By Lewis P. Rowland
The completely revised 10th variation of this acclaimed vintage keeps the association, practicality, and clarity that made Merritt's probably the most renowned texts between neurologists, fundamental care services, and citizens reviewing for psychiatry or neurology forums. In 164 brief chapters, the booklet offers the necessities the clinician wishes on symptoms, diagnostic assessments, and neurologic issues of all etiologies.This variation displays fresh breakthroughs in molecular genetics, imaging, and learn on many illnesses. New chapters disguise prion illnesses, CSF hypotension, superficial siderosis, glucose transporter deficiency, and end-of-life concerns. layout advancements comprise a moment colour within the textual content.
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Extra resources for Merritt's Neurology
Fisher CM. The neurological examination of the comatose patient. Acta Neurol Scand 1969;45[Suppl 36]:1–56. Grindal AB, Suter C, Martinez AJ. Alpha-pattern coma: 24 cases with 9 survivors. Ann Neurol 1977;1:371–377. Guidelines for the determination of brain death in children. Ann Neurol 1987;21:616–617. Guidelines for the determination of death: report of the medical consultants on the diagnosis of death to the President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research.
The next step is to ascertain the site and cause of the lesion. The history is obtained from whoever accompanies the patient, including ambulance drivers and police. Examination should include the following: skin, nails, and mucous membranes (for pallor, cherry redness, cyanosis, jaundice, sweating, uremic frost, myxedema, hypo- or hyperpigmentation, petechiae, dehydration, decubiti, or signs of trauma); the breath (for acetone, alcohol, or fetor hepaticus); and the fundi (for papilledema, hypertensive or diabetic retinopathy, retinal ischemia, Roth spots, granulomas, or subhyaloid hemorrhages).
FIG. 1. Cerebral herniation secondary to hemispheral infarction. Noncontrast axial CT demonstrates an extensive area of decreased density within the left frontal, temporal, and parietal lobes with relative sparing of the left thalamus and left occipital lobe. A dense left middle cerebral artery is seen, consistent with thrombosis. A: Obliteration of the suprasellar cistern by the medial left temporal lobe indicates uncal herniation. B: Left-to-right shift of the left frontal lobe, left caudate nucleus, and left internal capsule denote severe subfalcine herniation.
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