Clinical Medicine

Download PDF by Christopher G. Goetz MDMD: textbook of clinical neurology

By Christopher G. Goetz MDMD

ISBN-10: 1416036180

ISBN-13: 9781416036180

Prepared to technique sufferer difficulties how you do, this best-selling textual content courses you thru the overview of neurologic signs, is helping you decide the main acceptable assessments and interpret the findings, and assists you in successfully coping with the underlying motives. Its functional process makes it a fantastic reference for medical perform.

  • Includes functional, evidence-based techniques from an across the world well known staff of authors.
  • Zeroes in on what you actually need to grasp with worthwhile tables that spotlight hyperlinks among neurological anatomy, diagnostic experiences, and healing systems.
  • Offers a logical, clinically proper structure so that you can locate the solutions you would like fast.
  • Features a brand new, up-to-date layout for simpler reference.
  • Includes new full-color pictures and up-to-date illustrations to facilitate comprehension of significant suggestions.
  • Features up to date chapters at the most recent genetic- and immunologic-based remedies, advances in pharmacology, and new imaging options.
  • Includes an increased and up-to-date CD-ROM with a purpose to view movies of sufferer examinations, obtain all the book's illustrations, and increase examination coaching with evaluate questions.

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Extra info for textbook of clinical neurology

Sample text

Persistent Vegetative State Following a severe brain insult, usually traumatic or anoxic, the comatose patient with a relatively intact brain 42 Goetz: Textbook of Clinical Neurology, 3rd ed. Goetz: Textbook of Clinical Neurology, 3rd ed. [25] Less commonly, the syndrome can be seen in the context of degenerative or severe developmental malformation disorders of the central nervous system. Approximately 10,000 to 25,000 adults and 6000 to 10,000 children in the United States are diagnosed with this syndrome.

Copyright © 2007 Saunders, An Imprint of Elsevier General Management Goals Beyond the initial stabilization of the patient and the detection of conditions that require immediate specific treatment, the management of patients with altered consciousness is primarily supportive. The responsibility to protect patients from harm runs the gamut from keeping the confused ambulator from wandering away to endotracheal intubation and mechanical ventilation. Making an etiological diagnosis as rapidly as possible may permit specific treatment ( Table 1-8 ).

24-4). Psychogenic Unresponsiveness This category includes patients who have a diagnosable psychiatric condition, such as catatonia or conversion disorder (Video 88, Catatonia), and those who are malingering. The differential diagnosis of these conditions is beyond the scope of this chapter, but a few diagnostic points are important in order to raise the physician's suspicion of a psychogenic disorder. These conditions share two characteristics not seen in patients with neurological reasons for coma: First, they have the COR and VOR responses characteristic of awake patients and develop nystagmus and vomiting to cold caloric challenge.

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