In search of the soul in all things
The usefulness of the book would have been greatly enhanced by the inclusion of more tables and algorithms to assist clinicians in defining the abnormal movements they observe and in working their way toward the most likely diagnosis. For example, the chapter on chorea and ballismus presents a full-page table classifying the choreas but provides little guidance in the differential diagnosis.
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The chapter on dystonia and athetosis, on the other hand, has a number of useful tables and provides a much more structured and useful approach to diagnosis and management. safe order viagra canada It appears that the authors, in an attempt to be comprehensive, give equal weight to all of the literature reviewed and do not attempt to distill the information and present it in a form that would be useful to a nonexpert who encounters a patient with involuntary movements.
Although the majority of such patients are referred to specialists, more guidance for primary care practitioners would result in more appropriate referrals. viagra professional testimonials One problem with all books on movement disorders is the difficulty involved in describing movements in words or in illustrating them with photographs. This book, and all others in this area of neurology, would be greatly enhanced if future editions could be accompanied by a videotape, cd, or dvd illustrating the defining characteristics of the movement disorders.
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All rights reserved. The new england journal of medicine is a registered trademark of the mms. --this text refers to an alternate hardcover edition.
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