The Neurology. Short Case PDF
Preview The Neurology. Short Case
The Neurology short case This page intentionally left blank The Neurology short case Second edition Professor John GL Morris,DM(Oxon)FRCPFRACP Chairman of the Education and Training Committee of the Australian Association of Neurologists Past Examiner for the Royal Australasian College of Physicians Head of the Neurology Department, WestmeadHospital,Sydney,NSW 2145,Australia Clinical Professor,University of Sydney Hodder Arnold AMEMBER OF THE HODDER HEADLINE GROUP First published in 1992 by Arnold This second edition published in 2005,by Hodder Education, a member ofthe Hodder Headline Group, 338 Euston Road,London NW1 3BH http://www.hoddereducation.co.uk Distributed in the United States ofAmerica by Oxford University Press Inc., 198 Madison Avenue,New York,NY10016 Oxford is a registered trademark ofOxford University Press © 2005 Edward Arnold (Publishers) Ltd All rights reserved.Apart from any use permitted under UK copyright law, this publication may only be reproduced,stored or transmitted,in any form, or by any means with prior permission in writing ofthe publishers or in the case ofreprographic production in accordance with the terms oflicences issued by the Copyright Licensing Agency.In the United Kingdom such licences are issued by the Copyright Licensing Agency:90 Tottenham Court Road,London W1T 4LP. Whilst the advice and information in this book are believed to be true and accurate at the date ofgoing to press,neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made.In particular (but without limiting the generality ofthe preceding disclaimer),every effort has been made to check drug dosages; however it is still possible that errors have been missed.Furthermore, dosage schedules are constantly being revised and new side-effects recognized.For these reasons the reader is strongly urged to consult the drug companies’printed instructions before administering any ofthe drugs recommended in this book. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library ofCongress Cataloging-in-Publication Data A catalog record for this book is available from the Library ofCongress ISBN-10: 0 340 88516 5 ISBN-13: 978 0 340 88516 1 1 2 3 4 5 6 7 8 9 10 Commissioning Editor: Joanna Koster Development Editor: Sarah Burrows Project Editor: Heather Fyfe Production Controller: Lindsay Smith Cover Design: Sarah Rees Typeset in 11/15pt Adobe Minion by Servis Filmsetting Ltd,Manchester Printed and bound in Malta What do you think about this book? Or any other Hodder Arnold title? Please visit our website at www.hoddereducation.co.uk This eBook does not include the ancillary media that was packaged with the printed version of the book Contents Foreword to the Second Edition 7 Foreword to the First Edition 9 Preface to the Second Edition 11 Preface to the First Edition 13 Acknowledgements 15 Abbreviations 17 Picture Credits 19 Introduction 23 1 The wasted hand 31 2 Wrist drop 39 3 Proximal weakness of the arm(s) 45 4 Proximal weakness of the leg(s) 53 5 Foot drop 59 6 Gait disturbance 67 7 Facial palsy 75 8 Ptosis 83 9 Abnormalities of vision or eye movement 89 10 Tremor 103 11 Other abnormal involuntary movements 109 12 Speech disturbance 121 13 Higher function testing 129 Index138 This page intentionally left blank Foreword to the Second Edition Professor Morris brings to life the art ofclinical observation and examination in Neurology in this second edition of The Neurology Short Case.His clini- cal experience shines through in masterful discussions of common clinical scenarios supplemented with a rich array of video and still illustrations.This volume provides an essential companion when preparing for the MRCP or FRACP part 1 examinations.An experienced past examiner,Professor Morris, guides the reader through the common neurological problems encountered in short cases.His logical and clear approach,accompanied by sound advice, will be invaluable to candidates.In an era when the relevance of the clinical examination is under threat from technological advances, and the value of clinical signs is questioned in many areas ofmedicine,the importance ofelic- iting and interpreting clinical neurological signs remains unchallenged.The Neurology Short Case will therefore be of interest to the senior undergradu- ate and neurologist in training as a guide to the clinical neurological exami- nation. Indeed, the consultant neurologist also will thoroughly enjoy Professor Morris’s elegant descriptions of the art of examination, the many clinical pearls, and will more than likely find some new gems contained within this book. Professor Philip Thompson University Department ofMedicine and Department ofNeurology University ofAdelaide and Royal Adelaide Hospital This page intentionally left blank Foreword to the First Edition If medical professional life were the Grand National the MRCP (or FRACP) would be Beecher’s Brook–a daunting obstacle approached with caution, attempted with panic and surmounted with relief.Anything which makes this barrier less formidable, even to those on their third or fourth circuit of the course,is to be welcomed. Dr Morris is a master of the old-fashioned art of clinical observation and examination and is renowned as a teacher ofthe subject.His wide experience both as practicing clinician, instructor and examiner, makes him a particu- larly suitable choice as an author of a book of this kind. Itis clearly written,well illustrated and full of sensible,practical guidance, not only to those taking examinations,for whom the neurology case is a par- ticular dread, but for general physicians faced with everyday clinical prob- lems. Even professional neurologists could scan its pages with profit and enjoyment. DrRWRoss Russell Past President ofthe Association ofBritish Neurologists
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