Cover: The Process of Neurologic Care in Medical Practice in HARDCOVER

The Process of Neurologic Care in Medical Practice

Product Details


$78.00 • £67.95 • €70.95

ISBN 9780674710801

Publication Date: 04/03/1984


392 pages

6-1/8 x 9-1/4 inches

48 tables


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  • 1. Introduction
  • 2. The Neurologic History and Subjective Data Base
    • Symptoms and Signs, Soft and Hard Data
    • The Subjective Data Base
    • Truth in History: Positive, Negative, and Absent Facts
    • Hidden Histories
    • The Patient as Witness
  • 3. Problems in Neurologic Examination and Interpretation
    • Normal and Abnormal Exams
    • Neurologic Evaluation of the Head and Neck: The Vascular Exam
    • Cranial Nerve Functions
    • A Visual Overview: Looking and Seeing
    • Evaluation of Motor Function
    • Assessing Coordination
    • The Plantar Response
    • Evaluating Sensation
    • Overinterpretation of Neurologic Signs
  • 4. Examination Planning
    • The Screening Neurologic Examination
    • Selective, Problem-Oriented Neurologic Examinations
    • Examining for Localization
    • The Common Sense of Mental-Status Testing
  • 5. Diagnostic Process and Pitfalls
    • Building upon the Data Base
    • Diagnostic Entanglements
    • Temporal Profiles of Neurologic Symptoms
    • Missed and Misconstrued Findings
    • When Doctors Disagree about Deficits
    • The Semantics of Everyday Practice
    • Some Rules of Exception
    • The Appeal of Memorable Diagnoses
    • Spirals and Cycles in Diagnosis
    • Causes, Precipitants, and Risk Factors
    • The Worst Case and the Best Plan
  • 6. Behavior in Neurology
    • Neurologic Negativism
    • Bizarre Behavior: Suspending Disbelief
    • Common Pitfalls in Neuropsychiatric Diagnosis
    • Spells
  • 7. Neurodiagnostic Testing in Clinical Context
    • Static and Communicative Pitfalls
    • Images and Masses
    • EEG Ambiguities: Electrical and Clinical Seizures
    • Lumbar Puncture
  • 8. Observational Following: Staying Abreast and Looking Ahead
    • Baseline Status
    • Prospective Markers
    • Observational Linkage
    • The Running Formulation
  • 9. Therapeutic Planning and Management
    • TIAs: A Paradigm of Diagnostic and Therapeutic Insufficiency
    • Indications and Contraindications
    • Pitfalls in “Low-Risk” Therapy
    • Therapeutic Goals and End Points
    • Managing a Therapeutic Relationship: Seizures
    • Inducing a Therapeutic Advantage
    • Therapeutic Adequacy: Drug Levels and the Numbers Game
    • The Two Faces of Compliance
    • Iatrogenic Injury: Ill Effects of “Benign” Intervention
  • 10. Patient Prospects: Promising and Unpromising
    • Brain Function and Structure
    • Baseline Status
    • Salvage and Worth
    • Case Precedent
    • “Completed” Processes
    • Testing for Prognosis
    • Neurologic Aspects of Decisions Not to Resuscitate
    • The Damaged Patient and the Person Within
  • 11. The Give and Take of Neurologic Consultation
    • Liaison Neurology: The Needs of Patients and Caregivers
    • Problems of Consultation: Derivative Data
    • Utilizing Neurologic Consultations in Ambulatory Practice
    • Neuropsychiatric “Clearance” and Consultation
  • 12. Common Ambulatory Problems
    • Memory Losses and Lapses
    • Dizziness
    • Headaches
    • Back and Limb Pain
    • The Delicate Nature of Neck Problems: Present and Deferred Risks
    • Neurologic Care in the Emergency Room
  • 13. Perspectives in Chronic Care
    • Failure to Thrive
    • Labeled Patients
    • Drugged Patients
    • Forgotten Patients
    • Captive Patients
    • Isolated Patients
    • Hopeless and Helpless Patients
    • Longer Views
  • 14. Preventive Neurology
  • 15. Process Objectives for the Primary-Care Clinician
  • Index

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