Which neurological disorder should I explain in detail?

Which group should I explain first with definition, signs/symptoms, risk factors, disease pattern, nursing diagnoses, and interventions?

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neurologic disorders nursing

WHO neurological disorders fact sheet neurological conditions stroke epilepsy dementia meningitis

mkdir -p "/tmp/workspace/neurology-nursing-guide/src" "/tmp/workspace/neurology-nursing-guide/output" && python - <<'PY' from pathlib import Path p=Path('/tmp/workspace/neurology-nursing-guide/src/build_guide.py') p.write_text(r'''from reportlab.lib import colors from reportlab.lib.enums import TA_CENTER, TA_LEFT from reportlab.lib.pagesizes import A4 from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle from reportlab.lib.units import cm from reportlab.platypus import SimpleDocTemplate, Paragraph, Spacer, PageBreak, Table, TableStyle, KeepTogether from reportlab.pdfbase.ttfonts import TTFont from reportlab.pdfbase import pdfmetrics from reportlab.lib.colors import HexColor OUT='/tmp/workspace/neurology-nursing-guide/output/Major_Neurological_Disorders_Nursing_Study_Guide.pdf' NAVY=HexColor('#17365D'); TEAL=HexColor('#1F6D78'); PALE=HexColor('#EAF3F5'); LIGHT=HexColor('#F5F8FA'); RED=HexColor('#9C2F2F'); GREY=HexColor('#52616B') styles=getSampleStyleSheet() styles.add(ParagraphStyle(name='CoverTitle', parent=styles['Title'], fontName='Helvetica-Bold', fontSize=24, leading=29, textColor=NAVY, alignment=TA_CENTER, spaceAfter=14)) styles.add(ParagraphStyle(name='Sub', parent=styles['Normal'], fontSize=11, leading=15, textColor=GREY, alignment=TA_CENTER)) styles.add(ParagraphStyle(name='H1x', parent=styles['Heading1'], fontName='Helvetica-Bold', fontSize=17, leading=21, textColor=NAVY, spaceBefore=8, spaceAfter=8)) styles.add(ParagraphStyle(name='H2x', parent=styles['Heading2'], fontName='Helvetica-Bold', fontSize=13, leading=16, textColor=TEAL, spaceBefore=10, spaceAfter=5)) styles.add(ParagraphStyle(name='Bodyx', parent=styles['BodyText'], fontName='Helvetica', fontSize=8.5, leading=11.2, spaceAfter=4)) styles.add(ParagraphStyle(name='Small', parent=styles['BodyText'], fontName='Helvetica', fontSize=7.5, leading=9.3, textColor=GREY)) styles.add(ParagraphStyle(name='Box', parent=styles['BodyText'], fontName='Helvetica', fontSize=8, leading=10.2, spaceAfter=2)) def P(text, style='Bodyx'): return Paragraph(text, styles[style]) def bullets(items): return '<br/>'.join('• '+x for x in items) disorders=[ ('1. Stroke and transient ischemic attack (TIA)', 'Brain function is damaged because blood flow is blocked (ischemic stroke) or bleeding occurs (hemorrhagic stroke). A TIA causes brief stroke-like symptoms without lasting infarction.', 'FAST symptoms: face droop, arm weakness, speech difficulty, time to call emergency services. Also sudden one-sided numbness, vision loss, severe imbalance, confusion, or sudden severe headache (more suggestive of hemorrhage).', 'High blood pressure, atrial fibrillation, diabetes, smoking, high cholesterol, obesity, older age, prior TIA/stroke.', 'Usually sudden onset. Deficits depend on the brain area involved. TIA resolves, but is a warning of early stroke risk.', ['Ineffective cerebral tissue perfusion','Risk for aspiration','Impaired physical mobility / impaired verbal communication'], ['Activate stroke pathway; document last-known-well time and serial neurologic findings.','Keep NPO until swallow screen; position upright for oral intake and use aspiration precautions.','Monitor vital signs, glucose, pupils, strength, speech and consciousness as ordered; report deterioration immediately.','Reposition, protect weak shoulder/limb, early rehabilitation, DVT/skin/fall prevention, communication aids.']), ('2. Epilepsy and status epilepticus', 'Epilepsy is a tendency to have recurrent unprovoked seizures from abnormal electrical activity in the brain. Status epilepticus is prolonged or repeated seizure activity without recovery and is an emergency.', 'Possible aura, staring, loss of awareness, stiffening or jerking, automatisms, incontinence, tongue injury, followed by confusion, headache, or sleepiness.', 'Brain injury, stroke, CNS infection, genetic predisposition, alcohol/drug withdrawal, missed antiseizure medicine, sleep deprivation. Some seizures have no identified cause.', 'Seizure type and frequency