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conduct of the examiner has a great in uence on the patient Repetition of this truism may seem tedious, but it is evident that con icting histories can often be traced to leading questions that either suggested symptoms to the patient or led to a distortion of the patient s story Errors and inconsistencies in the recorded history are as often the fault of the physician as of the patient As a corollary, the patient should be discouraged from framing his symptom(s) in terms of a diagnosis that he may have heard; rather, he should be urged to give as accurate a description of the symptom as possible being asked, for example, to choose a single word that best describes his pain and to describe precisely what he means by a particular term, such as dizziness, imbalance, or vertigo The patient who is given to highly circumstantial and rambling accounts can be kept on the subject of his illness by discreet questions that draw out essential points 2 The setting in which the illness occurred, its mode of onset and evolution, and its course are of paramount importance One must attempt to learn precisely how each symptom began and progressed Often the nature of the disease process can be decided from these data alone If such information cannot be supplied by the patient or his family, it may be necessary to judge the course of the illness by what the patient was able to do at different times (eg, how far he could walk, when he could no longer negotiate stairs or carry on his usual work) or by changes in the clinical ndings between successive examinations, provided that the physician

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on investments already in your portfolio, for the good or bad If you are already outright long Microsoft, then you should be aware of how much Microsoft you will be adding to your portfolio by adding a position in an index Conversely, as we get into hedging the portfolio, you will need to understand how much offsetting value you receive on a particular security with the index position On cap-weighted or modi ed cap-weighted indices, nding out what the percentage of the individual stock represents is fairly easy Determine the total market capitalization of the individual component, divide it by the total market capitalization of the index, and the result is the percentage The same would be true for price-weighted indices Take the individual share price and divide it by the total share price of all components to obtain a percentage of the index You can ignore the divisor here because it is the same denominator for each component

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Stroke (all types) Carpal tunnel syndrome Epilepsy Bell s palsy Essential tremor Parkinson disease Brain tumor Multiple sclerosis (especially in Scotland) Giant cell arteritis Migraine Unexplained motor symptoms Trigeminal neuralgia

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Migraine Chronic tension headache Stroke Alzheimer disease Epilepsy Essential tremor Multiple sclerosis Chronic fatigue syndrome Parkinson disease Unexplained motor symptoms Neuro bromatosis Myasthenia gravis

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nial nerves, neck, and trunk to the testing of motor, re ex, and sensory functions of the upper and lower limbs This is followed by an assessment of the function of sphincters and the autonomic nervous system and suppleness of the neck and spine (meningeal irritation) Gait and station (standing position) should be observed before or after the rest of the examination In addition, it is often instructive to observe the patient in the course of his natural activities, such as walking or dressing; this may disclose subtle abnormalities of gait and movement that might not be evident in formal testing When an abnormal nding is detected, whether cognitive, motor, or sensory, it becomes necessary to analyze the problem in a more elaborate fashion Details of these more extensive examinations are to be found in appropriate chapters of the book (motor, Chaps 3, 4 and 5; sensory, Chaps 8 and 9; and cognitive and language disorders, Chaps 22 and 23) The neurologic examination is ideally performed and recorded in a sequential and uniform manner in order to avoid omissions and facilitate the subsequent analysis of case records Some variation in the precise order of examination from physician to physician is permissible, but each examiner establishes an accustomed pattern The thoroughness of the neurologic examination must of necessity be governed by the type of clinical problem presented by the patient To spend a half hour or more testing cerebral, cerebellar, cranial nerve, and sensorimotor function in a patient seeking treatment for a simple compression palsy of an ulnar nerve is pointless and uneconomical The examination must also be modi ed according to the condition of the patient Obviously many parts of the examination cannot be carried out in a comatose patient; also, infants and small children as well as patients with psychiatric disease must be examined in special ways Not to be neglected are certain portions of the general physical examination that may be particularly informative in the patient with neurologic disease For example, examination of the pulse and blood pressure as well as carotid and cardiac auscultation are essential in a patient with stroke; likewise, the skin can reveal a number of conditions that pertain to congenital, metabolic, and infectious causes of neurologic disease; and so on.

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