How to Think Like a Neurologist: A Case-Based Guide to Clinical Reasoning in Neurology
How to Think Like a Neurologist flips the neurology educational narrative on its head and attempts to lift the veil of neurophobia to show how neurologists use critical thinking and clinical reasoning to diagnose neurologic diseases.

This book aims to provide a practical representation of the modern-day practice of medicine, where the good clinical neurologist is no longer seen as somebody who somehow carries encyclopedic knowledge of every medical condition. Rather, they appropriately recognize and categorize findings, and then, having narrowed the possibilities, they do the necessary additional research in order to appropriately diagnose and treat the patient.

This case-based volume focuses not on the diseases themselves, but rather on the clinical methods used to identify neurologic diseases, and the method is disarmingly simple. The cases in this book are a fascinating collection of oddities and rarities, but the diseases themselves in this book are merely the vessel through which clinical reasoning is taught. By the end of the book, readers are empowered with a foundation they can apply in their own clinical practice.
"1141582051"
How to Think Like a Neurologist: A Case-Based Guide to Clinical Reasoning in Neurology
How to Think Like a Neurologist flips the neurology educational narrative on its head and attempts to lift the veil of neurophobia to show how neurologists use critical thinking and clinical reasoning to diagnose neurologic diseases.

This book aims to provide a practical representation of the modern-day practice of medicine, where the good clinical neurologist is no longer seen as somebody who somehow carries encyclopedic knowledge of every medical condition. Rather, they appropriately recognize and categorize findings, and then, having narrowed the possibilities, they do the necessary additional research in order to appropriately diagnose and treat the patient.

This case-based volume focuses not on the diseases themselves, but rather on the clinical methods used to identify neurologic diseases, and the method is disarmingly simple. The cases in this book are a fascinating collection of oddities and rarities, but the diseases themselves in this book are merely the vessel through which clinical reasoning is taught. By the end of the book, readers are empowered with a foundation they can apply in their own clinical practice.
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How to Think Like a Neurologist: A Case-Based Guide to Clinical Reasoning in Neurology

How to Think Like a Neurologist: A Case-Based Guide to Clinical Reasoning in Neurology

by Ethan Meltzer
How to Think Like a Neurologist: A Case-Based Guide to Clinical Reasoning in Neurology

How to Think Like a Neurologist: A Case-Based Guide to Clinical Reasoning in Neurology

by Ethan Meltzer

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Overview

How to Think Like a Neurologist flips the neurology educational narrative on its head and attempts to lift the veil of neurophobia to show how neurologists use critical thinking and clinical reasoning to diagnose neurologic diseases.

This book aims to provide a practical representation of the modern-day practice of medicine, where the good clinical neurologist is no longer seen as somebody who somehow carries encyclopedic knowledge of every medical condition. Rather, they appropriately recognize and categorize findings, and then, having narrowed the possibilities, they do the necessary additional research in order to appropriately diagnose and treat the patient.

This case-based volume focuses not on the diseases themselves, but rather on the clinical methods used to identify neurologic diseases, and the method is disarmingly simple. The cases in this book are a fascinating collection of oddities and rarities, but the diseases themselves in this book are merely the vessel through which clinical reasoning is taught. By the end of the book, readers are empowered with a foundation they can apply in their own clinical practice.

Product Details

ISBN-13: 9780197576663
Publisher: Oxford University Press
Publication date: 06/28/2022
Pages: 264
Sales rank: 928,556
Product dimensions: 5.44(w) x 8.26(h) x 0.52(d)

