By Bernard S. Chang, Andrew Tarulli, Louis R. Caplan, Frank W. Drislane, Michael Benatar, Juan A. Acosta
Blueprints Neurology presents scholars with an entire evaluate of the foremost issues and concepts—perfect for clerkship rotations and the USMLE. This variation has been thoroughly updated—including new diagnostic and remedy info throughout—while conserving its succinct, geared up, and concise sort. a hundred board-format questions and solutions with entire right and improper solution factors seem on the finish of the book.
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Additional resources for Blueprints Neurology (3rd Edition)
Does he or she groan but not open his or her eyes when sternal rub is applied? For many patients, further cognitive testing may not be possible. For those who can be aroused even briefly, however, a short evaluation of attention, language, visuospatial function, and neglect is in order, because this may reveal a gross focal finding such as an aphasia or dense neglect of the left side. Cranial nerves should be examined in detail, because this is the portion of the exam most relevant to the assessment of brainstem function.
Another method is looking for red desaturation (decreased perception of red color), which can be seen early in optic nerve problems (particularly optic neuritis). When testing pupils, report their size and reaction to light, both consensually and in accommodation. Use a bright light. Look for a relative afferent pupillary defect (RAPD), also known as a Marcus Gunn pupil. To perform this test, place the patient in a dimly illuminated room and ask for fixation in the distance. A bright light is flashed alternately for 2 to 3 seconds in each eye.
Reticular formation (PPRF), or sixth nerve nucleus and the adjacent ipsilateral MLF. These produce an ipsilateral gaze palsy and INO on the contralateral side (the only eye movement present in the lateral plane is abduction of the contralateral eye) (Fig. 4-2). Vertical eye movements are controlled by the rostral interstitial nucleus of the MLF (riMLF) located in the pretectal midbrain area, near the CN III nucleus. Fibers controlling upgaze from the riMLF cross to the contralateral side using the posterior commissure to communicate with the inferior oblique and superior rectus subnuclei of the CN III complex.
Blueprints Neurology (3rd Edition) by Bernard S. Chang, Andrew Tarulli, Louis R. Caplan, Frank W. Drislane, Michael Benatar, Juan A. Acosta