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Case Studies in Neuroscience

Ralph F. Jozefowicz

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Table of contents

Front Matterv
Prefacev
How to Use This Bookix
Case 1 The Clumsy Graduate Student1
KEY TERMS1
HISTORY AND EXAMINATION2
History of the Present Illness2
Past Medical History2
Medications2
Physical Examination2
Neurological Examination2
Questions3
Figure 1.5
Answers6
Figure 2. Sympathetic nervous system.7
Figure 3.9
Case 2 The Burned Barbecue Chef12
KEY TERMS12
HISTORY AND EXAMINATION12
History of the Present Illness12
Past Medical History13
Medications13
Physical Examination13
Neurological Examination13
Questions13
Figure 4. T1-weighted sagittal MR scan of the cervical spine.15
Figure 5. Myelin stain of the spinal cord and medulla.16
Answers18
Figure 6.18
Figure 7.19
Figure 8.20
Case 3 The Sidelined Billiard Champion23
KEY TERMS23
HISTORY AND EXAMINATION23
History of the Present Illness23
Past Medical History24
Medications24
Physical Examination24
Neurological Examination24
Questions24
Figure 9.26
Answers28
Case 4 The Grounded Jockey32
KEY TERMS32
HISTORY AND EXAMINATION32
History of the Present Illness32
Past Medical History33
Medications33
Physical Examination33
Neurological Examination33
Questions33
Figure 10.35
Answers37
Case 5 The Lumbering Lumberyard Owner39
KEY TERMS39
HISTORY AND EXAMINATION39
History of the Present Illness39
Past Medical History40
Medications40
Physical Examination40
Neurological Examination40
Questions41
Figure 11. Myelin stain of the medulla at the level of the inferior olives.43
Answers44
Figure 12. Sympathetic nervous system.44
Figure 13.45
Figure 14.46
Figure 15.47
Figure 16.47
Figure 17. Lateral medullary syndrome: location of anatomic structures.49
Case 6 The Bleary-Eyed Banker51
KEY TERMS51
HISTORY AND EXAMINATION51
History of the Present Illness51
Past Medical History52
Medications52
Physical Examination52
Neurological Examination52
Questions53
Answers55
Figure 18. Directions of action of extraocular muscles.55
Figure 19.56
Case 7 The Silent Secretary58
KEY TERMS58
HISTORY AND EXAMINATION58
History of the Present Illness58
Past Medical History58
Medications59
Physical Examination59
Neurological Examination59
Questions59
Answers62
Figure 20. Language areas of the brain.62
Figure 21. The corticobulbar system to the face.63
Figure 22. The corticospinal system.63
Case 8 The Comatose Custodian65
KEY TERMS65
HISTORY AND EXAMINATION65
History of the Present Illness65
Past Medical History66
Medications66
Physical Examination66
Neurological Examination66
Questions66
Figure 23. Head CT without contrast.68
Figure 24. Gross pathologic brain specimen (coronal section).69
Figure 25. Diagram illustrating mass effect due to an intrahemispheric mass lesion with cingulate, uncal, and transtentorial herniation.70
Answers72
Figure 26. Motor posturing: decorticate and decerebrate posturing.72
Figure 27.73
Case 9 The Awkward Dairy Farmer76
KEY TERMS76
HISTORY AND EXAMINATION76
History of the Present Illness76
Past Medical History77
Medications77
Physical Examination77
Neurological Examination77
Questions77
Figure 28.80
Figure 29.81
Answers82
Case 10 The Feeble Gardener84
KEY TERMS84
HISTORY AND EXAMINATION84
History of the Present Illness84
Past Medical History85
Medications85
Physical Examination85
Neurological Examination85
Questions85
Figure 30. Myelin stain of the thoracic spinal cord.88
Figure 31. Hemotoxylin and eosin (H&E) stain from the anterior horn of the spinal cord.88
Figure 32.89
Figure 33. Abnormal skeletal muscle, routine ATPase stain.90
Answers91
Case 11 The Weak School Custodian95
KEY TERMS95
HISTORY AND EXAMINATION95
History of the Present Illness95
Past Medical History96
Medications96
Physical Examination96
Neurological Examination96
Questions97
Answers99
Case 12 The Tremulous Dentist101
KEY TERMS101
HISTORY AND EXAMINATION101
History of the Present Illness101
Past Medical History101
Medications101
Physical Examination102
Neurological Examination102
Questions102
Figure 34.104
Answers105
Case 13 The Depressed Auto Mechanic107
KEY TERMS107
HISTORY AND EXAMINATION107
History of the Present Illness107
Past Medical History108
FAMILY HISTORY108
SOCIAL HISTORY108
Medications108
Physical Examination108
Neurological Examination108
Questions109
Figure 35.110
Answers111
Case 14 The Ataxic Accountant113
KEY TERMS113
HISTORY AND EXAMINATION113
History of the Present Illness113
Past Medical History114
Medications114
Physical Examination114
Figure 36. T1-weighted head MR scan with gadolinium contrast.114
Neurological Examination115
Questions115
Answers118
Figure 37. Pupillary light reactions.119
Case 15 The Unsteady Bookkeeper121
KEY TERMS121
