Neurology at the Bedside by Daniel Kondziella, Gunhild Waldemar

By Daniel Kondziella, Gunhild Waldemar

This booklet teaches readers the scientific abilities citizens in neurology need to collect during their education, and methods neurology like a physician methods a sufferer: historical past, bedside exam, differential analysis, investigations, remedy.

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In the upper extremities, a lesion of the axillary nerve (C5/C6) may lead to a weakness of shoulder abduction and sensory loss over the outer aspect of the upper arm. Isolated lesions of the musculocutaneous nerve (C5/6) are usually secondary to a fracture of the humerus. They lead to wasting of the biceps brachii muscle, the brachialis, and coracobrachialis muscles and to weakness of flexion of the supinated forearm. Rupture of the biceps brachii muscle tendon may sometimes simulate wasting of the biceps brachii muscle, but differentiation between these two conditions is usually possible with careful inspection.

Common causes of sciatic nerve damage include pelvic fracture, hip dislocation, misplaced injections into the lower gluteal regions, sitting in the lotus position, and lying flat on a hard surface for a prolonged time. The last cause mentioned is sometimes encountered in slender drug addicts. Stab and gunshot wounds causing sciatic nerve lesions are fortunately rare. The common peroneal nerve (L4–S2) emerges within the poplitea and turns around the fibular head – a common area of compression – where it divides into the superficial and the deep peroneal nerves.

By establishing a reliable code for locked-in patients to indicate yes and no using blinking or vertical eye movements. , spouses, family, friends, nurses, ambulance personnel, and patient notes, are taken into account to establish a history that is as detailed and as accurate as possible. 1 Muscle The hallmark of a generalized myopathy is proximal symmetric weakness without sensory symptoms. For assessment of proximal weakness of the lower extremities, ask the patient about difficulties rising from a chair, getting out of bed, climbing stairs, or leaving the car without using his arms to pull himself up.

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