vary. A postictal period may follow. A convulsive seizure lasting 5 minutes or repeated seizures without recovery needs emergency treatment.', ['Risk for injury','Risk for aspiration','Acute confusion'], ['During seizure: stay with patient, time it, protect head, loosen tight clothing, turn to side when possible, remove hazards.','Do not restrain, do not place anything in the mouth, and do not give food/drink until fully alert.','Maintain airway and oxygen/suction equipment per policy; check glucose if indicated; observe seizure features and recovery.','Give prescribed antiseizure treatment; teach adherence, sleep, trigger avoidance, safety and emergency plan.']), ('3. Meningitis and encephalitis', 'Meningitis is inflammation of the membranes around the brain and spinal cord. Encephalitis is inflammation of brain tissue, often viral. Both can become life-threatening.', 'Fever, severe headache, neck stiffness, vomiting, photophobia, altered behavior or consciousness, seizures. Rash may occur in meningococcal disease. Infants may show poor feeding, irritability, or bulging fontanelle.', 'Exposure to infectious agents, no relevant vaccination, immunosuppression, extremes of age, recent neurosurgery or head injury.', 'Can progress quickly from fever/headache to confusion, seizures, shock, raised intracranial pressure, or coma. Bacterial meningitis requires urgent antimicrobials.', ['Hyperthermia','Acute confusion','Risk for ineffective cerebral tissue perfusion'], ['Escalate urgently; monitor consciousness, pupils, vitals, seizure activity, intake/output and signs of raised intracranial pressure.','Use prescribed isolation precautions, obtain ordered specimens without delaying emergency treatment, administer prescribed antimicrobials/antivirals promptly.','Reduce stimuli, provide fever/pain management, protect airway and use seizure/fall precautions.','Teach vaccination, infection prevention and need for urgent review of recurrent warning symptoms.']), ('4. Parkinson disease', 'A progressive disorder in which dopamine-producing brain cells are lost, causing movement and non-movement symptoms.', 'Tremor at rest, slowness (bradykinesia), rigidity, shuffling gait, stooped posture, reduced facial expression, soft voice. Constipation, sleep changes, depression and cognitive changes may occur.', 'Older age, family history/genetic factors; most cases have no single known cause.', 'Gradual, long-term progression. Symptoms often start on one side. Falls, swallowing problems and medication wearing-off may develop.', ['Impaired physical mobility','Risk for falls','Self-care deficit / impaired swallowing'], ['Schedule activity during best medication response; give antiparkinson medicines exactly on time as prescribed.','Encourage cueing, slow position changes, exercise/physiotherapy, assistive devices and a clutter-free environment.','Assess swallowing, weight, hydration and constipation; use speech/swallow referral and aspiration precautions if needed.','Support independence with extra time for self-care; screen mood/cognition and educate caregiver.']), ('5. Alzheimer disease and other dementias', 'Dementia is a chronic decline in memory and thinking that affects daily life. Alzheimer disease is the most common type, involving progressive brain-cell damage.', 'Increasing short-term memory loss, disorientation, word-finding difficulty, impaired judgment, personality/behavior change, declining ability to manage daily activities.','Older age, family history/genetics, vascular risk factors, low physical activity, smoking, social isolation and head injury can contribute to risk.', 'Usually slow and progressive: early memory problems, then impaired function/behavior, then dependence for basic care and swallowing/mobility problems in advanced disease.', ['Chronic confusion','Risk for injury / wandering','Self-care deficit'], ['Use calm, simple one-step communication; orient gently with clocks, familiar objects and consistent routines.','Assess pain, infection, constipation, dehydration and medication effects when behavior suddenly changes.','Prevent wandering/falls: supervision, ID measures, safe environment, remove hazards.','Promote remaining abilities and dignity; support nutrition, skin care, sleep, caregiver respite and advance-care discussions.']), ('6. Multiple sclerosis (MS)', 'An immune-mediated disease in which