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Diagnostic and Therapeutic Procedures in Gastroenterology: An Illustrated Guide (Clinical Gastroenterology)

by George Y. Y. Wu and Subbaramiah Sridhar

Diagnostic and Therapeutic Procedures in Gastroenterology: An Illustrated Guide is a comprehensive volume describing procedures for the gastrointestinal tract in a simple way. Artistic illustrations are provided to educate the physician about procedures, and to provide not only clear descriptions of the changes in the anatomy and physiology, but also to provide advice on medical management of the post-procedure patient. Clear, detailed, artist-rendered illustrations of the anatomy are included as well as appropriate, radiological images. Chapters describe in detail the indications, contraindications, anatomical alterations, and physiological alterations that result from various operations and procedures. Comparisons between alternative operations, complications, medical management issues, and costs are also discussed. Diagnostic and Therapeutic Procedures in Gastroenterology: An Illustrated Guide is a unique volume, written primarily for primary care physicians and general internists. It is also suitable for medical students, residents, nurses and nurse practitioners, nutritionists, dietitians and various subspecialists, who take care of patients with gastrointestinal disorders.

Diagnostic and Therapeutic Procedures in Gastroenterology: An Illustrated Guide (Clinical Gastroenterology)

by Subbaramiah Sridhar George Y. Wu

This new edition provides a comprehensive overview of procedures for the gastrointestinal tract. The volume describes the indications, contraindications, and precise method of a procedure, under normal anatomical conditions and when the gastrointestinal tract is surgically altered. In addition to revised chapters from the previous edition, the latest edition features new chapters that cover such topics as endoscopic accessories, cleaning and disinfecting gastrointestinal endoscopes, tissue sampling, removal of foreign bodies, and confocal endoscopy and robotic endoscopy. Each chapter is also accompanied by photographs, diagrams, tables, and algorithms to precisely and easily display complex information.Written by leading authorities from around the globe, Diagnostic and Therapeutic Procedures in Gastroenterology: An Illustrated Guide, Second Edition is a valuable resource for gastroenterologists, primary care physicians, and gastroenterology fellows in training who treat and manage patients with gastrointestinal disorders.

Diagnostic Assessment and Treatment of Peripheral Nerve Tumors

by Fernando Guedes Eric L. Zager Debora Garozzo Lukas Rasulic Mariano Socolovsky

Tumors involving peripheral nerves may be extremely challenging lesions to diagnose and treat. In order to optimize their management, physicians should have a thorough knowledge of peripheral nerve anatomy and pathology (both gross and microscopic), as well as familiarity with microsurgical techniques and intraoperative neurophysiological recording.This compendium deals with all aspects of tumors affecting peripheral nerves, from diagnosis to treatment; the topics it addresses range from epidemiology, anatomy, physiology, pathology, and clinical diagnosis to electrophysiology, imaging, genetic/cytomolecular aspects. Surgical approaches, biopsies and resection of various benign, malignant and pseudo-tumoral lesions, plexus tumors (both brachial and lumbosacral), and adjunctive treatment modalities and pain-related issues are described in detail.The book is intended not only for neurosurgeons, hand surgeons, plastic and orthopedic surgeons new to the field, but also for seasoned specialists who wish to update their knowledge with new insights based on robust experimental and clinical material. In addition, it will be a helpful tool for general and oncological surgeons who are sometimes faced with the treatment of mass lesions that may be potential nerve tumors, and for all practitioners who are engaged in the arduous struggle to bring relief to patients affected by these lesions.

Diagnostic Atlas of Common Eyelid Diseases

by Jonathan J. Dutton Gregg S. Gayre Alan D. Proia

Unlike any other source on the subject, this broad-ranging guide discusses the pathology, diagnosis, and treatment of 120 eyelid disorders including benign lesions, malignant tumors, and acquired and congenital malpositions and diseases. Written by leading researchers practiced in the analysis and management of these conditions, this source is a mu

Diagnostic Atlas of Cutaneous Mesenchymal Neoplasia E-Book

by J. Eduardo Calonje Alexander J Lazar Bostjan Luzar

With its many diagnostic categories, relevant variants, and rare tumors, soft tissue pathology is one of the most challenging areas of surgical pathology. Focusing on the cutaneous soft tissue specimens and reactive mimics most likely to be encountered by pathologists and dermatopathologists, Diagnostic Atlas of Cutaneous Mesenchymal Neoplasia is a superbly illustrated, easy-to-use atlas designed to be used beside the microscope for efficient diagnosis and classification of soft tissue tumors of the skin.Features high-quality histologic and clinical images of multiple examples of each tumor, with captions and bulleted text for quick reference.Uses a high-yield format that facilitates a rapid and accurate diagnosis, including: Characteristic clinical settingKey morphologic featuresImmunohistochemical propertiesMolecular diagnostic testing (where applicable) Offers the most complete presentation available of this complex family of tumors, authored by renowned experts in dermatopathology.

