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
Assistant Professor
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Abstract
How to Think Like a Neurologist is a unique case-based approach to medical education. It begins by introducing a simple framework to the bedside approach of diagnosing neurologic disorders. This foundational framework, using pace and localization as the building blocks of identifying a clinical syndrome prior to generating a differential diagnosis, gives the reader a powerful tool to solve the cases contained in the book. Whereas other case-based approaches tend to focus on either basic neuroanatomy or the end diagnosis, How to Think Like a Neurologist focuses on the process of how to connect data gathered at the bedside to the ultimate diagnosis. It expands and explicitly teaches the next step of medical education that is often missing after neuroanatomy and introduction to neurologic disorders. The book contains 29 cases of rare and interesting neurologic disorders that the reader works through step by step to arrive at the diagnosis. The cases progress in difficulty throughout the book, and each case highlights different principles of the clinical method. Included in the book are accompanying imaging findings of the cases as well as neuroanatomic figures and tables to guide the reader. The style of the book is informal and conversational, and it is meant to encourage active participation by the reader in easy-to-digest short case vignettes.
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Front Matter
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How to think like a neurologist
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A woman with rapid onset of aphasia
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3
A woman with sudden numbness
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4
A woman who couldn’t hold a cigarette in her mouth
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5
A woman who didn’t realize she couldn’t see half the world
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6
A woman who developed weakness after windsurfing
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7
A man who became unresponsive
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A woman who appeared intoxicated
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A man who appeared jumpy
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A woman who only ate fast food
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A woman whose cruise was cut short
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A man who began to drool
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A woman with pain and difficulty walking
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A woman who collapsed in a train station
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A man with symptoms that improved throughout the day
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A woman who bit her nails in public
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A woman who fell in the shower
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A woman with cough and neurologic deterioration
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A man with dyspnea and orthopnea
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A man with difficulty walking and spasms in his legs
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A woman with recurrent episodes of confusion and stiffness
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A man who could only see half of La Sagrada Familia
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A boy who could no longer ride his bike
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A woman with loss of consciousness while driving
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A man with painful feet
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A man with difficulty climbing the stairs
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A man with pain in his arms
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A man with painful, blurry vision
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29
A woman with blurry vision and difficulty driving
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30
A woman with a tingling scalp
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End Matter
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