myelin in the central nervous system is damaged, interrupting nerve signals.', 'Vision changes or eye pain, numbness/tingling, weakness, spasticity, imbalance, fatigue, bladder/bowel changes, cognitive or mood symptoms.', 'Young adulthood, female sex, family susceptibility, smoking, low vitamin D and prior Epstein-Barr virus exposure are associated risks.', 'Often relapsing-remitting with episodes and partial recovery; some people develop gradual progressive disability.', ['Fatigue','Impaired physical mobility','Urinary elimination impairment'], ['Assess function, fatigue, vision, mood, pain and bladder/bowel pattern.','Plan rest periods, energy conservation and cooling strategies; avoid overheating when it worsens symptoms.','Support safe mobility, ROM, fall prevention and rehabilitation; assist with bladder program and skin care.','Give disease-modifying and relapse therapy as prescribed; teach infection reporting and medication monitoring.']), ('7. Guillain-Barre syndrome (GBS)', 'An acute immune-mediated attack on peripheral nerves, often after an infection, causing rapidly progressive weakness.', 'Tingling and symmetric weakness starting in feet/legs and moving upward, reduced reflexes, facial weakness, swallowing difficulty, pain, unstable pulse/BP, and breathing weakness.', 'Often follows respiratory or gastrointestinal infection. Rarely follows other immune triggers.', 'Usually progresses over hours to days, reaching worst weakness within about 4 weeks, then plateau and slow recovery. Respiratory failure and autonomic instability may occur.', ['Ineffective breathing pattern','Impaired physical mobility','Risk for aspiration'], ['Frequent respiratory assessment: rate, work of breathing, cough, oxygenation and ordered vital-capacity measures; escalate changes immediately.','Monitor pulse/BP and dysrhythmia symptoms; prepare for higher-level care if rapidly worsening.','Aspiration precautions and swallow assessment; provide communication support if intubated.','Prevent pressure injury, contractures, DVT and pain; provide gentle ROM and rehabilitation.']), ('8. Myasthenia gravis (MG)', 'An autoimmune disorder where nerve-to-muscle signals fail, causing fluctuating voluntary muscle weakness.', 'Ptosis, double vision, facial weakness, nasal voice, chewing/swallowing difficulty, limb weakness and shortness of breath. Weakness worsens with activity and improves with rest.', 'Autoimmune disease, thymus abnormalities, certain medicines or infections may worsen symptoms. It can occur at any age.', 'Fluctuating pattern. Myasthenic crisis causes severe respiratory/bulbar weakness and needs emergency care.', ['Ineffective breathing pattern','Impaired swallowing','Activity intolerance'], ['Assess respiratory effort, cough, speech, swallowing and fatigue frequently; report increasing weakness urgently.','Give anticholinesterase therapy precisely as prescribed; coordinate meals/activity around best strength periods.','Use aspiration precautions, small frequent meals and diet/speech referral when required.','Plan rest, avoid overexertion, teach crisis warning signs and medicines that may worsen weakness.']), ('9. Amyotrophic lateral sclerosis (ALS / motor neuron disease)', 'A progressive degeneration of motor neurons, causing muscle weakness and wasting while sensation is usually preserved.', 'Progressive limb weakness, cramps/fasciculations, speech and swallowing problems, weak cough and breathlessness. Thinking may be affected in some people.', 'Most cases are sporadic; some are inherited. Risk rises with age.', 'Gradual progression from focal weakness to widespread motor and respiratory impairment. Consciousness and sensation are generally preserved.', ['Ineffective airway clearance / breathing pattern','Impaired verbal communication','Imbalanced nutrition: less than body requirements'], ['Monitor respiratory symptoms, cough strength, sleep-related hypoventilation signs, nutrition and swallowing.','Coordinate respiratory, speech-language, nutrition and palliative-care support early.','Use communication devices and allow time to respond; support autonomy and advance-care planning.','Prevent skin injury/contractures, manage secretions, assist safe feeding and caregiver education.']), ('10. Migraine and cluster headache', 'Migraine is a recurrent neurologic headache, often with nausea and sensitivity to