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Decision-Making in Child Neurology

Peggy C. Ferry, MD
Am J Dis Child. 1987;141(7):733. doi:10.1001/archpedi.1987.04460070035016.
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This volume is one of a series of 29 monographs in the "Clinical Decision-Making Series" published by BC Decker Inc. Using the decision-tree format, the authors depict the steps involved in proceeding logically from a neurologic

Conventional vs algorithm approach to diagnosis in child neurology.

Child with Suspected Neurologic Problem

Conventional Physical Examination and History Approach

Physician Selects Pertinent Features of Both

Decides on Appropriate Neurodiagnostic Tests, if Necessary

Algorithm Approach

Physician Follows Arrows and Avoids Thinking Logically About Problem

Incorrect Diagnosis, Inappropriate Therapy

Makes Correct Diagnosis and Formulates Treatment Plan symptom or sign to the ultimate diagnosis and appropriate management plan. The format is designed to complement material available in standard textbooks.

Two major sections are included: (1) evaluation of signs and symptoms (developmental delay, disorders of consciousness, sleep disturbances, abnormal head size, cranial nerve disorders, motor disturbances, and sensory


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