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Your Questions Answered
by Swami Krishnananda
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This is the second edition of a succinct, evidence-based source of answers to questions commonly asked by general practitioners about stroke (eg. definitions, epidemiology, causes, clinical features, investigations, management, outcome and secondary prevention).
It is divided into sixteen chapters, each with a list of relevant key references for further reading. The first two chapters define what is meant by a stroke and the size of a problem for stroke patients, their carers and the community. Chapters 3-15 address, in turn, the five key questions that should be answered in the diagnosis and management of all stroke patients:
1. Is it a stroke?
2. Where is the stroke lesion? (i.e. which part of the brain and what arterial territory is affected?)(chapter 4)
3. What is the cause of the stroke? (i.e. is it an infarct or haemorrhage, and what is the cause of the infarct or haemorrhage?) (chapters 6-8)
4. What is the prognosis for survival and handicap? (chapter 9)
5. What can be done to optimise patient outcome and prevent recurrant stroke? (chapters 10-15)
Chapter 16 discusses stroke in special populations (e.g. children, pregnant women). The book concludes with appendices providing information on stroke organisations (including postal and internet addresses) and medical websites.
Western General Hospital, Edinburgh, UK. Comprehensive reference for all practitioners involved in stroke care. Approach throughout is clinical management should be based on evidence wherever possible. Integrates causation, presentation, diagnosis, management, and rehabilitation. Extensive references. Previous edition: c1996. DNLM: Cerebrovascular Accident.
About the Author
Graeme J. Hankey, MBBS, MD, FRCP(Edin), FRACP, Royal Perth Hospital, Perth, Australia
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