Download Blueprints Neurology by Frank W. Drislane MD, Dr. Juan Acosta, Louis Caplan MD, Dr. PDF

By Frank W. Drislane MD, Dr. Juan Acosta, Louis Caplan MD, Dr. Bernard Chang MD MMSc, Andrew Tarulli

Blueprints Neurology offers scholars with an entire assessment of the main subject matters and concepts—perfect for clerkship rotations and the USMLE. This version has been thoroughly updated—including new diagnostic and remedy info throughout—while preserving its succinct, prepared, and concise kind. a hundred board-format questions and solutions with entire right and flawed solution causes seem on the finish of the book.

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Reduced activation is seen in CNS disease. Reduced recruitment suggests a lower motor neuron lesion, while early recruitment can be seen in myopathic disease. For routine EMG studies, activity is recorded from a group of muscle fibers simultaneously. Singlefiber EMG is the technique used in the investigation of disorders of the neuromuscular junction. TECHNIQUE CLINICAL UTILITY In performing NCS, an electrical stimulus is applied over a nerve and recordings are made from surface skin electrodes.

An algorithm for approaching patients with coma or altered consciousness is presented in Figure 3-1. The initial steps of stabilization and evaluation culminate in the neurologic exam, which is performed with two goals in mind: to assess brainstem function and to look for focal signs. The differential diagnosis and further investigations stem from this clinical assessment. 1. Remember the ABCs. In any patient with altered consciousness, the airway, breathing, and circulation should be checked and maintained according to usual protocols, including intubation and mechanical ventilation if required.

In addition, depending on the site of the lesion, there may be one of the following patterns: • Nucleus of CN III: Bilateral ptosis and weakness of contralateral superior rectus; failure of eye elevation • Subarachnoid space: Meningismus, constitutional symptoms, and other CN defects • Tentorial edge compression: Depressed level of consciousness, hemiparesis, and history of trauma or supratentorial mass lesion CN IV innervates the superior oblique muscle that intorts and depresses the adducted eye.

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