HISTORY AND EXAMINATION121
History of the Present Illness121
Past Medical History121
Medications122
Physical Examination122
Figure 38. Head CT scan, without contrast.122
Neurological Examination123
Questions123
Figure 39. Gross specimen from a patient who died from a condition similar to that shown in Figure 38.124
Answers126
Figure 40.127
Figure 41.127
Case 16 The Numb Ballroom Dancer130
KEY TERMS130
HISTORY AND EXAMINATION130
History of the Present Illness130
Past Medical History131
Medications131
Physical Examination131
Neurological Examination131
Figure 42.131
Questions132
Answers134
Figure 43.135
Figure 44.135
Figure 45.136
Figure 46.136
Case 17 The Insensitive Graduate Student138
KEY TERMS138
HISTORY AND EXAMINATION138
History of the Present Illness138
Past Medical History138
Medications138
Physical Examination138
Neurological Examination139
Questions139
Answers141
Case 18 The Retired Cat Burglar143
KEY TERMS143
HISTORY AND EXAMINATION143
History of the Present Illness143
Past Medical History143
Medications144
Physical Examination144
Figure 47.144
Neurological Examination145
Questions145
Answers147
Figure 48.148
Figure 49. The Weber test and the Rinne test.149
Figure 50.150
Case 19 The Spinning Pastry Maker151
KEY TERMS151
HISTORY AND EXAMINATION151
History of the Present Illness151
Past Medical History152
Medications152
Physical Examination152
Neurological Examination152
Questions152
Answers154
Figure 51.155
Case 20 The Blind Beautician157
KEY TERMS157
HISTORY AND EXAMINATION157
History of the Present Illness157
Past Medical History157
Medications157
Physical Examination157
Neurological Examination157
Figure 52. This fundus photo of the right optic disc reveals swelling of the optic nerve head.158
Figure 53. This fundus photo shows a normal-appearing optic disc.158
CLINICAL COURSE159
Figure 54. This visual evoked response shows significant delay in the P100 latency with right eye stimulation.159
Questions160
Answers162
Figure 55. Left Marcus Gunn pupil.162
Figure 56.164
Case 21 The Fuzzy Lawyer166
KEY TERMS166
HISTORY AND EXAMINATION166
History of the Present Illness166
Past Medical History166
Medications166
Physical Examination166
Neurological Examination166
Figure 57.167
Questions167
Figure 58.169
Answers170
Figure 59.170
Case 22 The Bruised Baker174
KEY TERMS174
HISTORY AND EXAMINATION174
History of the Present Illness174
Past Medical History174
Medications174
Physical Examination175
Figure 60. Noncontrasted head computed tomography (CT) scan.175
Neurological Examination176
Questions176
Answers179
Figure 61.179
Case 23 The Orthostatic Truck Driver182
KEY TERMS182
HISTORY AND EXAMINATION182
History of the Present Illness182
Past Medical History182
Medications182
Physical Examination183
Neurological Examination183
Questions183
Answers186
Case 24 The Witch's Student188
KEY TERMS188
HISTORY AND EXAMINATION188
History of the Present Illness188
Past Medical History189
Medications189
Physical Examination189
Neurological Examination189
Figure 62. T1-weighted head MR scan.190
Figure 63. Electroencephalogram with sphenoidal electrodes.190
Questions191
Answers194
Case 25 The Absent Student197
KEY TERMS197
HISTORY AND EXAMINATION197
History of the Present Illness197
Past Medical History198
Medications198
Physical Examination198
Neurological Examination198
Figure 64. Electroencephalogram.198
Questions199
Answers201
Case 26 The Gopher Hunter203
KEY TERMS203
HISTORY AND EXAMINATION203
History of the Present Illness203
Past Medical History204
Medications204
Physical Examination204
Neurological Examination204
Figure 65. Head CT scan, performed without contrast.205
Questions206
Answers209
Case 27 The Confabulating Woman212
KEY TERMS212
HISTORY AND EXAMINATION212
History of the Present Illness212
Past Medical History213
Medications213
Physical Examination213
Neurological Examination213
Questions213
Figure 66. Gross brain specimen from a patient who died from the condition affecting The Confabulating Woman.215
Answers215
Figure 67. The Papez circuit.217

Book details

Vendor F. A. Davis Company
SKU 0-8036-0304-5
ISBN-13 9780803603042
Author Ralph F. Jozefowicz
Edition 1st
Category Medical
Subject Neuroscience

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This unique volume contains 27 "real practice" case studies that show the application of the basic neural sciences to problems in clinical neurology. Each case illustrates a specific section of regional or systemic neuroanatomy, and CT or MRI images of the nervous system accompany many case studies. Complete, class-tested cases stimulate student interest in neuroscience by showing relevance of basic science information.

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