NEUROLOGY

Approach to the Patient with Sleep Disorders

Mar 12, 2017 by in NEUROLOGY Comments Off on Approach to the Patient with Sleep Disorders

FIGURE 9.1 Example of a typical week-at-a-glance sleep diary. 1.  Adjustment (acute) insomnia. This term has been used to describe insomnia that immediately follows a clearly identifiable stressor and is expected to…

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Approach to the Patient with Aphasia

Mar 12, 2017 by in NEUROLOGY Comments Off on Approach to the Patient with Aphasia

FIGURE 3.1 The neurocognitive network for language. The core perisylvian language cortices lie within the dashed line and include Broca’s area in the inferior frontal gyrus, the supramarginal- and angular gyri…

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Approach to the Patient with Acute Headache

Mar 12, 2017 by in NEUROLOGY Comments Off on Approach to the Patient with Acute Headache

TAKING A HEADACHE HISTORY Pertinent History 1.  Establish an anchor in time: when did the headaches first appear and have they changed since that time? Is there a history of head…

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Approach to the Patient with Memory Impairment

Mar 12, 2017 by in NEUROLOGY Comments Off on Approach to the Patient with Memory Impairment

Working memory depends on the integrity of the frontal lobes. More specifically, recent functional imaging studies have linked working memory to the dorsolateral prefrontal sector of the frontal lobes. A…

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Approach to the Patient with Dementia

Mar 12, 2017 by in NEUROLOGY Comments Off on Approach to the Patient with Dementia

CRITERIA FOR DIAGNOSIS The following are the diagnostic guidelines for AD, VaD, DLB, and FTLD (the four most common causes of dementia in order). Also presented are the guidelines for…

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Approach to the Patient with Facial Pain

Mar 12, 2017 by in NEUROLOGY Comments Off on Approach to the Patient with Facial Pain

Acute glaucoma is associated with orbital and adjacent facial pain but the diagnosis is usually obvious because of corneal clouding and other eye changes. Subacute glaucoma can be more subtle…

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Approach to the Patient with Seizures

Mar 12, 2017 by in NEUROLOGY Comments Off on Approach to the Patient with Seizures

FIGURE 6.1 MRI showing left mesial temporal sclerosis. MRI, magnetic resonance imaging. CLINICAL MANIFESTATIONS A.  Metabolic–toxic and hypoxic insults. Patients with seizures attributable to metabolic or toxic causes have generalized tonic–clonic seizures,…

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Approach to the Comatose Patient

Mar 12, 2017 by in NEUROLOGY Comments Off on Approach to the Comatose Patient

(2)  Decerebrate posturing (upper and lower limb extension, uni- or bilateral) localizes the deficit to the midbrain (red nucleus). (3)  If required, noxious stimuli include rubbing the sternum, or applying firm but…

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