophy Optic nerve head atrophy is manifested by severe pallor (whiteness) of the optic disc (Fig. 11–4). Optic atrophy is seen when there is severe chronic optic nerve dysfunction. ADDITIONAL POINTS • Becoming comfortable with ophthalmoscopy to visualize the optic discs requires practice, but it is not really difficult. • It is not reasonable for a nonophthalmologist to be expected to be adept at recognizing subtle vascular or retinal changes. Concentrate on what you really need to be able to assess in the neurologic examination: the optic disc.

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