LibGuides: Problem-based Learning & Finding the Evidence: Case 16: Jerry Yung: I just don't know

Textbooks

The following are textbooks of possible interest and are all print resources.

A few key books you already should know are Harrison's, Clinical Neurology, & Clinical Neuroanatomy - all from AccessMedicine.

Cranial Neuroimaging and Clinical Neuroanatomy by Heinrich Lanfermann, et al
Publication Date: 2019
Helps you visualize and interpret CT and MR images of the cranium. Detailed brain anatomy is shown in the three orthogonal planes and includes details on the potential sites of lesions and corresponding neurologic deficits.
Principles of Neurology by Allan H. Ropper; Martin Samuels
One of the course's recommended textbooks.
Clinical Neuroanatomy by David G. Brock; Elliott L. Mancall
Get a better understanding of the brain stem and other areas of the brain.
Atlas of Clinical Neurology by Roger N. Rosenberg (Editor)
Look for the chapter on cerebral vascular disease.
Transient Ischemic Attack and Stroke by Gary Lau, Sarah Pendlebury et al
Publication Date: 2018
A nice comprehensive text for many of your stroke/TIA looks ups from epi & risk factors to imagining to short & long term prognosis to treatment options.
Bates' guide to physical examination and history taking by Lynn S Bickley
Call Number: WB 205 B583b 2009

Don't forget there may be some great tips here on using the physical exam to evaluate the location of a possible neurological issue.
Cranial nerves : functional anatomy by Stanley Monkhouse
Call Number: WL 330 M745c 2006
Need a good review of the nerves?

Not Finding What You Need? Just Ask:

Not finding what you need? Having trouble using one of our resources? Please let us know.

Ask Karen - you can reach me at 858-534-1199 or at kheskett@ucsd.edu

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Mr. Jerry Yung

Resources for this Case

Textbook Suggestions (look left)

Point of Care Resources -- tools to use

National Organizations

PubMed Tips -- Title Search

A Couple of Neuroanatomy Books to Note -- including an online workbook

Communicating with and about Patients

Patient Resources

Point of Care Tools

As you might expect, the point of care tools will be very helpful for many of your topics this week from BPPV to TIA to stroke to a DDX on nystagmus.

Medscape - Stroke & Anti-coagulation
Check out the thoughts on secondary stroke prevention or look at location specific types of stroke. Create a free account to see entire section.
Up to Date
If looking up stroke, look for the table of stroke types.
Micromedex
The differential for stroke here is quite extensive and very informative.

PubMed Search Tip

PubMed Title Search

Sometimes, it helps to let PubMed know what your priority term is in your search. You've seen a tip about using MeSH and that is one way to give PubMed a heads up that one term is a very important term. In this case, there is a great stroke pathophysiology MeSH term that can be turned into a Major topic heading (aka, main point of the article).

"Stroke/physiopathology"[MAJR]

This gives you more than 10,000 articles.

There is another way to find some good articles on your topic and that is when the term you want is in the title of the article. So, think like an author (for example, when a term is used in the title of your article, it must be an important part of the article and you might find good discussion about it, right?) and figure out what term or terms would be in the title of articles that are most pertinent. That might be a way to find some great treatment articles. Ti in square brackets is the way to specify the title (or do it on the Advanced search page). Try it:

treatment[ti]

Don't forget to add in a term to narrow this to stroke. Better yet, use the Major MeSH term too and really focus your results. You could have something like:

"Stroke/physiopathology"[MAJR] treatment[ti]

There are some very interesting looking titles is this list.

PubMed

National Organizations

There are many national organizations on this weeks topics and I have listed just a few. Some have resources specifically for the health professional (and has patient info, too) while others are key government departments that have some great patient info as well as some for health professionals.

American Academy of Family Physicians
Information on TIA and critiqued existing practice guidelines. A good perspective on Jerry's history with TIA.
National Institute of Neurological Disorders and Stroke
The NIH division for these topics.
Caring Connections - State's Advanced Directives forms
A private organization to help patients with making medical decisions and advance directives.
American Academy of Neurology - Factors Influencing Medical Decisions
A short article on the results of a study and conclusions about how to present information.

A Couple of NeuroAnatomy Books

Books Worth a Look

I found an interesting online book that may appeal to the kinetic learners amoung you - Neuroanatomy : draw it to know it. An interesting book that provides images of the brain anatomy, labeled, but then provides exercises for you to draw them out and test if you really have a firm grasp on the neuroanatomy. Since it is online through EBL (a publisher), you can print the practice pages and draw them the usual way. I think it might be a great study aid.

Neuroanatomy : Draw It to Know It by Adam Fisch
A new workbook dedicated to understanding neuroanatomy.

A tip from Dr. Curington: try using two books together. One, more entertaining with very memorable examples (Clinical Neuroanatomy Made Ridiculously Simple) and the other with the depth (Basic Human Neuroanatomy) to better understand the topic. We only have 1 copy of these two but they are available through other UC schools. Request it through Melvly (see link below). If interested, get it quick!

Clinical Neuroanatomy Made Ridiculously Simple by Stephen Goldberg
Call Number: WL 101 G618c 2014
Available in print only but highly recommended.
Basic Human Neuroanatomy by Craig Watson; Craig Hillis (Illustrator)
Call Number: WL 17 W337b 2012
It has good depth of coverage on this topic. Check to see if it is available.

Communicating with Patients

Communicating with and about Patients

There are several resources you can use to inform your look up on communicating with patients and their families. SBAR is one way of doing that and you have a couple ways of learning more about that - through articles or through books.

Looking for Articles?

For Articles, this is a pretty simple search in PubMed because you can search for SBAR and it handles this abbreviation just fine. You can narrow that a bit. The research on this started over a decade ago, so there are probably some good reviews and systematic reviews - use the Review filter to get to those articles.

For Books, you can search Roger. Here are a couple that will come up.

Practical Patient Safety by John Reynard, et al
Publication Date: 2009
We don't have many books on SBAR, but there is an appendix section in this book that might have some interesting points for your look up.
Understanding Patient Safety by Robert Wachter; Kiran Gupta
Publication Date: 2017
It has a chapter on Transition & Handoff errors - find it in AccessMedicine

Point of Care Tools

Even Up to Date has some info on dealing with telling patients difficult information. Try looking for discussing serious news. Breaking bad news would work too.

Up to Date

MedlinePlus: Information Tool for Patients

Having a "go-to" resource for patient information can be a big time saver. MedlinePlus gathers a wealth of vetted, reliable resources into one easy to use search tool. For this case, see what they have on Advance Directives or Medical decision making.