Dr. Tarulli has blazed a pathway from history through examination to diagnosis based on clinical acumen rather than on “blind” imaging searching for a possible diagnosis. Each chapter is in itself a pearl of information designed to teach the reader how to get from “chief complaint” to final diagnosis and then to consider further investigation when appropriate. Too often nowadays, there is a tendency to jump to technology without clearly thinking through a clinical problem, to the detriment of patient care and over utilization of expensive and sometimes unnecessary studies.
The book is written for advanced medical students and residents early in training and is a practical guide to patient care. It follows in the footsteps of classical clinical neurology and should prove invaluable to neurologists in training. These young doctors need a practical, symptom-based approach to patient care. This is the place to find it.
1. Confusion
- History
- Examination
- Differential diagnosis
- Diagnostic testing
- Etiologies
- General approach to treatment
- History
- Examination
- Investigation of impaired consciousness and coma
- Prognostication in coma
- The persistent vegetative state
- Brain death
- Increased intracranial pressure
- Introduction
- Mimics of aphasia
- Bedside examination of the aphasic patient
- Aphasia syndromes
- Determining the cause and treatment of aphasia
- Recovery and rehabilitation of acute aphasia
- History
- Examination
- Diagnostic testing
- Causes of dementia
- Mild cognitive impairment
- Subacute and rapidly progressive dementias
- Neuroanatomy
- History
- Examination of the visual system
- Monocular visual loss
- Bitemporal hemianopsia and junctional scotoma
- Homonymous upper quadrantanopsia
- Homonymous hemianopsia
- Cortical blindness
- Functional visual loss
- Establishing binocularity and direction of diplopia
- Inspecting ocular misalignment
- Localizing the dysfunctional eye movement
- Localizations of horizontal diplopia
- Localizations of vertical diplopia
- Localizations that produce diplopia in more than one direction
- Fluctuating diplopia – ocular myasthenia gravis
- Diagnostic testing
- Treatment
- Ptosis and lid retraction
- Other disorders of the eyelids
- Anisocoria
- Lower brainstem (bulbar) symptoms
- Facial weakness
- Dysarthria
- Dysphagia
- “What do you mean by dizziness?”
- Lightheadedness
- Evaluation of vertigo
- Causes of vertigo
- Weakness and its mimics
- The evaluation of weakness
- Proximal weakness
- Laboratory testing in the patient with proximal weakness
- Causes of proximal weakness
- Anatomy
- Shoulder weakness
- Periscapular weakness (scapular winging)
- Hand and finger weakness
- Wrist and finger drop
- Hip and proximal leg weakness
- Foot drop
- Hemiparesis and hemiplegia
- Multifocal weakness
- Neuromuscular respiratory failure
- Initial pattern of weakness
- Neurological examination
- Diagnostic studies
- Causes of acute paralysis
- Difficulty weaning from the ventilator
- History
- Examination
- Laboratory and neuroimaging studies
- Parkinson’s disease
- Atypical parkinsonism
- Other causes of parkinsonism
- Introduction
- Tremor
- Jerking movements
- Twitching
- Twisting and cramping
- Abnormal facial movements
- Tardive dyskinesia
- Overview of sensory symptoms
- Sensory system anatomy
- Sensory examination
- Polyneuropathy
- Evaluation of polyneuropathy
- Etiologies of polyneuropathy
- Treatment of neuropathic symptoms
- Other causes of distal sensory symptoms
- Generalized pain disorders
- Introduction
- Shoulder and proximal arm pain
- Lateral arm pain
- Medial hand and arm pain
- Lateral hand pain
- Thigh and hip pain
- Knee pain
- General principles of nociceptive pain treatment
- Controversial localized pain syndromes
- Definitions, history, and examination
- Back pain due to neurological disease
- Musculoskeletal back pain
- Painless myelopathy
- Introduction
- Natural gait
- Provocative maneuvers
- General neurological examination
- Abnormal gait patterns
- General recommendations for patients with frequent falls
- History
- “Benign” headaches
- Status migrainosus
- Chronic daily headache
- Facial pain
- The first seizure
- Epilepsy
- Status epilepticus
- Common stroke syndromes
- Stroke mimics
- Physical examination
- Laboratory studies
- Neuroimaging
- Hyperacute ischemic stroke treatment
- Inpatient evaluation
- Secondary prevention
- Evaluation and treatment of intracranial hemorrhage
- Introduction
- Clinically isolated syndromes suggestive of multiple sclerosis
- Making the diagnosis
- Differential diagnosis
- Treatment of clinically isolated syndromes and relapsing–remitting multiple sclerosis
- Progressive multiple sclerosis and symptomatic treatment
- Fulminant MS
- Introduction
- Supratentorial, brainstem, and cerebellar masses
- Sellar region masses
- Cerebellopontine angle masses
- Masses in immunocompromised patients
- Masses in patients from the tropics and developing world
Book Details
- Paperback: 240 pages
- Publisher: Cambridge University Press; 1 edition (2011)
- Language: English
- ISBN-10: 0521722225
- ISBN-13: 978-0521722223
- Product Dimensions: 9.6 x 7.4 x 0.5 inches