Case studies in neurology for the house officer. By Stephen L. Hauser Lawrence P. Levitt and Howard L. Weiner Baltimore Williams & Wilkins 1986 256 pp illustrated $10код для вставкиСкачать
Brief Reviews Recent Introductory Neurological Textbooks -A Comment During recent months, w e have received a spate of new books aimed at medical students beginning their clinical neurological studies. Each has its particular merits, but we cannot help but wonder why there are so many, though they all address slightly different aspects of the subject, as the following brief reviews indicate. O n e suspects that in the present crowded curricula, neurologists find themselves becoming an endangered species, hard put during the early curriculum to get the student’s time, much less draw his or her attention. Furthermore, the teacher often discovers that what most interests the faculty (teaching pathophysiology and a painstaking clinical examination) contrasts sharply with what attracts the average student, overstuffed as the latter is with the new biology and classic basic science. Add to these pitfalls the hunger of publishers to publish almost anything they can get their hands on, and the number of offerings becomes so large that it is difficult to choose among them. T h e results of all this is that each school composes its own syllabus which eventually gets published. Perhaps in some future nirvana when we accept that too many neurologists are being trained, national meetings will be held to consider how much clinical neurology the modern general physician needs to learn and an effective text will be designed. Academic neurologists, where art thou? Fred Plum. M D Basic Human Neuroanatomy: A n Introductory Atlas, Third Edition By C . Watson Boston, Little, Brown and Company, 1985 188 pp, illustrated, paperback, $1 8.00 An outline designed presumably for those medical students who lack a suitable neuroanatomy textbook. Case Studies in Neurology for the House Officer By Stephen L. Hauser, Lawrence P. Levitt, and Holuard L. Weiner Baltimore, Williams 6 Wilkins, 1986 256 pp, illustrated, $1 0.95 Hauser and colleagues have prepared a case/problemoriented volume to accompany their Neurology j i r the House Officer. This new installment is an enjoyable, timely, and accessible logbook of “great cases,” a portable “Professor’s 5 16 Rounds,” which provides concise case summaries, pertinent laboratory data, and well-reproduced imaging studies (computed tomograms, angiograms, and myelograms). Following the “presentation,” diagnostic clues are gleaned in questionand-answer format, and the concluding remarks consist of the tabulated “pearls” which are illustrated by the case. Appropriate references to current and classic literature are also provided. Representat.ive cases include “Sudden headache and stiff neck in a college student” and “Headache, fatigue and sudden blindness.” Certain topics are grouped in order to promote comparisons “Two patients with ataxia,” “Three young men with acute neurologic signs.” Clinical clerks and house officers will enthusiastically welcome this opportunity to expand vicariously their patient case diagnostic and therapeutic experience. Diagnostic Decisions in Neurology By Klaus Poeck New York, Springer-Veriag, 1985 168 pp, no ilhstrations, $1 6.95 This is a problem-oriented, didactic text without illustrations or references that is organized into 41 topicdcomplamts, such as “Ptosis” and “Unilateral fits.” The differential diagnosis is presented in menu fashion, in descending order of statistical likelihood. Each entry from the roster is discussed in turn, with variable detail concerning the ancillary data which should or could be sought in order to fully test the hypotheses formed. While somewhat superficial for the house officer, the text best provides for the consultant’s shelf a ready reference that will deliver a “bullet” differential diagnosis for common clinical signs and symptoms. For the general physician, Poeck provides suitable delineation of the “worst-case” scenarios, which would enable an expedient response. For the neurological subspecialist (epileptologist) or clinician-scientist, this book provides excellent refresherreviews as guides to general neurological diagnostic investigations. Essential Neurology Edited by William Pryse-Phillips and T .J. Muway New York, Elsevier Science Publishing Co., 1986 722 pp, illustrated This is an ambitious, comprehensive text that is divided into four sections: neurological assessment, localization, approach to symptoms, and a disease-oriented survey of important disorders. There is a thorough treatment of the neurological examination, replete with many photographs, which vary in their quality of reproduci:ion. A useful feature is the inclusion of an abridged “scanning” neurological examination which is appropriate for surveying patients without neurological problems. Separate sections deal with modifications necessary for the special cases of infant, child, and elderly examinations. Likewise, a welcome inclusion are formal chapters devoted to the comatose patient and to the patient suspected of factitious illness. There is an excellent section on neurological investigation, although some of the illustrations suffer from reproduction.