About the Author

Assistant Professor of Neurology, University of Texas at Austin

Table of Contents

Preface xv

Acknowledgments xix

1 How to think like a neurologist 1

Introduction 1

What is pace? 2

What is localization? 8

What is the syndrome? 11

What is the clinical context? 12

What is the differential diagnosis? 13

Organization of the remaining chapters 18

2 A woman with rapid onset of aphasia 21

What is the pace? 22

What is the localization? 23

What is the syndromic diagnosis? 24

What is the etiologic diagnosis? 24

Clinical course and additional information 25

What is the localization? 26

Conclusion 27

3 A woman with sudden numbness 28

What is the pace? 29

What is the localization? 29

What is the syndromic diagnosis? 33

What is the etiologic diagnosis? 33

Conclusion 34

4 A woman who couldn't hold a cigarette in her mouth 35

What is the pace? 37

What is the localization? 37

What is the syndromic diagnosis? 39

What is the etiologic diagnosis? 40

Conclusion 40

5 A woman who didn't realize she couldn't see half the world 41

What is the pace? 42

What is the localization? 42

Additional information 43

What is the syndromic diagnosis? 45

What is the etiologic diagnosis? 45

Conclusion 46

6 A woman who developed weakness after windsurfing 48

What is the pace? 49

What is the localization? 49

What is the syndromic diagnosis? 51

What is the etiologic diagnosis? 52

Conclusion 54

7 A man who became unresponsive 55

What is the pace? 56

What is the localization? 56

What is the syndromic diagnosis? 59

What is the etiologic diagnosis? 59

Conclusion 60

8 A woman who appeared intoxicated 62

What is the pace? 64

What is the localization? 64

What is the syndromic diagnosis? 66

What is the etiologic diagnosis? 66

Conclusion 67

9 A man who appeared jumpy 68

What is the pace? 69

What is the localization? 70

What is the syndromic diagnosis? 73

What is the etiologic diagnosis? 73

Conclusion 74

10 A woman who only ate fast food 75

What is the pace? 76

What is the localization? 76

What is the syndromic diagnosis? 78

What is the etiologic diagnosis? 78

Conclusion 79

11 A woman whose cruise was cut short 80

What is the pace? 81

What is the localization? 82

What is the syndromic diagnosis? 87

What is the etiologic diagnosis? 87

Additional information 87

Conclusion 88

12 A man who began to drool 89

What is the pace? 91

What is the localization? 91

What is the syndromic diagnosis? 94

What is the etiologic diagnosis? 94

Additional information 95

Conclusion 95

13 A woman with pain and difficulty walking 97

What is the pace? 98

What is the localization? 98

What is the differential diagnosis? 101

What is the etiologic diagnosis? 102

Conclusion 102

14 A woman who collapsed in a train station 104

What is the pace? 105

What is the localization? 105

What is the differential diagnosis? 106

What is the localization? 107

What is the syndromic diagnosis? 110

What is the etiologic diagnosis? 110

Conclusion 110

15 A man with symptoms that improved throughout the day 112

What is the pace? 113

What is the localization? 113

What is the syndromic diagnosis? 114

What is the etiologic diagnosis? 115

Additional information 115

What is the differential diagnosis? 116

Clinical course and additional information 117

Conclusion 117

16 A woman who bit her nails in public 119

What is the pace? 121

What is the localization? 121

What is the syndromic diagnosis? 123

What is the etiologic diagnosis? 123

Conclusion 124

17 A woman who fell in the shower 126

What is the pace? 127

What is the localization? 127

What is the syndromic diagnosis? 130

What is the etiologic diagnosis? 130

Conclusion 132

18 A woman with cough and neurologic deterioration 133

What is the pace? 134

What is the localization? 134

What is the differential diagnosis? 135

What is the differential diagnosis? 136

Clinical course and additional information 136

What is the context? 138

Conclusion 139

19 A man with dyspnea and orthopnea 141

What is the pace? 142

What is the localization? 143

What is the syndromic diagnosis? 145

What is the etiologic diagnosis? 146

Conclusion 146

Bonus question: Can we explain his dyspnea and orthopnea? 147

20 A man with difficulty walking and spasms in his legs 148

What is the pace? 149

What is the localization? 149

What is the syndromic diagnosis? 152

What is the etiologic diagnosis? 152

Conclusion 153

21 A woman with recurrent episodes of confusion and stiffness 154

What is the pace? 155

What is the localization? 155

What is the syndromic diagnosis? 156

What is the etiologic diagnosis? 156

Additional information 157

Conclusion 159

22 A man who could only see half of La Sagrada Familia 161

What is the pace? 163

What is the localization? 163

What is the syndromic diagnosis? 166

What is the etiologic diagnosis? 166

Conclusion 166

23 A boy who could no longer ride his bike 168

What is the pace? 170

What is the localization? 170

Clinical course and additional information 171

What is the syndromic diagnosis? 171

What is the etiologic diagnosis? 171

Conclusion 172

24 A woman with loss of consciousness while driving 175

What is the pace? 176

What is the localization? 176

What is the syndromic diagnosis? 177

What is the localization? 178

What is the etiologic diagnosis? 182

Conclusion 182

25 A man with painful feet 184

What is the pace? 186

What is the localization? 186

What is the syndromic diagnosis? 190

What is the etiologic diagnosis? 190

Conclusion 190

26 A man with difficulty climbing the stairs 192

What is the pace? 194

What is the localization? 194

What is the pace? 196

What is the syndromic diagnosis? 196

What is the etiologic diagnosis? 196

Conclusion 199

27 A man with pain in his arms 200

What is the pace? 202

What is the localization? 202

What is the syndromic diagnosis? 204

What is the etiologic diagnosis? 204

Additional information 204

Conclusion 205

28 A man with painful, blurry vision 207

What is the pace? 208

What is the localization? 209

What is the syndromic diagnosis? 211

What is the etiologic diagnosis? 212

Conclusion 213

29 A woman with blurry vision and difficulty driving 215

What is the pace? 216

What is the localization? 217

Clinical course and additional information 218

What is the syndromic diagnosis? 220

What is the etiologic diagnosis? 220

Conclusion 221

30 A woman with a tingling scalp 222

What is the pace? 223

What is the localization? 224

Additional information 225

What is the localization? 226

What is the syndromic diagnosis? 227

What is the etiologic diagnosis? 227

Conclusion 227

Index 229

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