Diagnostic Atlas of Renal Pathology E-Book

by Agnes B. Fogo Michael Kashgarian

Diagnostic Atlas of Renal Pathology, by Agnes B. Fogo, MD and Michael Kashgarian, MD, delivers practical, highly visual guidance for effectively and accurately diagnosing a wide range of pathologic entities. More than 700 high-quality illustrations help you to recognize the pathologic features and clinical manifestations of both common and rare renal disorders and to formulate confident and accurate diagnoses. Thoroughly updated throughout, this companion to Brenner & Rector’s The Kidney, 9th Edition provides the newest information regarding categorizing and classification of diseases and describes how this relates to the various morphological lesions illustrated and their clinical significance.See more than 700 high quality representative images of light, immunofluorescence, and electron microscopy for each diagnostic entity with correlations to clinical presentation and pathogenesis. Easily locate in-depth information on any disease's clinical course and treatment by cross-referring companion text, Brenner & Rector’s The Kidney. Grasp key characteristic pathologic findings and prognostic, pathogenetic, and etiologic information through focused, detailed discussions. Make accurate, complete reports by fully understanding clinical correlations. Get an in-depth examination of pathophysiology, clinical presentations, and comprehensive references Keep current with the latest knowledge and evidence-based practices. Comprehensive updates throughout include a brand-new chapter on "Approaches to Chronic Kidney Disease" that includes coverage of Chronic Kidney Disease; Age-Related Sclerosis; Glomerular vs. Tubulointerstitial vs. Vascular Disease; and the differential diagnostic approach to Segmental Glomerulosclerosis lesions. Extensive updates to all previous chapters include new classifications of various diseases such as igA nephropathy, diabetic nephropathy, crescentic GN, and renal transplant rejection. Stay well informed about hot topics including acute phosphate nephropathy; new concepts in the pathogenesis of thrombotic microangiopathies and eclampsia; and new information relative to etiology and pathogenesis of podocytopathies. Quickly access the information you need thanks to a user-friendly format, tables and sidebars with key points and differential diagnoses, and chapters that include concise, templated discussions regarding the etiology and pathogenesis of the disorder.

Diagnostic Atlas of Renal Pathology E-Book: A Companion To Brenner And Rector's The "kidney"

by Agnes B. Fogo Michael Kashgarian

Recognize and diagnose a wide range of renal pathologic entities with Diagnostic Atlas of Renal Pathology, 3rd Edition. In this edition, Drs. Agnes B. Fogo and Michael Kashgarian use hundreds of high-quality illustrations to clearly depict the pathologic features and clinical manifestations of both common and rare renal disorders. Extensive updates to the text keep you current with the knowledge you need for clinical practice or continuing education and certification.More than 700 images of light, immunofluorescence, and electron microscopy for each diagnostic entity with correlations to clinical presentation and pathogenesis. Focused, detailed discussions on key characteristic pathologic findings and prognostic, pathogenetic, and etiologic information. An in-depth examination of pathophysiology, clinical presentations, and the latest evidence-based practices. User-friendly format features tables and sidebars with key points and differential diagnoses, and chapters that include concise, templated discussions regarding the etiology and pathogenesis of the disorder. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. A new chapter describing a logical approach to differential diagnosis. New insights into pathogenesis and classification of diseases. New coverage of aging and the kidney, endemic diseases, transplant, lupus-related kidney diseases, Mesoamerican nephropathy, ApolL1-related nephropathies, C3 glomerulopathies, and thrombotic microangiopathies. Recent results of consensus conferences on vasculitides and renal neoplasia.

