Semeiotica diagnostica e terapia

Il manuale pratico è strutturato in modo sistematico, dai principi fondamentali alla base della valutazione clinica in ambito

"This book offers a quick and effective guide to review and self-evaluate the key aspects of the common 'not-to-miss' diagnoses in day-to-day practice." Abhishek Lenka, MD, PhD, Doody's Review Service "In arriving at a clinical diagnosis, think of the five most common findings (either historical, physical findings, or laboratory) found in a given disorder. If at least three of these five are not present in a given patient, the diagnosis is likely to be wrong." C. Miller Fisher Building on this precept from the great 20th-century neurologist C. Miller Fisher, Drs. Ilya Kister and Jose Biller have identified the five most common findings for the 'top 100' most common and important neurologic syndromes and disorders. The unique format of Top 100 Diagnoses in Neurology includes synopses that tie together the core disease features, illustrations and study questions for each entry, making this book an excellent tool for building a firm knowledge base in neurology and a quick reference for clinicians - neurologists and general practitioners alike. Covers the five core features of 100 of the most important neurologic syndromes and disorders, including polyneuropathies, neurologic vision disorders, movement disorders, epilepsy syndromes, multiple sclerosis, autism spectrum disorder, cerebral palsy, opioid overdose, brain tumors, and much more. Icons are used to identify neurologic emergencies and specify disease prevalence (common, rare, very rare). Includes brief introductions to each section that provide an essential clinical context for each area. Features helpful learning tools for each entry, including illustrations of key concepts, mnemonics, clinical pearls; and carefully chosen study questions to encourage further study and test your knowledge. Each entry contains free online references. Helps you quickly refresh your knowledge of specific disorders and ascertain whether your patients' diagnoses satisfy Fisher's "three-of-five" rule. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Plum and Posner's Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital. The first chapter of the book provides an up-to-date review on the brain mechanisms that maintain a conscious state in humans, and how lesions that damage these mechanisms cause loss of consciousness or coma. The second chapter reviews the neurological examination of the comatose patient, which provides the basis for determining whether the patient is suffering from a structural brain injury causing the coma, or from a metabolic disorder of consciousness. The third and fourth chapters review the pathophysiology of structural lesions causing coma, and the specific disease states that result in coma. Chapter five is a comprehensive treatment of the many causes of metabolic coma. Chapter 6 review psychiatric causes of unresponsiveness and how to identify and treat them. Chapters 7 and 8 review the overall emergency treatment of comatose patients, followed by the treatment of specific causes of coma. Chapter 9 examines the long term outcomes of coma, including the minimally conscious state and the persistent vegetative state, and how they can be distinguished, and their implications for eventual useful recovery. Chapter 10 reviews the topic of brain death and the standards for examination of a patient that are required to make the determination of brain death. The final chapter 11 is by J.J. Fins, a medical ethicist who was invited by the other authors to write an essay on the ethics of diagnosis and treatment of patients who, by definition, have no way to approve of or communicate about their wishes. While providing detailed background for neurological and neurosurgical specialists, the practical nature of the material in this book has found its greatest use among Internists, Emergency Medicine, and Intensive Care specialists, who deal with comatose patients frequently, but who may not have had extensive neurological training.

First published in 2016, Instant Neurological Diagnosis quickly became a must-have for the practicing neurologist looking to acquire the expertise to make rapid diagnoses. This best-selling guide became an indispensable source of diagnostic clues, starting from a patient's appearance all the way down to a directed clinical examination. In this completely revised and updated resource, the authors continue to provide a one-of-a-kind work that illustrates unique neurologic cases with their specific signs and clues, without revealing the actual diagnosis. With the aid of Handles and Flags, the reader is guided toward the correct conclusion. These powerful diagnostic short cuts - identified as "Handles" and "Flags" - must be used with caution. Armed with the potential to save you hours of valuable time, they may even demonstrate your superior clinical acumen above colleagues. Some might permit a rapid diagnosis, while others warn a clinician to reconsider and think of an alternative solution.