light/sound. Cluster headache causes very severe brief attacks around one eye in repeated clusters.', 'Migraine: throbbing headache, nausea, photophobia, aura in some. Cluster: one-sided orbital pain, tearing, red eye, nasal symptoms, restlessness.', 'Migraine: family history, hormonal changes, stress, poor sleep, alcohol or food triggers. Cluster: male sex, smoking/alcohol may trigger attacks during a cluster.', 'Migraine attacks typically last hours to days. Cluster attacks are shorter and recur several times daily for weeks.', ['Acute pain','Nausea','Disturbed sensory perception / sleep disturbance'], ['Assess for red flags: first/worst sudden headache, fever, neurologic deficit, altered consciousness, trauma, pregnancy-related concern. Escalate urgently if present.','Provide quiet dark room, hydration if appropriate, nausea support and prescribed acute/preventive treatment.','Encourage a headache diary, sleep routine, trigger identification and avoidance of medication overuse.']), ('11. Bell palsy and peripheral neuropathy', 'Bell palsy is sudden weakness of one side of the face from facial-nerve dysfunction. Peripheral neuropathy is damage to peripheral nerves, commonly causing sensory and motor symptoms in hands/feet.', 'Bell palsy: facial droop, inability to close eye, altered taste. Neuropathy: burning pain, numbness, tingling, reduced sensation, weakness, balance problems.', 'Bell palsy is often idiopathic, sometimes linked to viral reactivation. Neuropathy risks include diabetes, alcohol, vitamin deficiency, kidney disease, chemotherapy and infections.', 'Bell palsy often improves over weeks to months. Neuropathy may be chronic and progressive unless cause is treated.', ['Risk for injury','Acute/chronic pain','Disturbed sensory perception'], ['For Bell palsy, protect eye: lubricants, eye shield/taping as prescribed; assess corneal irritation.','For neuropathy, inspect feet daily, ensure properly fitted footwear, avoid heat injury, promote fall prevention.','Manage pain as prescribed, assess function/balance and address underlying cause such as glucose control.']), ('12. Traumatic brain injury (TBI) and raised intracranial pressure (ICP)', 'TBI is brain damage caused by external force. Raised ICP occurs when pressure inside the skull increases and can reduce brain perfusion.', 'Headache, vomiting, confusion, loss of consciousness, unequal pupils, worsening weakness, seizures. Late signs of critically raised ICP can include decreased consciousness, abnormal breathing, bradycardia and hypertension.', 'Falls, road traffic injuries, violence, sports injuries, anticoagulants and alcohol/substance use.', 'May be immediate or worsen due to bleeding/swelling. Any declining level of consciousness is an emergency.', ['Ineffective cerebral tissue perfusion','Risk for aspiration','Acute confusion'], ['Frequent neuro checks using facility protocol; report falling consciousness, pupil change, repeated vomiting, seizures or new focal deficit immediately.','Maintain airway and ordered head/neck positioning; avoid actions that increase ICP; minimize unnecessary stimulation.','Use seizure, fall, skin and aspiration precautions; monitor temperature, glucose, intake/output and ordered labs.','Provide family updates, rehabilitation support and discharge education on red flags.']), ('13. Brain tumor and hydrocephalus', 'A brain tumor is abnormal growth in the brain. Hydrocephalus is excess cerebrospinal fluid causing enlarged ventricles and pressure effects.', 'Headache, vomiting, seizures, personality/cognitive changes, focal weakness, visual changes and gait difficulty. Hydrocephalus may cause gait decline, urinary incontinence and cognitive slowing in adults.', 'Risk varies by tumor type; prior radiation and some inherited syndromes contribute. Hydrocephalus may follow congenital abnormalities, hemorrhage, infection or tumor.', 'Course depends on cause, location and growth. Symptoms can result from focal brain involvement or raised ICP.', ['Ineffective cerebral tissue perfusion','Risk for injury','Impaired physical mobility'], ['Monitor neurologic status, headache/vomiting, vision, gait and seizure activity; escalate deterioration.','Use fall/seizure precautions, assist mobility and maintain safe environment.','For shunts/drains, follow strict facility protocol; observe for infection or malfunction and report symptoms