The first two editions of the Dictionary of Neurological Signs were very well-received by readers and reviewers alike. Like those editions, this Third Edition, updated and expanded, can be almost as well described in terms of what the book is not, along with details about what it is. The Dictionary is not a handbook for treatment of neurological disorders
Tuyển tập các báo cáo nghiên cứu về bệnh học thý y được đăng trên tạp chí Acta Veterinaria Scandinavica cung cấp cho các bạn kiến thức về bệnh thú yđề tài: Acute neurological signs as the predominant clinical manifestation in four dogs with Angiostrongylus vasorum infections in Denmark...
People who pursue careers in Internal Medicine are drawn to
the specialty by a love of patients, mechanisms, discovery,
education, and therapeutics. We love hearing the stories told
to us by our patients, linking signs and symptoms to pathophysiology,
solving the diagnostic dilemmas, and proposing
strategies to prevent and treat illness. It is not surprising
given these tendencies that internists prefer to continue their
life-long learning through problem solving.
This book is offered as a companion to the remarkable
17th edition of Harrison’s Principles of Internal Medicine.
Thiamine Deficiency: Treatment
In acute thiamine deficiency with either cardiovascular or neurologic signs, 100 mg/d of thiamine should be given parenterally for 7 days, followed by 10 mg/d orally until there is complete recovery. Cardiovascular improvement occurs within 24 h, and ophthalmoplegic improvement occurs within 24 h. Other manifestations gradually clear, although psychosis in Wernicke-Korsakoff syndrome may be permanent or persist for several months.
Brain Abscess (See also Chap. 376) Brain abscess often occurs without systemic signs. Almost half of patients are afebrile, and presentations are more consistent with a space-occupying lesion in the brain; 70% of patients have headache, 50% have focal neurologic signs, and 25% have papilledema. Abscesses can present as single or multiple lesions resulting from contiguous foci or hematogenous infection, such as endocarditis. The infection progresses over several days from cerebritis to an abscess with a mature capsule.
Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:
A systematic review and meta-analysis of neurological soft signs in relatives of people with schizophrenia
This volume descibes, in up-to-date terminology and authoritative interpretation, the field of neurolinguistics, the science concerned with the neural mechanisms underlying the comprehension, production and abstract knowledge of spoken, signed or written language.
The neurologic examination includes a search for focal weakness or muscle atrophy, focal reflex changes, diminished sensation in the legs, and signs of spinal cord injury.
The examiner should be alert to the possibility of breakaway weakness, defined as fluctuating strength during muscle testing. Breakaway weakness may be due to pain or a combination of pain and underlying true weakness.
Breakaway weakness without pain is due to lack of effort. In uncertain cases, electromyography (EMG) can determine whether or not true weakness is present.
The general physical examination in a delirious patient should include a careful screening for signs of infection such as fever, tachypnea, pulmonary consolidation, heart murmur, or stiff neck. The patient's fluid status should be assessed; both dehydration and fluid overload with resultant hypoxia have been associated with delirium, and each is usually easily rectified. The appearance of the skin can be helpful, showing jaundice in hepatic encephalopathy, cyanosis in hypoxia, or needle tracks in patients using intravenous drugs.
Funny turns and chest pain – funny turns are an unusual presentation for
cardiac disease in children, much more commonly associated with simple
faints, or neurological disease such as epilepsy. Sudden collapse may be due to
arrhythmias, and collapse with exercise is a very worrying sign in a child with
significant left ventricular outflow tract obstruction such as aortic stenosis.
Most chest pain in children is due to musculoskeletal problems, especially in
older children. Coronary artery abnormalities, and hence chest pain due to
angina, is rare.