Diagnostic Atlas of Renal Pathology E-Book

by Agnes B. Fogo Michael Kashgarian

For today’s nephrologist who is tasked with diagnosing a wide range of renal pathologic entities, Diagnostic Atlas of Renal Pathology is a must-have reference for everyday use. The updated 4th Edition offers an in-depth examination of pathophysiology, clinical presentations, and the latest evidence-based practices. Hundreds of pertinent macro- and/or microscopic images are presented in a user-friendly manner intended specifically for renal pathology. Offers templated, detailed discussions on key characteristic pathologic findings and prognostic, pathogenetic, and etiologic information for each disorder. Features numerous tables and sidebars with key points and differential diagnoses. Covers major new advances in the classification and diagnosis of select tubular cystic diseases, new advances in classification of fibrillary processes and C3 related diseases, new insights in monoclonal protein-related diseases, ongoing work in lupus, and advances in IgA nephropathy as well as transplantation. Contains more than 700 high-quality representative images of light, immunofluorescence, and electron microscopy, including new colorized electron microscopy images, with correlations to clinical presentation and pathogenesis. Features new animations that clearly depict the progression of membranous nephropathy, membranoproliferative GN, and crescentic GN. Includes schematic representations of glomerular diseases, which are particularly useful for illustrating difficult concepts.

A Diagnostic Atlas of Tumors of the Upper Aero-Digestive Tract: A Transnasal Video Endoscopic Approach

by Tim Price Martin Birchall Patrick Gullane Paul Montgomery

A Diagnostic Atlas of Tumors of the Upper Aero-Digestive Tract brings readers up to date on the correct identification and diagnosis of malignancies of the larynx, pharynx, and esophagus. The atlas provides broad-based coverage of these anatomical areas and highlights the different pathologies physicians may encounter. Key features of this illustra

Diagnostic Clusters in Shoulder Conditions

by Puneet Monga Lennard Funk

This book serves as a definitive guide to diagnosing shoulder conditions for all levels of orthopaedic surgeon with an interest in shoulder pathology, and for junior surgeons in training. It comes at a time when the knowledge regarding shoulder conditions has vastly improved, with the shoulder sub-speciality growing at a rapid pace in terms of practitioner numbers, procedures and evidence-base. However, with the multitude of special tests for shoulder conditions, the clinician faces a variety of sensitivities and specificities of the respective tests. It is unclear, in most circumstances, which single test is the best and growing evidence confirms that a set of tests is superior for diagnosing shoulder conditions. This forms the basis of cluster testing, which is the key concept for the title and content of this book. In many common shoulder diagnoses the preference for clusters has been reflected in both experience and clinical evidence, but for conditions where evidence for clusters is less clear, a consensus-based approach is utilised by the authors of this key resource for diagnosing shoulder conditions.

Diagnostic Controversy: Cultural Perspectives on Competing Knowledge in Healthcare (Routledge Studies in Anthropology)

by Carolyn Smith-Morris

This collection is dedicated to the diagnostic moment and its unrivaled influence on encompassment and exclusion in health care. Diagnosis is seen as both an expression and a vehicle of biomedical hegemony, yet it is also a necessary and speculative tool for the identification of and response to suffering in any healing system. Social scientific studies of medicalization and the production of medical knowledge have revealed tremendous controversy within, and factitiousness at the outer parameters of, diagnosable conditions. Yet the ethnographically rich and theoretically complex history of such studies has not yet congealed into a coherent structural critique of the process and broader implications of diagnosis. This volume meets that challenge, directing attention to three distinctive realms of diagnostic conflict: in the role of diagnosis to grant access to care, in processes of medicalization and resistance, and in the transforming and transformative position of diagnosis for 21st-century global health. Smith-Morris’s framework repositions diagnosis as central to critical global health inquiry. The collected authors question specific diagnoses (e.g., Lyme disease, Parkinson's, andropause, psychosis) as well as the structural and epistemological factors behind a disease’s naming and experience.

Diagnostic Controversy: Cultural Perspectives on Competing Knowledge in Healthcare (Routledge Studies in Anthropology #25)

by Carolyn Smith-Morris

This collection is dedicated to the diagnostic moment and its unrivaled influence on encompassment and exclusion in health care. Diagnosis is seen as both an expression and a vehicle of biomedical hegemony, yet it is also a necessary and speculative tool for the identification of and response to suffering in any healing system. Social scientific studies of medicalization and the production of medical knowledge have revealed tremendous controversy within, and factitiousness at the outer parameters of, diagnosable conditions. Yet the ethnographically rich and theoretically complex history of such studies has not yet congealed into a coherent structural critique of the process and broader implications of diagnosis. This volume meets that challenge, directing attention to three distinctive realms of diagnostic conflict: in the role of diagnosis to grant access to care, in processes of medicalization and resistance, and in the transforming and transformative position of diagnosis for 21st-century global health. Smith-Morris’s framework repositions diagnosis as central to critical global health inquiry. The collected authors question specific diagnoses (e.g., Lyme disease, Parkinson's, andropause, psychosis) as well as the structural and epistemological factors behind a disease’s naming and experience.

