Harrisons Neurology in Clinical Medicine 3rd Edition PDF
19.47 MB PDF
The first two editions of Harrison’s Neurology in Clinical Medicine were unqualified successes. Readers responded enthusiastically to the convenient, attractive, expanded, and updated stand-alone volume, which was based upon the neurology and psychiatry sections from Harrison’s Principles of Internal Medicine. Our original goal was to provide, in an easy-to-use format, full coverage of the most authoritative information available anywhere of clinically important topics in neurology and psychiatry, while retaining the focus on pathophysiology and therapy that has always been characteristic of Harrison’s.
This new third edition of Harrison’s Neurology in Clinical Medicine has been extensively updated to highlight recent advances in the understanding, diagnosis, treatment, and prevention of neurologic and psychiatric diseases. New chapters discuss the pathogenesis and treatment of syncope, dizziness and vertigo, smell and taste disorders, Parkinson’s disease, tumors of the nervous system, peripheral neuropathy, and neuropsychiatric problems among war veterans, among other topics. Extensively updated coverage of the dementias highlights new findings from genetics, molecular imaging, cell biology, and clinical research that are transforming our understanding of these common problems. Neuroimmunology is another dynamic and rapidly changing field of neurology, and the new edition of Harrison’s provides extensive coverage of progress in this area, including a practical guide to navigating the large number of treatment options now available for multiple sclerosis. Another new chapter reviews advances in deciphering the pathogenesis of common psychiatric disorders and discusses challenges to the development of more effective treatments. Many illustrative neuroimaging figures appear throughout the section, and an updated and expanded atlas of neuroimaging findings is also included. We are extremely pleased that readers of the new edition of Harrison’s will for the first time be able to access a remarkable series of high-definition video presentations including
wonderful guides to screening and detailed neurological examinations, as well as video libraries illustrating gait disorders, focal cerebral disorders, and neuro-ophthalmologic disturbances.
For many physicians, neurologic diseases represent particularly challenging problems. Acquisition of the requisite clinical skills is often viewed as time-consuming, difficult to master, and requiring a working knowledge of obscure anatomic facts and laundry lists of diagnostic possibilities. The patients themselves may be difficult, as neurologic disorders often alter an individual’s capacity to recount the history of an illness or to even recognize that something is wrong. An additional obstacle is the development of independent neurology services, departments, and training programs at many medical centers, reducing the exposure of trainees in internal medicine to neurologic problems. All of these forces, acting within the fast paced environment of modern medical practice, can lead to an overreliance on unfocused neuroimaging tests, suboptimal patient care, and unfortunate outcomes. Because neurologists represent less than 1% of all physicians, the vast majority of neurologic care must be delivered by nonspecialists who are often generalists and usually internists.
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