By Jeffrey L. Cummings
Regardless of dramatic advances in our knowing of the mind and mind problems, we nonetheless have a lot uncharted territory to discover in neuropsychiatry and behavioral neurology, speedily starting to be disciplines dedicated to knowing the behavioral outcomes of mind disorder and utilizing this knowledge to enhance sufferer care. the second one variation of this renowned pocket advisor (part of yankee Psychiatric Publishing, Inc.'s Concise courses sequence; it actually matches into the pocket of a lab coat or jacket) is up-to-date all through, that includes new drugs and new diagnostic techniques and standards. just like the first variation, it provides short synopses of the main neuropsychiatric and neurobehavioral syndromes, discusses their medical review, and offers instructions for administration, plus a word list, index, and bibliographies that confer with extra large interpreting. The authors summarize diagnostic and remedy info in easy-to-read tables, together with medical good points, underlying pathophysiology, and cures for the key neuropsychiatric issues. starting with numerous chapters on neuropsychiatric overview tools, uncomplicated neuroanatomic and neurochemical ideas, neuropsychiatric indicators (including unexplained neurological indicators, akin to generalized nervousness, panic, and conversion and dissociative problems) and syndromes (e.g., frontal lobe, aphasia), and the differential prognosis of significant neuropsychiatric problems (e.g., melancholy, mania, psychosis, anxiety), the authors set up next chapters via ailment: -Visual/visuospatial impairment, that's severe to human survival and such a lot critical with right-brain disorder and harm, the place it motives quite a few neuropsychiatric signs -Disorders of reminiscence (etiology, anatomy, and exams for issues similar to amnesia), epilepsy (especially temporal lobe epilepsy), dementia and delirium (emphasizing the medical standards determining the various dementias), and flow issues (including ParkinsonAs illness and hyperkinetic circulation issues and tremors) -Stroke (cerebrovascular affliction is among the most typical explanations of got habit swap in adults) and mind tumors (with linked neuropsychiatric morbidity) -White subject ailments (e.g., a number of sclerosis), with obtained or hereditary leukoencephalopathies, which might be extra categorized pathologically or in keeping with the underlying metabolic abnormality; and head damage (e. g., intracranial hematoma, an infection, epilepsy) and its sequelae (e.g., character and cognitive alterations, melancholy, posttraumatic tension ailment) the ultimate bankruptcy covers the newest remedies, akin to neuropsychopharmacology (e.g., antidepressants, antipsychotics, sedative hypnotics, mood-stabilizers, anticonvulsants), electroconvulsive treatment, vagus nerve stimulation, and neurosurgical strategies (i.e., destruction of enormous tracts of white topic to and from the frontal lobes). An instantly beneficial scientific spouse for psychiatrists and geriatric psychiatrists, neurologists, and neuropsychologists either in the U.S. and out of the country, this quantity can also be exceedingly functional for college kids and citizens as a result of its wide scope and simply obtainable info.
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Extra info for Concise Guide to Neuropsychiatry and Behavioral Neurology, 2nd edition (Concise Guides)
From a newspaper) and test comprehension Write his or her name and a short paragraph on a subject of interest to him or her Test memory ability Repeat a Babcock sentence (“The one thing a nation needs in order to be rich and great is a large secure supply of wood,” or “The clouds hung low in the valley and the wind howled among the trees as the men went on through the rain”) Repeat a story Remember four words Test general knowledge for recent events Test knowledge for remote events Test for constructional ability Copy circle, cross, and cube; draw a clock Test for ideomotor and ideational apraxia Perform tasks on command: complete complex sequence of actions Test executive function Verbal fluency: number of animals named in 1 minute or number of words that begin with a certain letter in 1 minute Perseveration: fist-palm-side test 6 TABLE 1–1.
Evaluation of speech disturbances is discussed in Chapter 6. The prosody of speech refers to its melodic intonation. It may be flat in cases of schizophrenia or after right-hemisphere lesions. Formal thought disorder, which refers to disorganization and concretization of thought processes, suggests either schizophrenia or a neurological disease. Slowing of the train of thought is seen with the psychomotor slowing of depression and with the bradyphrenia of many neurological disorders such as head injury, Parkinson’s disease, epilepsy, and multiple sclerosis.
Endocrine abnormalities that occur in some depressed patients encompass changes in the hypothalamicpituitary-adrenal axis and the hypothalamic-pituitary-thyroid axis. There may be excessive cortisol secretion and a failure to suppress serum cortisol in response to orally administered dexamethasone in the dexamethasone suppression test (DST); in addition, there may be a blunted response to thyrotropin-releasing hormone (TRH) manifested by an abnormally small rise in thyroid-stimulating hormone (TSH).
Concise Guide to Neuropsychiatry and Behavioral Neurology, 2nd edition (Concise Guides) by Jeffrey L. Cummings