Selected as a Doody's Core Title for 2022 and 2023! This popular reference is the definitive guide on exam techniques for neurology residents, fellows, and practitioners, integrating details of neuroanatomy and diagnosis in an easy-to-read, easy-to-follow format. A new clinical focus, new videos online, and new illustrations make DeJong's The Neurologic Examination, 8th Edition, even more useful for mastery of this complex area. Anatomical and exam illustrations ensure proper technique, and illustrative case studies and tables summarize differentials and clinical findings. Incorporates an intuitive, clinical focus, helping you quickly gain practical knowledge you can use immediately in practice. Provides access to nearly 30 new videos online that clearly depict movement and ocular motility disorders. Uses a full-color design and includes numerous new illustrations that emphasize key information necessary for an optimally effective exam. Highlights essential terminology and proper technique in easy-to-locate boxes. Offers evidence-based medical insights in assessing the value of specific tests. Enrich Your eBook Reading Experience with Enhanced Video, Audio and Interactive Capabilities! Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Neurological clinical examinations are some of the most intimidating procedures medical students, junior doctors and residents have to perform. This book's clear, succinct explanations and simple/memorable line drawings, along with top tips/common mistakes boxes, combine to demystify the subject and offer straightforward guidance. The spectacular success of the book over many years demonstrates that it succeeds more than any other resource available. This 6th edition will ensure the content remains as fresh, current and easy to interpret as ever. A concise and lucid explanation of how to examine the nervous system. Copiously illustrated with clear line diagrams and flow charts. Instructions are clear and systematic - what to do, what you will find, and what it means. New simplified line drawings have been added. The new edition contains an expanded summary of how to perform a complete neurological examination. The book will be available on the StudentConsult library.

Questa guida tascabile di facile consultazione fornisce al medico un supporto per identificare in modo corretto alcuni sintomi

Hands-on guidance on treating neurologic disease. The best-selling Samuels's Manual of Neurologic Therapeutics is a practical, accessible handbook for the diagnosis and treatment of neurologic disorders. Completely updated to reflect the most recent developments in the field, the book features a concise, intuitive outline format that makes today's best approaches easy to find and apply. Implement the current strategies to combat neurological diseases. Highlights include new pharmacologic and non-pharmacologic treatments for seizures; new molecular techniques and personalized approaches to neurologic cancers; new approaches for treating pain; the most recent intra-arterial therapies for acute stroke; and new treatments for neurologic infectious diseases.Manage benignautoimmune conditions with the aid of a new chapter that discusses diagnosis via serological testing as well as therapies involving immune modulation.Treat patients in resource-limited environments, thanks to a new chapter that focuses on cost-effective management options.Locate the information you need quickly through accessible and well-organized chapters and an outline format.Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offlinePowerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooksMultiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive designThe ability to highlight text and add notes with one click

The single-best guide to learning how to perform the diagnostic neurologic examination - enhanced by more than 80 online videos Presented in full color, DeMyer's provides neurologists and psychiatrists in training with a proven, didactic way to learn the complicated technique of using the physical examination to diagnose neurologic illness. This trusted classic also reviews the anatomy and physiology necessary to interpret the examination, and it details the laboratory tests and neuroimaging best suited for a particular clinical problem. You will also find complete, up-to-date coverage of the latest imaging modalities for assessing disease. Utilizing a learn at your own pace teaching approach, DeMyer's The Neurologic Examination features valuable learning aids such as: * Full-color illustrations that clearly explain neuroanatomy and physiology * Detailed tables and mnemonics to help you remember important steps and signs to look for during the examination * Learning Objectives to help you organize and retain important takeaways from each chapter * Questions and answers within the text to reinforce key points * Clear algorithms that reveal the differential diagnoses of common neurologic symptoms * NEW! More than 80 online clinical vignette videos If you are looking for authoritative, step-by-step guidance from experienced teachers/clinicians on how to perform an accomplished neurologic examination, your search ends with DeMyer's. Authors Jose Biller, MD is Chair of the Department of Neurology at Loyola University's Stritch School of Medicine, Maywood, Illinois Gregory Gruener, MD, MBA is Professor in the Department of Neurology and Director, Ralph P. Leischner, Jr. MD Institute for Medical Education at Loyola University's Stritch School of Medicine, Maywood, Illinois Paul W. Brazis, MD is Professor of Neurology in the Department of Neurology and Ophthalmology at the Mayo Medical School, and Consultant in Neurology and Neuro-Ophthalmology at the Mayo Clinic-Jacksonville, Florida.