Diagnostic Criteria Handbook in Histopathology: A Surgical Pathology Vade Mecum

by Paul J. Tadrous

This handbook is designed to help jobbing histopathologists jog their memory and get through more workload in any working day. Rapid access is facilitated by a bullet-point, tabular and diagrammatic style, as well as by handy anatomical diagrams, guidance on the ‘Cut-Up’ with emphasis on core ‘datasets’ and by a special index for frozen section advice, grading systems and scoring systems. The book provides, where useful, differential diagnosis lists and presents diagnostically helpful molecular and immunohistochemical findings. Information is kept up-to-date on a dedicated website www.pathbook.com. The Diagnostic Criteria Handbook in Histopathology is not designed to be an “exam cram” and neither will it serve as a basic text for beginners. Trainees, however, will still benefit from the sheer breadth of topics covered in this one small volume: from lab management and lab methods, to autopsy practice, cytology and all sub-specialties in surgical pathology. A chapter on exam technique and mnemonics makes the book also an essential companion for those revising for professional exams. So why clutter your precious desk space with multiple sets of heavy two-volume reference works? Give this handy Vade Mecum a place next to your microscope and see how much time you could save!

Diagnostic Criteria in Autoimmune Diseases

by Ricard Cervera M. Eric Gershwin Yehuda Shoenfeld

According to the Autoimmune Diseases Coordinating Committee (ADCC), between 14.7 and 23.5 million people in the USA – up to eight percent of the population are affected by autoimmune disease. Autoimmune diseases are a family of more than 100 chronic, and often disabling, illnesses that develop when underlying defects in the immune system lead the body to attack its own organs, tissues, and cells. In Handbook of Autoimmune Disease, the editors have gathered in a comprehensive handbook a critical review, by renowned experts, of more than 100 autoimmune diseases, divided into two main groups, namely systemic and organ-specific autoimmune diseases. A contemporary overview of these conditions with special emphasis on diagnosis is presented. Each chapter contains the essential information required by attending physicians as well as bench scientists to understand the definition of a specific autoimmune disease, the diagnostic criteria, and the treatment.

Diagnostic Criteria in Neurology (Current Clinical Neurology)

by Alan J. Lerner

A compendium of the latest published diagnostic criteria for a diverse group of neurological conditions. The criteria cover a wide spectrum of neurological conditions whose diagnosis does not depend solely on histopathology (e.g., brain tumors), including cerebrovascular diseases, dementias and behavioral disorders, demyelinating disorders, and disorders of consciousness and brain death. Standardized criteria are also provided for epilepsy, genetic syndromes, headache, immune-based disorders, infectious diseases, movement disorders, neuromuscular disorders, and sleep disorders. A dazzling array of tables summarizes useful information on both common and uncommon neurological conditions, including many genetic and pediatric neurological disorders. Innovative and authoritative, Diagnostic Criteria in Neurology begins to do for neurology what the DSM (Diagnostic and Statistical Manual) did for psychiatry.

Diagnostic Cultures: A Cultural Approach to the Pathologization of Modern Life (Classical and Contemporary Social Theory)

by Svend Brinkmann

Some studies estimate that each year, around a quarter of the population of Western countries will suffer from at least one mental disorder. Should this be interpreted as evidence for the progress of psychiatry, a discipline that is now able to identify and treat mental illnesses that have always existed, or might it be the case that modern life somehow creates new conditions, or social pathologies? This book argues that in fact something more fundamental has been taking place in recent years: the development of diagnostic cultures. Taking account of the phenomenon of patients themselves 'pushing for' pathologization - and acknowledging therefore that this is not simply a case of psychiatry pursuing an agenda of 'medicalisation from above' - this volume examines the emerging trend towards interpreting our sufferings in terms of psychiatric conceptions and diagnostic categories. Drawing on new empirical case studies of psychological diagnoses, including depression and ADHD, and employing both cultural-psychological and sociological analyses, it charts the development of contemporary diagnostic cultures and asks whether, in transforming existential, moral and political concerns into individual psychiatric disorders, we risk losing sight of the larger historical and social forces that affect our lives. A ground-breaking examination of the shift towards the pathologization of suffering and the dangers that this presents to human self-understanding, Diagnostic Cultures will be of interest to scholars of social theory and philosophy, the sociology of culture, psychology and the sociology health and medicine.

