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Handbook of Differential Diagnosis in Neurology
edited by N.P. Poolos,
267 pp., Boston, Butterworth Heinemann, 2001, $41.95
This book starts with the statements that differential diagnosis is difficult but that this is not the clinician’s fault, and ends 267 pages later with a grading of the ultrasonic findings in cases of neonatal ventricular hemorrhage. This unevenness of approach is regrettable to a reviewer who prefers texts that provide as much insight as knowledge.
There is no doubt that this handbook contains a lot of knowledge, often evidencing the various contributors’ awareness of the most recent literature; the problem is where to start the teaching process. For this reviewer, it is with the history and physical examination, but the former is largely ignored here and the lists of potential causes of neurologic findings presuppose the possession of insight into the elicitation, interpretation, and synthesis of the latter.
The book is a compendium of over 180 lists, though not all lists are of differential diagnoses (that are themselves tables of diagnostic choices, all but one of which are wrong in any particular case). Starting with the recognition that a patient has, for example, a gaze palsy, pseudotumor cerebri, alexia, or paraproteinemic neuropathy, a physician may use these lists to assist in advancing to the next step in detection—namely, which? Or why? But for whom is this skeleton of neurology written?
The preface seems to me to provide an insight as to the book’s purpose, as there the editor reassures …
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