Can Fam Physician. 1990 Feb;36:297-9.
Ten per cent of patients visiting their family physician have a neurological complaint, and 1% to 2% eventually are diagnosed as having a definite neurological problem. Although most neurological problems can be managed effectively by the family physician, many physicians have trouble conducting a neurological examination confidently, interpreting the results of their findings, or deciding what tests should be done. The author outlines what the family practitioner should know about the field, including certain basic concepts about the nervous system, the appropriate attitude toward neurological problems and patients, characteristics of an efficient, high-yield neurological screening examination, and emergency management of common and treatable neurological conditions.
10%的患者会向家庭医生诉说神经系统方面的不适,其中 1%至 2%最终会被诊断为患有明确的神经系统疾病。尽管大多数神经系统疾病都可以由家庭医生有效治疗,但许多医生在进行神经系统检查、解读检查结果或决定应进行哪些检查时都存在困难。作者概述了家庭医生应该了解的神经科领域知识,包括有关神经系统的某些基本概念、对待神经系统疾病和患者的恰当态度、高效、高产出的神经系统筛查检查的特点,以及常见可治疗的神经系统疾病的急症处理。