promptly.','Support corticosteroid/oncology/neurosurgical care as ordered; address psychosocial and rehabilitation needs.']), ('14. Spinal cord injury (SCI)', 'Damage to the spinal cord that causes loss or change in movement, sensation and autonomic function below the injury level.', 'Weakness or paralysis, sensory loss, bowel/bladder dysfunction, pain, breathing difficulty with high cervical injury, autonomic dysreflexia risk in injuries at or above T6.', 'Road traffic injury, falls, sports trauma, violence; non-traumatic causes include tumor, infection and degenerative compression.', 'Immediate phase may include spinal shock. Long-term consequences depend on injury level/completeness. Autonomic dysreflexia is a sudden emergency with severe hypertension, headache, sweating/flushing.', ['Impaired physical mobility','Impaired urinary elimination','Risk for impaired skin integrity'], ['Maintain spinal alignment and transfer precautions; monitor respiratory status, circulation and neuro changes.','Perform pressure-area prevention, scheduled turning, ROM, DVT prevention and safe positioning.','Establish individualized bowel/bladder program; monitor for infection and retention.','Recognize autonomic dysreflexia: sit upright, loosen tight items, check common triggers such as bladder/bowel obstruction, seek urgent medical help.']), ('15. Cerebral palsy (CP) and spina bifida', 'CP is a non-progressive injury to the developing brain that affects movement and posture. Spina bifida is a neural-tube defect; myelomeningocele can affect legs, bladder/bowel and sensation.', 'CP: delayed milestones, abnormal tone, poor coordination, contractures, feeding/communication problems. Spina bifida: leg weakness/sensory loss, bowel/bladder dysfunction, hydrocephalus risk and skin problems.', 'CP risk includes prematurity, birth complications, infection or brain injury. Spina bifida risk includes inadequate folic acid before conception, certain medicines and genetic factors.', 'CP brain injury does not worsen, but functional problems can change with growth. Spina bifida requires lifelong multidisciplinary management.', ['Impaired physical mobility','Risk for impaired skin integrity','Delayed growth and development / urinary elimination impairment'], ['Use family-centered developmental care; support physiotherapy, positioning, ROM, adaptive equipment and communication.','Assess feeding/swallowing, growth, elimination, pain, skin and caregiver burden.','For myelomeningocele, protect lesion per specialist protocol, use latex precautions where indicated, monitor shunt/ICP symptoms and teach clean intermittent catheterization if prescribed.'])] def footer(canvas, doc): canvas.saveState(); canvas.setStrokeColor(TEAL); canvas.setLineWidth(.4); canvas.line(1.5*cm,1.35*cm,19.5*cm,1.35*cm) canvas.setFont('Helvetica',7); canvas.setFillColor(GREY); canvas.drawString(1.5*cm,.85*cm,'Major Neurological Disorders: Nursing Study Guide | Educational use') canvas.drawRightString(19.5*cm,.85*cm, f'Page {doc.page}') canvas.restoreState() doc=SimpleDocTemplate(OUT,pagesize=A4,rightMargin=1.45*cm,leftMargin=1.45*cm,topMargin=1.35*cm,bottomMargin=1.75*cm) story=[] story += [Spacer(1,3.0*cm), P('Major Neurological Disorders','CoverTitle'), P('A simple nursing study guide: definitions, signs and symptoms, risk factors, disease patterns, priority nursing diagnoses, and interventions','Sub'), Spacer(1,.7*cm)] cover=[[P('<b>For nursing students</b><br/>Use this guide for revision and clinical preparation. Follow local policies, prescriptions, and the supervising clinician for actual patient care.','Box')]] t=Table(cover,colWidths=[16.8*cm]); t.setStyle(TableStyle([('BACKGROUND',(0,0),(-1,-1),PALE),('BOX',(0,0),(-1,-1),.7,TEAL),('LEFTPADDING',(0,0),(-1,-1),12),('RIGHTPADDING',(0,0),(-1,-1),12),('TOPPADDING',(0,0),(-1,-1),11),('BOTTOMPADDING',(0,0),(-1,-1),11)])); story+=[t,Spacer(1,.8*cm)] story += [P('<b>Emergency escalation:</b> Call for urgent medical help for sudden facial/arm weakness or speech difficulty; seizure lasting 5 minutes or repeated seizures without recovery; rapidly falling consciousness; severe sudden headache; fever with neck stiffness; new breathing or swallowing difficulty; or sudden neurologic deterioration.','Box'),Spacer(1,.5*cm),P('How to use this guide','H2x'),P('Each section is a quick study note. “Disease pattern” describes the