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Clinical Neurology Simplified
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Cure for Neurophobia includes the rule of 4 of the brainstem
The principles in these 5 lectures have evolved from over 40 years of problem-solving in the wonderful world of clinical neurology. When I was a medical student we were given lists of neurology questions that turned out to be totally useless. In this course you will be shown unique techniques that will assist you in dealing with patients who present with neurological problems. These principles demystify an area that many people feel is complex. These rules are also in my textbook clinical neurology a primer (Elsevier) that has been described as a cure for Neurophobia. The 1st lecture is how to take a neurological history using the mode of onset and progression of the symptoms to indicate the likely pathology and the exact nature and distribution of the symptoms to indicate the site of the problem in the nervous system. The nervous system is likened to a map grid with 3 meridians of longitude, the descending motor pathway and the 2 ascending sensory pathways and meridians of latitude being the dermatomes and reflexes in the peripheral nervous system, the cranial nerve nuclei in the brainstem and cortical signs in the hemispheres. The 2nd lecture is the rule of 4 of the brainstem first published in Internal Medicine Journal in 2005. It is the number one downloaded paper from that Journal and has enabled many non-neurologists to accurately diagnose brainstem stroke syndromes without knowledge of detailed neuroanatomy. The 3rd lecture demystifies the hemispheres with the simple concept of speech, RAAF to understand the dominant hemisphere and a lost in space to understand the non-dominant hemisphere. The 4th lecture is how to examine the upper limbs and how to use the 5*3*5 rule for diagnosing the cause of weakness in the upper limb. The 5th lecture is how to examine the lower limbs and how to use the 2*2*4 rule for diagnosing the cause weakness in the lower limb
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