This book offers clear, detailed guidance on all aspects of prognostic evaluation in patients who have been involved in a serious accident with neurological consequences or have been diagnosed with a severe neurological illness. It covers the full range of disorders of the central and the peripheral nervous system, not only providing very accurate prognostic estimates but also addressing relevant clinical issues, differential diagnosis, and the role of imaging. The book is practically oriented and designed for use on a daily basis when assessing prognosis and discussing the outcome with patients, their families, and other interested parties. It will support patient-doctor partnerships by ensuring that the most professional answers can be given to patients' and doctors' questions and by promoting realistic expectations of the effect of medical interventions. In addition, it will enable doctors, lawyers, and other professionals to understand relevant issues when an estimate of prognosis and life expectancy is the subject of legal dispute.

This is a practical book on neurological therapy. It is aimed at giving concise and updated answers to busy practicing clinicians in the clinic, ward or emergency department. An evidence-based approach is used, but when there is no evidence or the data are inconclusive, an expert opinion is always being given in order to meet the expectations of the reader. All neurological conditions (common and less common) are discussed; each chapter has a similar format, and contains an initial brief introduction on the epidemiology and clinical features of each disease. The therapy is then discussed, including pharmacological and non-pharmacological, with wide use of Tables & Figures (flowcharts are also included in most of the chapters).

The neural therapy techniques that can be learned from this book comprise an entire healing system that is scientifically sound.[and] will often help where other methods have failed...From the Foreword by D. Klinghardt, MD, PhD, Medical Director, Institute of Neurobiology, Bellevue, Washington Known to provide instant relief of pain, increased motion, and return of function for a variety of problems unresolved by other methods, neural therapy is widely used throughout Europe and is rapidly gaining worldwide acceptance in the therapeutic armamentarium elsewhere. This new edition of Dr. Mathias Doschs classic Atlas of Neural Therapy with Local Anesthetics covers the methodology, indications, and techniques for a proven therapy, which involves injecting procaine or lidocaine into specific nerve and tissue sites to restore proper bioelectrical function. With this striking visual guide at hand, even physicians without extensive prior experience in neural therapy will be able to implement the techniques successfully in their everyday practice. Special features: * Clear, succinct instructions on administering the injections in every anatomic region, including indications, materials, and technique, plus exact insertion points, direction, and depth of needle * All methods demonstrated in more than 150 stunning, full-color photographs of real-life subjects, augmented by detailed anatomic drawings of the injection sites * Cautions that alert practitioners to possible complications and how to avoid them * New and revised sections on segmental therapy techniques, dental procedures, patient preparation, materials, dosages, and more * Refreshed, modern layout featuring accessible chapter numbering system, color coded thumb index, uniform page design, and many other enhancements Useful in a wide range of conditions including joint and back pain, muscle injuries, chronic headache and migraines, allergies, sinusitis, gastrointestinal problems, and more, neural therapy is firmly grounded in scientific research - and an excellent addition to the services you offer your patients. This practical book provides both a visual introduction for newcomers to the field and a superb refresher for more experienced practitioners.

Neurology has been viewed as the study of the source of humanity. Personality, intelligence, and mood alterations are manifestations of brain function or dysfunction. Neurology has also been bedeviled with an unjustified assumption that diseases of the nervous system are observable but untreatable. This misconception has been handed down through generations of medical students because of the dearth of sufficient instruction in the early years of medical school. Furthermore, it is commonly asserted that neurologic diseases are uniquely incurable. This fallacious argument, often promulgated by poorly educated physicians, conveniently forgets that most illnesses are incurable. Only when physicians have been in practice for a few years do they recognize the importance of neurologic symptoms and their inability to analyze them. The Neurologic Diagnosis: Practical Strategies for Medical Students and Residents is an introductory text that simplifies the often unwieldy method of making a neurologic diagnosis. Medical students are often intimidated by a deluge of data, extensive differential diagnoses, and have no organizational structure to follow. Diagnostic techniques of general medicine are not applicable. Neurology is a unique specialty since it requires the intermediary step of an anatomic diagnosis prior to proffering a differential diagnosis. Yet the required knowledge of neuroanatomy need not be profound for the student who will specialize in any field other than neurology and neurosurgery. This text is directed to medical students and residents who will all be regularly faced with numerous patients who have neurologic symptomatology. Typical one-month neurology rotations out of four years of medical school is clearly inadequate training to make a cogent neurologic diagnosis, especially since subsequent instruction is commonly provided by upper level residents who have the same background and numerous misconceptions. This is not a comprehensive text. The emphasis in this concise and practical title is on establishing a neuroanatomic diagnosis before formulating a differential diagnosis. In addition, treatment is seldom discussed since it is likely to change radically over time. Focused and succinct, The Neurologic Diagnosis: Practical Strategies for Medical Students and Residents is an invaluable resource for medical students and residents interested in the practice of neurological diagnosis.

