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内容简介:
Most clinicians find it difficult to diagnose dizzy patients, as the potential causes span various subspecialties, including internal medicine, neurology, ontology, ophthalmology and psychiatry. This book offers a novel approach with chapters organized by easily recognizable clinical presentation, such as recurrent vertigo or positional vertigo. To orientate the reader, a table with differential diagnoses is given at the beginning of each chapter, including key features of each disorder. The authors' friendly approach extends advice on history taking and clinical examination, and each chapter ends with hints as to 'what to do if you haven't a clue'. Common disorders are highlighted, with brief coverage of rarities. Basic science aspects are limited to what is really relevant to the clinicians. A useful DVD shows the clinical examination, positioning and exercises for vestibular rehabilitation. With this book at hand, many more doctors will approach their next dizzy patient with confidence.
书籍目录:
Acknowledgements
List of tables
List of video clips
Introduction: How to use this book
1 Essential anatomy and functions of the
balance system
Introduction
Anatomy and physiology of the vestibular system
Eye movements
Multisensory integration
2 Symptoms and examination of the patient
with vertigo and dizziness
Symptoms
Essentials of the clinical examination
Eye-movement examination
Vestibular eye movements
Positional manoeuvres
Frenzel's glasses
Posture and gait
Clinical assessment of hearing
Orthostatic blood pressure
LabOratory examinations
Separating peripheral from central vestibular lesions
Imaging procedures in dizzy patients
3 A single episode of prolonged vertigo
Vestibular neuritis
Brainstem and cerebellar lesions
First attack of migrainous vertigo
First attack of Meniere's disease
Other causes of acute persistent vertigo
What to do if you don't have a clue
4 Recurrent vertigo and dizziness
Recurrent vertigo
Migrainous vertigo
Benign recurrent vertigo
Meniere's disease
Vertigo due to vertebrobasilar transient ischaemic attack
Paroxysmal recurrent vertigo: vascular compression
of the eighth nerve?
Perilymph fistula
Rare causes of recurrent vertigo
What to do if you don't have a clue
Recurrent dizziness
Orthostatic hypotension
Cardiac arrhythmia
Psychogenic dizziness
Drug-induced dizziness
Other causes of recurrent dizziness
What to do if you don't have a clue
5 Positional vertigo
Posterior-canal benign paroxysmal positional vertigo
Horizontal-canal benign paroxysmal positional vertigo:
canalolithiasis type
Horizontal-canal benign paroxysmal positional vertigo:
cupulolithiasis type
Migrainous vertigo
Central positional vertigo
Other causes of positional vertigo
What to do if you don't have a clue
6 Chronic dizziness and unsteadiness
The origin of chronic dizziness
Patients with a past history of vertigo
Visual vertigo
Motorist disorientation syndrome
Psychological presentations
……
7 Dizziness,imbalance and falls in the elderly
8 Treatment of the dizzy patient
Further reading
Index
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书籍介绍
Most clinicians find it difficult to diagnose dizzy patients, as the potential causes span various subspecialties, including internal medicine, neurology, otology, ophthalmology and psychiatry. This book offers a novel approach, with chapters organized by easily recognisable clinical presentation, such as recurrent vertigo or positional vertigo. To orientate the reader, a table with differential diagnoses is given at the beginning of each chapter, including key features of each disorder. The authors' friendly approach extends to advice on history taking and clinical examination, and each chapter ends with hints on 'what to do if you haven't a clue'. Common disorders are highlighted, with brief coverage of rarities. Basic science aspects are limited to what is really relevant to the clinicians. A useful CD shows the clinical examination, positioning and exercises for vestibular rehabilitation. With this book at hand, many more doctors will approach their next dizzy patient with confidence.
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够人性化!
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