By Pierce A. Grace, Neil R. Borley
Surgical procedure at a look is a concise advent & revision reduction for scientific scholars learning for scientific surgical procedure examinations. through targeting "core" themes, the ebook covers the basic surgical evidence for diagnosing & treating universal offering indicators & surgical stipulations. Divided into scientific shows by way of ailment entities
concentration is at the ideas and the real ailments - applicable to the present curriculum
amazing paintings - all you must comprehend at a look
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Additional info for Surgery at a Glance
Flatus’ Intestinal obstruction: swallowed air accumulates in the bowel causing distension. This gives a tympanic note on percussion and produces the characteristic air-fluid levels and ‘ladder’ pattern on an abdominal radiograph. Sigmoid or caecal volvulus produces gross distension with characteristic features of distended loops on abdominal X-ray. ‘Fluid’ • Intestinal obstruction: as well as air, fluid accumulates in the obstructed intestine. • Ascites: fluid accumulates in the peritoneal cavity due to the ‘6 Cs’: KEY INVESTIGATIONS • FBC: lymphomas, infections.
ECG: ischaemic heart disease. • Abdominal X-ray: chronic pancreatitis (small calcification throughout gland): • Ultrasound: intra-abdominal abscesses (diverticular, appendicular, pelvic, hepatic) ‘gallstones’, ‘chronic cholecystitis’ ovarian pathology (cyst) aortic aneurysm renal tumours. • OGD: PUD, gastritis, gastric or oesophageal carcinoma. • Colonoscopy: diverticular disease, chronic colonic ischaemia. • CT scan: chronic pancreatitis, pancreatic carcinoma, aortic aneurysm, retroperitoneal pathologies (fibrosis, lymphadenopathy, tumours).
Fluctuant, systemic upset. • Carcinoma: hard, craggy, non-tender unless perforated, immobile, associated with anaemia/weight loss and anergia. associated umbilical discharge. Other Pelvic kidney: smooth, regular, non-tender, non-mobile. Terminal ileum • Crohn’s mass: tender, ill defined, rubbery hard, non-mobile. systemic TB. bimanually palpable on PV examination. • Neoplasm. • Ectopic pregnancy: very tender, associated with PV bleeding/ intra-abdominal bleeding and collapse. • Salpingo-oophoritis: very tender, bimanually palpable, associated with PV discharge.