General Surgery Lecture Notes 13th Edition

General Surgery Lecture Notes 13th Edition pdf

Download General Surgery Lecture Notes: General Surgery Lecture Notes continues to be an invaluable, appealing and approachable resource for thousands of medical students and surgical trainees throughout the world.

General Surgery Lecture Notes PDF

This comprehensive guide focuses on the fundamentals of general surgery, and systematically covers all the clinical surgical problems that a student may encounter and about which they need to know.

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Fully revised and updated to reflect the rapid changes which are taking place in surgical practice, this 50th anniversary edition:

  • Includes principles of treatment written at student level to aid understanding
  • Features full colour illustrations throughout
  • Includes electronic access to a range of extra material including case studies, images and photographs, and biographies
  • Includes free access to the Wiley E-Text
  • Is a perfect review text for medical students as well as junior surgeons taking the MRCS examination and other postgraduate surgical examinations

Trusted by generations of medical students, the clinical emphasis of General Surgery Lecture Notes makes this an essential purchase for all those wishing to learn more about general surgery

Key features include:

  • Offers a comprehensive overview of surgical techniques
  • Contains a wide range of colour illustrations
  • Fully supported by hundreds of self-assessment questions and answers at www.testgeneralsurgery.com

Whether you need to develop or refresh your knowledge of surgery, General Surgery Lecture Notes presents ‘need to know’ information for all those carrying out general surgical procedures.

TABLE OF CONTENTS

Introduction.

Acknowledgements.

Abbreviations.

1. Surgical Strategy.

2. Fluid and Electrolyte Management.

3. Pre-operative Assessment.

4. Post-operative Complications.

5. Acute Infections.

6. Shock.

7. Tumours.

8. Burns.

9. The Skin and its Adnexae.

10. The Chest and Lungs.

11. The Heart and Thoracic Aorta.

12. Arterial Disease.

13. Venous Disorders of the Lower Limb.

14. The Brain and Meninges.

15. Head Injury.

16. The Spine.

17. Peripheral Nerve Injuries.

18. The Oral Cavity.

19. The Salivary Glands.

20. The Oesophagus.

21. The Stomach and Duodenum.

22. Mechanical Intestinal Obstruction.

23. The Small Intestine.

24. Acute Appendicitis.

25. The Colon.

26. The Rectum and Anal canal.

27. Peritonitis.

28. Paralytic Ileus.

29. Hernia.

30. The Liver.

31. The Gallbladder and Bile Ducts1.

32. The Pancreas.

33. The Spleen33.

34. The Lymph Nodes and Lymphatics.

35. The Breast.

36. The Neck.

37. The Thyroid.

38. The Parathyroids.

39. The Thymus.

40. The Suprarenal Glands.

41. The Kidney and Ureter.

42. The Bladder.

43. The Prostate.

44. The Male Urethra.

45. The Penis.

46. The Testis and Scrotum.

47. Transplantation Surgery.

Index.

General Surgery Lecture Notes

Students on the surgical team, in dealing with their patients, should recognize the following steps in their patients’ management. 1 History taking. Listen carefully to the patient’s story. 2 Examination of the patient. 3 Writing notes. 4 Constructing a differential diagnosis. Ask the question ‘What diagnosis would best explain this clinical picture?’ 5 Special investigations. Which laboratory and imaging tests are required to confirm or refute the clinical diagnosis? 6 Management. Decide on the management of the patient. Remember that this will include reassurance, relief of pain and, as far as possible, allaying the patient’s anxiety.

History and examination

The importance of developing clinical skills cannot be overemphasized. Excessive reliance on special investigations and extensive modern imaging (some of which may be quite painful and carry with them their own risks and complications) is to turn your back on the skills necessary to become a good clinician. Remember that the patient will be apprehensive and often will be in pain and discomfort. Attending to these is the first task of a good doctor. The history The history should be an accurate reflection of what the patient said, not your interpretation of it. Ask open questions such as ‘When were you last well?’ and ‘What happened next?’, rather than closed questions such as ‘Do you have chest pain?’. If you have a positive finding, do not leave the subject until you know everything there is to know about it. For example, ‘When did it start?’; ‘What makes it better and what makes it worse?’; ‘Where did it start and where did it go?’; ‘Did it come and go or was it constant?’. If the symptom is one characterized by bleeding, ask about what sort of blood, when, how much, were there clots, was it mixed in with food/faeces, was it associated with pain? Remember that most patients come to see a surgeon because of pain or bleeding (Table 1.1). You need to be able to find out as much as you can about these presentations. Keep in mind that the patient has no knowledge of anatomy. He might say ‘my stomach hurts’, but this may be due to lower chest or periumbilical pain – ask him to point to the site of the pain. Bear in mind that he may be pointing to a site of referred pain, and similarly do not accept ‘back pain’ without clarifying where in the back – the sacrum, or lumbar, thoracic or cervical spine, or possibly loin or subscapular regions. When referring to the shoulder tip, clarify whether the patient means the acromion; when referring to the shoulder blade, clarify whether this is the angle of the scapula. Such sites of pain may suggest referred pain from the diaphragm and gallbladder, respectively

Editorial Reviews

Review

“This readable, concise yet solid book stands in stark contrast to other pearl books or survival guides for surgical clerks. Students can read this book and learn the basics, attaining a fundamental level of knowledge on which they can build. As it is a British book, U.K. spelling is used throughout, but this should not deter U.S. readers. The new edition is amply justified and should be welcomed by the next generation of students.” (Doody’s, 5 August 2011)

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    ABOUT THE AUTHOR

    Professor Harold Ellis, CBE DM FRCS FRCOG

    Emeritus Professor of Surgery, Guy’s Hospital, London

    Professor Sir Roy Calne, MD FRCP FRCS

    Emeritus Professor of Surgery, Addenbrooke’s Hospital, Cambridge

    Mr Christopher Watson, MA MD FRCS

    Reader in Surgery and Honorary Consultant, Addenbrooke’s Hospital, Cambridge

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