Disorders of Mental Status: Dementia, Encephalopathy, Coma, Syncope

Overview

Within the neurologic examination, every resident and neurologist performs the mental status exam. Dr. Misulis has written a clinically oriented, portable reference for diagnosing and treating patients with problems such as coma, stupor, encephalopathy, delirium, or dementia. Each section includes a brief discussion of physiology so that the reader can grasp the series of pathologic events that led to mental changes.

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Overview

Within the neurologic examination, every resident and neurologist performs the mental status exam. Dr. Misulis has written a clinically oriented, portable reference for diagnosing and treating patients with problems such as coma, stupor, encephalopathy, delirium, or dementia. Each section includes a brief discussion of physiology so that the reader can grasp the series of pathologic events that led to mental changes.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Daniel B. Hier, MD (University of Illinois at Chicago College of Medicine)
Description: This pocket-sized book is divided into three sections covering evaluation of mental status, disorders of mental status, and management issues. Four major areas of dysfunction are addressed, including coma, encephalopathy, syncope, and dementia. In the section on disorders affecting mental status, the author reviews the effects of hypoxia, stroke, metabolic disorders, seizures, hydrocephalus, and degenerative diseases on mental status.
Purpose: It is intended "to facilitate the diagnosis of disorders of mental status and aid management."
Audience: Neurologists and internists are the intended audience.
Features: The author has provided useful algorithms for evaluation of four common conditions. In addition, he has provided useful summaries of some of the more common causes of disordered mental status.
Assessment: Linking together dementia, coma, syncope, and encephalopathy in a single book is problematic. Furthermore, the approach taken to these conditions is from the point of view of an internist rather than a neurologist. There are no neuroimages and little discussion of underlying neuroanatomic or neurophysiologic mechanisms. The mental status examination described is aimed more at internists than neurologists and lacks the sophistication expected from a behavioral neurologist. In some sense, the title is misleading. Most neurologists think of disorders of mental status as dementia, aphasia, apraxia, amnesia, agnosia, etc. The sections on stroke, epilepsy, metabolic disorders, etc. are useful, but repeat much of what can be found in standard neurology texts. This compact book attempts to advise the busy internist or neurologist in the management of these common but diagnostically complex patients. It provides a fine overview of these conditions, but lacks the detail and specificity to allow patient management without reference to other texts.
Daniel B. Hier
This pocket-sized book is divided into three sections covering evaluation of mental status, disorders of mental status, and management issues. Four major areas of dysfunction are addressed, including coma, encephalopathy, syncope, and dementia. In the section on disorders affecting mental status, the author reviews the effects of hypoxia, stroke, metabolic disorders, seizures, hydrocephalus, and degenerative diseases on mental status. It is intended ""to facilitate the diagnosis of disorders of mental status and aid management."" Neurologists and internists are the intended audience. The author has provided useful algorithms for evaluation of four common conditions. In addition, he has provided useful summaries of some of the more common causes of disordered mental status. Linking together dementia, coma, syncope, and encephalopathy in a single book is problematic. Furthermore, the approach taken to these conditions is from the point of view of an internist rather than a neurologist. There are no neuroimages and little discussion of underlying neuroanatomic or neurophysiologic mechanisms. The mental status examination described is aimed more at internists than neurologists and lacks the sophistication expected from a behavioral neurologist. In some sense, the title is misleading. Most neurologists think of disorders of mental status as dementia, aphasia, apraxia, amnesia, agnosia, etc. The sections on stroke, epilepsy, metabolic disorders, etc. are useful, but repeat much of what can be found in standard neurology texts. This compact book attempts to advise the busy internist or neurologist in the management of these common but diagnostically complex patients. It provides a fine overviewof these conditions, but lacks the detail and specificity to allow patient management without reference to other texts.
Booknews
A rational approach to quick and efficient diagnosis and management of the four most common neurologic disorders seen by primary care physicians. Coverage includes evaluation of mental status (classification, evaluation); disorders affecting mental status, including degenerative diseases, hypoxia, stroke, metabolic disorders, drugs and toxins, infections, seizures, trauma, and psychiatric disorders; and management issues, including caregiver advice and support, management of behavioral problems, and legal issues. Annotation c. by Book News, Inc., Portland, Or.

2 Stars from Doody
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Product Details

  • ISBN-13: 9780750699884
  • Publisher: Elsevier Health Sciences
  • Publication date: 4/8/1998
  • Edition number: 1
  • Pages: 225
  • Product dimensions: 4.52 (w) x 5.99 (h) x 0.82 (d)

Table of Contents

I. Evaluation of Mental Status: Classification; Evaluation; Dementia; Encephalopathy; Coma; Syncope; II. Disorders Affecting Mental Status: Degenerative Diseases; Hypoxia; Stroke; Metabolic Disorders; Drugs and Toxins; Infections; Seizures; Hydrocephalus; Trauma; Hospitalization; Brain Death; Psychiatric Disorders; III. Management Issues: Caregiver Advice and Support; Management of Behavioral Problems; Legal Issues

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