Neurology is a rapidly advancing core topic within the clinical
curriculum and students and junior doctors are expected to
recognise, understand and know how to investigate and manage many
neurological-related disorders and conditions.
Neurology: Clinical Cases Uncovered leads students
through the clinical approach to managing neurological problems via
real-life patient cases and outcomes. Following a question-answer
approach to developing the narrative, and including self-assessment
MCQs, EMQs and SAQs, the book includes 27 fully-illustrated cases
covering a wide range of neurological presentations and
conditions.
Ideal for medical students with clinical attachments in
neurology, and in the run up to examinations, the book will also be
useful to doctors in training in general internal medicine,
medicine of the elderly, psychiatry and neurology.
Spis treści
Preface vii
Acknowledgements viii
How to Use This Book ix
List of Abbreviations x
Part 1 Basics 1
Basic science 1
Approach to the patient 10
Part 2 Cases 18
Case 1 A 76-year-old man whose hand went weak 18
Case 2 A 60-year-old man with back pain and weakness 22
Case 3 A 25-year-old woman with weakness and tingling in her arms and legs 27
Case 4 A 45-year-old man with uncontrollable seizures 32
Case 5 A 24-year-old woman with headaches and abnormal optic fundi 36
Case 6 A 37-year-old man with sudden severe headache 39
Case 7 A 17-year-old girl who becomes unresponsive after a late night 46
Case 8 A 30-year-old woman found fitting on the train 51
Case 9 A 66-year-old woman with confusion and weakness 54
Case 10 An 18-year-old girl with headache fever and confusion 58
Case 11 A 30-year-old woman with double vision and fatigue 61
Case 12 A 29-year-old woman with tingling weakness of the left arm and leg 67
Case 13 A 45-year-old woman with pain in the leg 70
Case 14 A 29-year-old woman thrown from her horse 73
Case 15 A 67-year-old man who is unsteady on his feet 77
Case 16 A 49-year old man with burning in the feet and difficulty walking 81
Case 17 A 72-year-old woman with memory problems 86
Case 18 A 54-year-old woman with tingling hands 90
Case 19 A 26-year-old woman with right-sided weakness 93
Case 20 A 19-year-old woman with acute headache and tingling 97
Case 21 A 63-year-old man whose hands have got so weak he can’t work 101
Case 22 A 55-year-old woman with episodes of excruciating facial pain 105
Case 23 A 38-year-old man with heaviness of the legs 108
Case 24 An 84-year-old man with confusion and unsteadiness 112
Case 25 A 45-year-old man with constant headache 115
Case 26 A 68-year-old man with a 2-week history of unsteadiness 118
Case 27 A 15-year-old girl with fidgeting movements 121
Part 3 Self-assessment 124
MCQs 124
EMQs 131
SAQs 135
Answers 140
Index of cases by diagnosis 146
Index 147
O autorze
Malcolm Macleod, Reader and Head of Experimental
Neuroscience, Centre for Clinical Brain Sciences, University of
Edinburgh, and Honorary Consultant Neurologist and Clinical Lead
for Neurology, NHS Forth Valley, Stirling
Marion Simpson, Neurology Registrar, The Austin Hospital,
Melbourne, Australia
Suvankar Pal, Neurology Registrar, Western General
Hospital, Edinburgh
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