Diagnostic Cultures: A Cultural Approach to the Pathologization of Modern Life (Classical and Contemporary Social Theory)

by Svend Brinkmann

Some studies estimate that each year, around a quarter of the population of Western countries will suffer from at least one mental disorder. Should this be interpreted as evidence for the progress of psychiatry, a discipline that is now able to identify and treat mental illnesses that have always existed, or might it be the case that modern life somehow creates new conditions, or social pathologies? This book argues that in fact something more fundamental has been taking place in recent years: the development of diagnostic cultures. Taking account of the phenomenon of patients themselves 'pushing for' pathologization - and acknowledging therefore that this is not simply a case of psychiatry pursuing an agenda of 'medicalisation from above' - this volume examines the emerging trend towards interpreting our sufferings in terms of psychiatric conceptions and diagnostic categories. Drawing on new empirical case studies of psychological diagnoses, including depression and ADHD, and employing both cultural-psychological and sociological analyses, it charts the development of contemporary diagnostic cultures and asks whether, in transforming existential, moral and political concerns into individual psychiatric disorders, we risk losing sight of the larger historical and social forces that affect our lives. A ground-breaking examination of the shift towards the pathologization of suffering and the dangers that this presents to human self-understanding, Diagnostic Cultures will be of interest to scholars of social theory and philosophy, the sociology of culture, psychology and the sociology health and medicine.

Diagnostic Cystoscopy: The Cystoscopist Reference

by Bradley C. Tenny Michael O'Neill

Diagnostic cystoscopy is the gold standard procedure in assessing anatomical variations and/or bladder pathologies. For example, for a clinician to adequately rule out carcinoma in situ of the bladder the clinician must directly visualize the whole bladder. Mastering this skill is thus incredibly important for the training MD and training advanced practice provider (Nurse Practitioner or Physician Assistant). Once mastered, this readily available reference will serve to benefit said clinician in differentiating benign and malignant pathologies. This text is designed as a comprehensive review by experts in the field of urology on the cystoscope, including both the flexible and rigid instrument, technical use, and certainly bladder pathologies. The rigid cystoscope includes three parts: the scope/lens, bridge, and sheath. These three parts may seem self-explanatory, however there are array of varying options within these three parts that have specific indications for use. Thus, being very familiar with these instruments is vital in being a great cystoscopist. This book will prepare all practitioners to improve and perfect their skills as cystoscopists.Perhaps most significantly, this book will cover numerous topics in normal anatomy, benign and malignant urethral pathology, and benign and malignant bladder pathology. Dialogue on each presented topic includes a brief pathological discussion, associated clinical significance such as common signs or symptoms, suggested treatment for said topic, additional references for further reading, and photographs. Photographs are included on every topic, with a minimum of one image and a maximum of five for reference. A comprehensive reference on diagnostic cystoscopy has been needed for quite some time. This book will satisfy this need for both the developing and experienced cystoscopist.

Diagnostic Cytogenetics (Springer Lab Manuals)

by Rolf-Dieter Wegner

Following a section on tissue culture, chromosome staining and basic information about karyotyping, this text presents nomenclature and quality standards, as well as protocols of relevance to comprehensive cytogenetic diagnostics.

Diagnostic Cytology and Hematology of the Horse E-Book

by Rick L. Cowell Ronald D. Tyler

Diagnostic Cytology and Hematology of the Horse is a practical reference that presents common clinical findings in an easy-to-use text/atlas format. A general chapter discusses sample collections and techniques, followed by a 'systems' approach and chapters on specific types of fluid. Within systems chapters, normal findings are established and then abnormal findings are presented by class of problems, such as bacterial lesions, fungal lesions, parasitic lesions, etc. in the case of the eye. Algorithms on sample evaluations enhance text discussions by guiding readers to the most likely cytologic diagnosis. In addition, a color plate section features 64 illustrations for convenient comparison of cell types and infectious agents. A detailed index makes this edition even more useful as a quick clinical reference, ideal for helping readers understand correct collection and handling procedures, avoid costly errors, and make accurate diagnoses.

