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    Multiple Sclerosis: Clinician's Guide to Diagnosis and Treatment

    Multiple Sclerosis by Birnbaum, Gary L.;

    Clinician's Guide to Diagnosis and Treatment

    Series: Oxford American Neurology Library;

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    Product details:

    • Edition number 2
    • Publisher OUP USA
    • Date of Publication 23 May 2013

    • ISBN 9780199840786
    • Binding Paperback
    • No. of pages164 pages
    • Size 127x201x10 mm
    • Weight 200 g
    • Language English
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    Short description:

    Designed to help busy clinicians understand and implement the most current, evidence-based diagnostic and treatment approaches, Multiple Sclerosis: Clinician's Guide to Diagnosis and Treatment considers the disease in its totality, epidemiology, classification, patterns and pathophysiology, complications and comorbidities, and management and therapy.

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    Long description:

    Multiple Sclerosis (MS) is an inflammatory, often progressive, and potentially disabling disease of the central nervous system. Onset of disease is usually between the ages of 15 and 50, with the incidence nearly twice as high in women. While the cause of MS is still unknown, the predominant theory is that it is an autoimmune disease, triggered by an unknown environmental factor that results in both loss of central nervous system myelin and degeneration of axons and neurons. Although there have been a number of publications addressing different aspects of MS treatment in the neurological literature, there is a dearth of material on MS designed for internists and primary care physicians, who are often the first to see patients presenting with symptoms of MS. Therefore, this concise, clinically focused volume will serve as a valuable resource tailored to the specific needs of internists and primary care physicians.

    Part of the Oxford Neurology Library, this highly practical pocketbook covers current approaches and new developments in the diagnosis, treatment and management of MS, including both early and advanced stages of the disease. The book offers in-depth coverage of special populations, as well as the more unusual manifestations of MS, which are less familiar to the internal medicine audience. It will also address the role of imaging studies in the diagnosis, differential diagnosis and monitoring of the progression of MS. In addition to providing up-to-date information on pharmacological therapies for MS, the book also describes an array of non-pharmacological treatment options.

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    Table of Contents:

    Introduction
    1. A Brief History of Multiple Sclerosis
    a.Experimental Autoimmune Encephalomyelitis
    2. Factors Involved in Causing Multiple Sclerosis
    a.Epidemiology
    b.Causes of MS
    c.Immunology
    3. The Patterns and Pathophysiology of
    Multiple Sclerosis
    a.Patterns of MS
    b.Pathophysiology of MS
    4. Imaging of the Central Nervous System
    in Multiple Sclerosis
    a.Standard X-Ray Imaging of the Skull and Spinal Columns
    b.Computed Tomography (CT) Imaging of the CNS
    c.Magnetic Resonance Imaging
    5. Making a Diagnosis of Multiple Sclerosis
    a.Patterns of Disease Presentation
    b.Demographics
    c.Genetics of MS
    d.Initial Clinical Symptoms in Persons with Relapsing-Remitting MS
    e.Initial Clinical Symptoms of Primary-Progressive MS
    f.Presenting Signs in MS
    g.Magnetic Resonance Imaging
    h.Evoked Responses
    i.Cerebrospinal Fluid Analysis
    j.Ruling Out "MS Look-alikes"
    k.Algorithms for the Diagnosis of MS
    l.Imparting a Diagnosis of MS
    6. Complications and Comorbidities of Multiple Sclerosis
    a.Loss of Bone Density (Osteopenia or Osteoporosis)
    b.Sleep Apnea and Other Altered Sleep Patterns
    c.Mood Disturbances
    d.Urinary Tract and Other Infections
    e.Sexual Dysfunction
    f.Skin Lesions
    g.Joint Dysfunction
    h.Obesity
    7. Relapses of Multiple Sclerosis and Their Treatment
    a.What Constitutes a Relapse?
    b.Conventional Relapse Treatments
    c.Unconventional Relapse Treatments
    d.Relapse Prevention
    8. Long-Term Disease-Modifying Therapies
    a.Issues with Long-Term Immune-Modulating Therapies
    b.Beta-Interferons
    c.Glatiramer Acetate
    d.Second-Line Disease-Modifying Therapies
    e.When Should Long-Term Immune-Modulating Therapy Be Stopped?
    f.Future Therapies
    9. Management of Multiple Sclerosis Symptoms
    a. Fatigue
    b.Depression
    c.Pain
    d.Spasticity
    e.Sexual Dysfunction
    f.Conclusion
    10. Complementary Therapies for Multiple Sclerosis
    a.Physical Therapy
    b.Exercise Physiologists
    c.Occupational Therapy
    d.Psychiatrists, Counselors, and Psychologists
    e.Neuropsychologists
    f.Orthotists
    g.Neuro-Ophthalmologists
    h.Urologists
    i.Social Workers
    j.Diet, Nutrition, and Food Supplements
    11. Gender Issues and Special Multiple Sclerosis
    Populations
    a.Women
    b. Men
    c.Children of Parents with MS
    d.Pediatric MS
    12. Resources
    a.Web Sites
    b.Patient Advocacy Organizations
    c.Sites for Disease-Modifying Therapies
    d.Site for MR Imaging Protocol for MS
    e.Patient Books and Materials
    Index

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