Clifford B. Saper's Books

Plum and Posner's Diagnosis and Treatment of Stupor and Coma

By: Jerome B. Posner MD,Clifford B. Saper MD, PhD,Nicholas D. Schiff MD,Jan Claassen MD, PhD

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Plum and Posner's Diagnosis and Treatment of Stupor and Coma

By: Jerome B. Posner MD,Clifford B. Saper MD, PhD,Nicholas D. Schiff MD,Jan Claassen MD, PhD

Plum and Posner's Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital. The first chapter of the book provides an up-to-date review on the brain mechanisms that maintain a conscious state in humans, and how lesions that damage these mechanisms cause loss of consciousness or coma. The second chapter reviews the neurological examination of the comatose patient, which provides the basis for determining whether the patient is suffering from a structural brain injury causing the coma, or from a metabolic disorder of consciousness. The third and fourth chapters review the pathophysiology of structural lesions causing coma, and the specific disease states that result in coma. Chapter five is a comprehensive treatment of the many causes of metabolic coma. Chapter 6 review psychiatric causes of unresponsiveness and how to identify and treat them. Chapters 7 and 8 review the overall emergency treatment of comatose patients, followed by the treatment of specific causes of coma. Chapter 9 examines the long term outcomes of coma, including the minimally conscious state and the persistent vegetative state, and how they can be distinguished, and their implications for eventual useful recovery. Chapter 10 reviews the topic of brain death and the standards for examination of a patient that are required to make the determination of brain death. The final chapter 11 is by J.J. Fins, a medical ethicist who was invited by the other authors to write an essay on the ethics of diagnosis and treatment of patients who, by definition, have no way to approve of or communicate about their wishes. While providing detailed background for neurological and neurosurgical specialists, the practical nature of the material in this book has found its greatest use among Internists, Emergency Medicine, and Intensive Care specialists, who deal with comatose patients frequently, but who may not have had extensive neurological training.

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521

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Oxford University Press

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ISBN 10

0190208880

ISBN 13

9780190208882

Plum and Posner's Diagnosis of Stupor and Coma

By: Jerome B. Posner M.D.,Clifford B. Saper M.D.,Nicholas Schiff M.D.,Fred Plum M.D.

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Plum and Posner's Diagnosis of Stupor and Coma

By: Jerome B. Posner M.D.,Clifford B. Saper M.D.,Nicholas Schiff M.D.,Fred Plum M.D.

Delirium, stupor and coma are common clinical states that confront clinicians in almost every medical specialty. With appropriate diagnosis and treatment, coma can often be treated successfully. Conversely, delay in diagnosis and treatment may be lethal. This monograph provides an update on the clinical approach that was laid out in the previous 3 editions. It describes an approach for the physician at the bedside to diagnose and treat alterations of consciousness, based on pathophysiologic principles. The book begins with a description of the physiology of consciousness and the pathophysiology of disorders of consciousness. It continues with a description of the approach to a patient with a disorder of consciousness, emphasizing the bedside examination, but including the use of modern imaging techniques. The important structural and metabolic causes of coma are reviewed in detail. It then describes the emergency treatment, both medical and surgical, of patients with specific disorders of consciousness and their prognosis. New chapters describe the approach to the diagnosis of brain death and the clinical physiology of the vegetative state and minimally conscious state, as well as the ethics of dealing with such patients and their families. The book is aimed at medical students and residents, in fields from internal medicine and pediatrics to emergency medicine, surgery, neurology, neurosurgery, and psychiatry, who are likely to encounter patients with disordered states of consciousness. It includes historical background and basic neurophysiology that is important for those in the clinical neurosciences, but also lays out a practical approach to the comatose patient that is an important part of the repertoire of all clinicians who provide emergency care for patients with disorders of consciousness.

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416

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Oxford University Press

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ISBN 10

0198043368

ISBN 13

9780198043362

Plum and Posner's Diagnosis and Treatment of Stupor and Coma

By: Jerome B. Posner MD,Clifford B. Saper MD, PhD,Nicholas D. Schiff MD,Jan Claassen MD, PhD

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Plum and Posner's Diagnosis and Treatment of Stupor and Coma

By: Jerome B. Posner MD,Clifford B. Saper MD, PhD,Nicholas D. Schiff MD,Jan Claassen MD, PhD

Average ratings

N/A

Write a review

Solve jigsaw puzzle

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521

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Oxford University Press

Published Date

ISBN 10

0190208899

ISBN 13

9780190208899

Book's by Clifford B. Saper

Plum and Posner's Diagnosis and Treatment of Stupor and Coma

Plum and Posner's Diagnosis and Treatment of Stupor and Coma

Plum and Posner's Diagnosis of Stupor and Coma

Plum and Posner's Diagnosis of Stupor and Coma

Plum and Posner's Diagnosis and Treatment of Stupor and Coma

Plum and Posner's Diagnosis and Treatment of Stupor and Coma

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