Diagnostic Cytopathology Board Review and Self-Assessment

by Walid E. Khalbuss Qing Kay Li

Diagnostic Cytopathology Board Review and Self-Assessment provides a comprehensive systems-based review of non-gynecological cytology including cytomorphology, pitfalls and ancillary studies, presented in a high-yield format with board-type multiple choice questions and detailed answers. It provides an excellent review, resource and self-assessment for pathologists, cytopathologists and cytotechnologists, as well as trainees (pathology residents, cytopathology fellows and cytotechology students) who are preparing for board examinations or in-service examinations, in addition to those who are looking to fine-tune their cytology diagnostic skills. The volume is organized in a systems-based format including chapters covering lung, lymph nodes, pancreas, liver, gastrointestinal tract, thyroid, salivary gland, central nervous system, soft tissue and bone, kidney, adrenal, retroperitoneal and exfoliative cytology of urine, serous fluids and CSF. This book is enriched with the following features to maximize studying and review of cytopathology" HIGH YIELD REVIEW: Concise high-yield review with tables emphasizing key points, useful criteria and important concepts to maximize your score on board examinations and your diagnostic knowledge of exfoliative and aspiration cytopathology. BOARD EXAM-TYPE QUESTIONS: Over 800 board exam-type questions covering all areas of non-gynecological cytology with emphasis on cytomorphology, diagnostic pitfalls and ancillary studies, including detailed answers with in-depth discussions and key references from the literature and major cytopathology text books. HIGH QUALITY FULL-COLOR IMAGES: Over 600 high-quality full-color photomicrographs, including images of immunohistochemical stains and other ancillary studies performed.

Diagnostic Cytopathology E-Book: Expert Consult: Online and Print

by Winifred Gray Gabrijela Kocjan

This edition stresses not just the diagnostic cytological features of the various conditions encountered, but also the diagnostic pitfalls and the grey areas between so as to enable the reader to give more evidence-based reports. In recognition of their rapid expansion, there are new chapters on recent technological developments and on the cytodiagnosis of childhood tumours. A special section on the importance of multidisciplinary team meetings that include the cytopathologist as a core member of the team has also been included at the end of each chapter. As active members of this team, cytopathologists can define their role in the management pathway and thus bring the patient and the microscope together as never before. The full text can be accessed online and images downloaded via Expert Consult.

Diagnostic Cytopathology Essentials E-Book

by Gabrijela Kocjan Winifred Gray Philippe Vielh Tanya Levine Ika Kardum-Skelin

Diagnostic Cytopathology Essentials is a succinct yet comprehensive guide to diagnosis in both non-gynecological and gynecological cytology. It provides quick answers to diagnostic problems in the cytological interpretation and recognition of a wide range of disease entities. With content derived from Diagnostic Cytopathology, 3rd Edition, the authoritative reference work by Winifred Gray and Gabrijela Kocjan, Diagnostic Cytopathology Essentials delivers the dependable guidance you need - in a user-friendly format that makes essential facts about any given condition easy to find and apply.Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.Efficiently review the key cytological features of a broad spectrum of disease entities with more than 1,300 images, consistently presented on opposing pages from the corresponding text summaries for ease of reference.Find the answers you need quickly and easily using an at-a-glance bullet-point format and structure, with every section organized consistently to include Definition, Cytological Findings, and Differential Diagnosis.Streamline decision making and avoid diagnostic pitfalls with the aid of Differential Diagnosis boxes.Improve your diagnostic cytology skills by referencing representative Case Studies throughout.

Diagnostic Decisions in Neurology

by Klaus Poeck

Throughout the course of history it has always been noted that any ideas about brain function depended upon the highest technological model of the day. Hence, in the Greek or Roman era the ventricular system was singled out because of the devel­ opment of hydraulics. Early in this century we drew the analo­ gy between telephone circuits and the brain. Now it is popular to characterize neural function as that of a sophisticated com­ puter. Indeed, in many ways it may be. But, as yet, the pre­ pared human brain will likely prevail in the sorting out of information necessary for a proper diagnosis. In this manual, POECK has provided the ground work for such prepara­ Dr. tion. We all admire the clever diagnostician, and usually ascribe the skill to great intuition. Not so! It is the clinician who has seen many patients, and has compiled a menu of choices. Dr. POECK is such a clinician, and he has provided us with his menu of choices. Use of these lists will likely aid the student or resident physician in coming to a proper diagnosis but, more importantly, will help train his or her mind to think in a logical and systematic way. ROBERT J. JOYNT, M.D., Ph.D.

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