Dizziness眩晕：诊断与管理实践方法（书与光盘） fb2 pdf azw3 网盘 rtf 免费 下载 txt

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.

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.