typical course, not a diagnostic rule. Nursing diagnoses are common priorities and must be individualized after assessment.','Bodyx'),PageBreak()] story += [P('Core neurologic nursing assessment','H1x'),P(bullets(['Level of consciousness and behavior: observe change from baseline.','Pupils: size, equality and reactivity as ordered.','Motor and sensory function: strength, drift, gait, sensation and coordination.','Speech, cognition and swallowing: assess safety before food, fluids or oral medication when indicated.','Vital signs, pain, glucose, temperature, oxygenation, intake/output and seizure activity.','Safety: airway equipment, aspiration, falls, skin pressure, VTE, bowel/bladder and communication needs.'])),Spacer(1,.25*cm),P('Priority safety reminders','H2x'),P(bullets(['Do not delay emergency escalation while completing documentation.','Do not give food, fluid or oral medicines to a patient with suspected unsafe swallow until assessed.','For a seizure: protect from injury and time the event. Do not restrain or put objects in the mouth.','Neurologic observation frequency and treatment choices must follow the prescriber and local protocol.'])),PageBreak()] for title,definition,signs,risk,pattern,dx,interv in disorders: story += [P(title,'H1x')] data=[['Simple definition',definition],['Key signs and symptoms',signs],['Risk factors / associations',risk],['Disease pattern',pattern],['Top nursing diagnoses',bullets(dx)],['Priority nursing interventions',bullets(interv)]] rows=[] for a,b in data: rows.append([P('<b>'+a+'</b>','Small'),P(b,'Box')]) tbl=Table(rows,colWidths=[4.25*cm,12.55*cm],repeatRows=0) tbl.setStyle(TableStyle([('VALIGN',(0,0),(-1,-1),'TOP'),('BACKGROUND',(0,0),(0,-1),PALE),('BACKGROUND',(1,0),(1,-1),LIGHT),('GRID',(0,0),(-1,-1),.25,HexColor('#B9C9D0')),('LEFTPADDING',(0,0),(-1,-1),7),('RIGHTPADDING',(0,0),(-1,-1),7),('TOPPADDING',(0,0),(-1,-1),5),('BOTTOMPADDING',(0,0),(-1,-1),5)])) story += [tbl,Spacer(1,.3*cm)] story += [PageBreak(),P('Quick nursing diagnosis bank','H1x'),P(bullets(['Ineffective cerebral tissue perfusion','Ineffective breathing pattern / ineffective airway clearance','Risk for aspiration','Risk for injury / risk for falls','Impaired physical mobility','Impaired verbal communication','Impaired swallowing','Acute or chronic confusion','Self-care deficit','Impaired urinary elimination','Risk for impaired skin integrity','Acute pain / chronic pain','Activity intolerance / fatigue','Imbalanced nutrition: less than body requirements','Caregiver role strain'])),P('Selected learning references','H1x'),P('This guide was prepared as a concise educational summary. For current protocols, use local hospital policy, national guidelines and prescribed care plans. The World Health Organization classifies neurological conditions broadly to include stroke, epilepsy, headache disorders, dementia, Parkinson disease, meningitis, multiple sclerosis, neuromuscular disorders, neurodevelopmental disorders, traumatic brain/spinal injuries and nervous-system cancers. WHO identifies stroke, migraine, dementia, meningitis and epilepsy among the highest contributors to neurological disability.','Bodyx'),P('References: World Health Organization. <i>Brain health</i>; WHO. <i>Intersectoral global action plan on epilepsy and other neurological disorders 2022-2031</i>; Bradley and Daroff’s <i>Neurology in Clinical Practice</i> (textbook library); Hutri I et al. Clinical competence of neuroscience nurses: a systematic review. PMID 42085547 (2026).','Small'),Spacer(1,.3*cm),P('<b>Important:</b> This is not a substitute for clinical assessment, prescribing information, or emergency medical care.','Box')] doc.build(story,onFirstPage=footer,onLaterPages=footer) print(OUT) ''') PY python "/tmp/workspace/neurology-nursing-guide/src/build_guide.py" && ls -lh "/tmp/workspace/neurology-nursing-guide/output/Major_Neurological_Disorders_Nursing_Study_Guide.pdf"

python - <<'PY' from pypdf import PdfReader p='/tmp/workspace/neurology-nursing-guide/output/Major_Neurological_Disorders_Nursing_Study_Guide.pdf' r=PdfReader(p) print('pages=',len(r.pages)) text='\n'.join((x.extract_text() or '') for x in r.pages) print('chars=',len(text)) for phrase in ['Stroke and transient ischemic attack','Guillain-Barre syndrome','Spinal cord injury','Selected learning references']: print(phrase, phrase in text) print(text[:700]) PY