Overcoming Functional Neurological Symptoms uses the proven and trusted five areas model of Cognitive Behaviour Therapy (CBT) to help people experiencing a range of medically unexplained symptoms, including chronic headaches, fatigue, dizziness, loss of sensation, weakness and numbness. Easy to use and practical, this CBT workbook: Presents the insights of award-winning authors who are experts in the field Contains therapeutic advice proven to work through years of research and practice Ensures patients success through specific plans leading to positive results Provides advice for friends and family of patients This book is designed for CBT practitioners, psychiatrists, psychologists, neurologists, physiotherapists, occupational therapists and healthcare workers to share with their patients. A linked and completely free online support course is located at www.livinglifetothefull.com with additional resources at www.fiveareas.com

Questo testo è indirizzato agli specializzandi di neurologia ed agli studenti di medicina particolarmente motivati allo studio della neurologia, ma anche a tutti i colleghi (medici di base, medici del Pronto Soccorso, specialisti in oculistica, otorinolaringoiatria, ortopedia, fisiatria e geriatria) che spesso visitano pazienti con possibili patologie neurologiche. La conoscenza di alcune manovre semeiotiche e della terminologia neurologica è sicuramente utile anche ai fisioterapisti perché molti dei loro pazienti sono affetti da patologie neurologiche. Il testo può sembrare di dimensioni più vaste di quelle attese, ma ciò dipende dalle moltissime figure che sono state inserite per rendere più semplice l'apprendimento e la memorizzazione delle differenti manovre semeiotiche.

Nell'era del neuroimaging e della tecnologia medica è ancora importante conoscere la semeiotica neurologica? La storia dei segni che attraverso l'esame obiettivo del malato hanno consentito in passato e consentono ancora oggi di formulare una precisa diagnosi, non è solo la rievocazione di momenti esaltanti del percorso che ha permesso a valenti medici di legare il loro nome a manovre cliniche o a specifiche patologie. Comprendere il significato di ogni segno neurologico presuppone conoscenza anatomo-fisiologica, richiede capacità di sintesi clinica, predispone alla necessità di porsi sullo stesso piano del malato. Una gestione condivisa e più umana del rapporto medico-paziente è indispensabile al neurologo per esercitare la sua arte, quanto è essenziale al malato per comprendere il percorso verso la possibile guarigione. La progressiva scoperta dei segni descritta in questo volume, che ha determinato il passaggio da una neurologia empirica a una scientifica, è un'occasione per sollecitare il neuroscienziato clinico a usare le neurotecnologie non in sostituzione ma a conferma del corredo semeiotico della patologia.

Extensively illustrated and evidence based, "Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines" helps you effectively diagnose and manage musculoskeletal pain. It discusses diagnostic categories and their associated muscle and movement imbalances, and makes recommendations for treatment. Also covered is the examination itself, plus exercise principles, specific corrective exercises, and the modification of functional activities. Case studies provide examples of clinical reasoning, and a companion Evolve website includes video clips of tests and procedures. Written and edited by the leading experts on muscle and movement, Shirley Sahrmann and associates, this book is a companion to the popular "Diagnosis and Treatment of Movement Impairment Syndromes".

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. While many entries provide the latest treatment options, up-to-the-minute therapies are not discussed in bedside level detail. The Dictionary is not a board review book because it is not in Q&A format but could easily serve in that capacity since each entry is a fairly complete snapshot of a specific disorder or disease. The Dictionary is an alphabetical listing of commonly presenting neurological signs designed to guide the physician toward the correct clinical diagnosis. The Dictionary is focused, problem-based, concise and practical. The structured entries in this practical, clinical resource provide a thumbnail of a wide range of neurological signs. Each entry includes: * A definition of the sign * A brief account of the clinical technique required to elicit the sign * A description of the other signs which may accompany the index sign * An explanation of pathyophysiological and/or pharmacological background * Differential diagnosis * Brief treatment details Where known, these entries also include the neuroanatomical basis of the sign. The Dictionary of Neurological Signs, Third Edition, is an indispensable reference for all students, trainees, and clinicians who care for patients with neurological disorders.