Clinical Surgery
Alfred Cuschieri, Pierce A. Grace, Ara Darzi, Neil R. Borley, David I. Rowley, Alfred Cuschieri, Pierce A. Grace, Ara Darzi, Neil R. Borley, David I. Rowley
- English
- ePUB (handyfreundlich)
- Über iOS und Android verfügbar
Clinical Surgery
Alfred Cuschieri, Pierce A. Grace, Ara Darzi, Neil R. Borley, David I. Rowley, Alfred Cuschieri, Pierce A. Grace, Ara Darzi, Neil R. Borley, David I. Rowley
Über dieses Buch
Blackwell's Clinical Surgery has established itself as an excellent indispensable resource for undergraduate medical students and house officers. The first edition was Awarded 1997 BMA Certificate of Commendation. Written by an outstanding team of editors and expert contirbutors, the new updaetd and revised edition has been designed as a complete learning guide.
Unlike competing titles, Clinical Surgery covers the following all in one book!
- Symptoms and signs of surgical disease
- Diagnosis and investigations
- Treatment and procedures
The book is divided into five sections:
- Clinical Skills and Investigations
- Perioperative Care
- The Management Of Acute Surgical Illness and Trauma
- General Surgery
- Specialist Surgery
The new edition features:
- Revised chapters with updated and refreshed material, written in a systematic format to aid learning and enhance understanding
- 15 new chapters with more information providing you with everything you need to know
- Blackwell's famous At A Glance boxes for the most common surgical conditions and common clinical presentations
- Must Know/Must Do boxes - to aid learning and revision through self-assessment
- Clinically orientated information on practical procedures
- Evidence Based Medicine references for further reading and research
- Excellent full colour illustrations and a new attractive and easy to use format
The second edition of Clinical Surgery is perfect for undergraduate and junior doctors alike as well as other health professionals who need a comprehensive account of surgery in all the major medical specialities. With a strong emphasis on clinical practice and the necessary knowledge and skills, this is a must-buy for anyone going on a surgical rotation. Clinical Surgery is intended to teach you everything you need to know about surgery at the start of your career.
Pre-publication quotes
"I do not think it is an understatement to say that it is a revolutionary book. It is obviously written with integrated courses very much in mind and manages to integrate the basic sciences with clinical information very well.... Maybe above all things, this is a very practically orientated book and really attempts to mould the medical student in to a very good house officer."
SHO, Leeds
Häufig gestellte Fragen
Information
- communicate freely and efficiently with patients and colleagues;
- detect abnormal physical signs, e.g. an enlarged liver, rebound tenderness;
- recognize acute and life-threatening situations;
- perform common clinical procedures with proficiency;
- confirm normality when present.
- electively, with chronic symptoms of variable duration; or
- acutely, with life-threatening disorders.
Establish the diagnosis and confirm it, whenever necessary, by the appropriate investigations |
Decide on the nature of the treatment required: surgical or medical |
Impart this information to the patient and carry out the treatment if the patient consents to this |
Prompt diagnosis and assessment of the condition |
Resuscitation (Airway, Breathing, Circulation; see Chapters 11 and 12) |
Decision on treatment: emergency surgical intervention or conservative management with close clinical observation |
A | Airway |
B | Breathing |
C | Cardiovascular system |
D | Neurological Defects |
E | Exposure to detect all injuries |
Establish a rapport with the patient: introduce yourself, shake hands |
Initiate the process by asking the patient to tell you what made him or her seek medical advice |
Listen without interruption to the patient as he or she relates the history of the presenting complaint(s). During this process make a mental note of the key symptoms |
Wait for the answer before asking another question |
Obtain further details on specific symptoms, including duration, nature of severity and associations, by specific questions |
Briefly review the systems by key questions |
Obtain details of past medical history, including drug medication, surgical conditions, operations and exposure to general anaesthesia. Past medical incidents are important because they may relate to the patient’s current illness and may also influence management |
Obtain details of social history and habits, including alcohol consumption and smoking |
Obtain a brief family history |
Do not interrupt the patient |
Do not use medical terminology |
Do not ask ambiguous or irrelevant questions |
Do not use leading questions in the first instance |
Do not be abrupt or impatient |
Nervous system: headache, nausea and vomiting, visual disturbances, motor defects (paralysis), incoordination, sensory loss and disturbances (paraesthesiae), altered levels of consciousness |
Respiratory system: cough, expectoration, breathlessness, wheezing, chest pain, diminished exercise tolerance |
Cardiovascular system: loss of consciousness (syncope), breathlessness, diminished exercise tolerance, retrosternal chest pain, intermittent pain in limbs on walking (intermittent claudication), rest pain in the limbs, gangrene (necrosis of tissue) |
Hepatobiliary–pancreatic system: nausea and vomiting, pain, jaundice, itching, bleeding tendency, weight gain due to water retention, weight loss |
Gastrointestinal system: loss of appetite (anorexia), nausea and vomiting, difficulty in swallowing, indigestion, abdominal pain, altered bowel habit (diarrhoea and/or constipation), blood in vomit (haematemesis), passage of slime and fresh or altered blood in the faeces |
Genitourinary system: loin pain, fever, suprapubic pain, frequency, painful micturition (dysuria), micturition at night (nocturia), poor stream, dribbling and incontinence, blood in urine (haematuria), enlarged or tender testis |
Site |
Radiation |
Severity |
Nature |
Duration |
Relieving factors |
Aggravating factors |
Associations |
- Colicky pain is indicative of an obstructed hollow organ. It is griping in nature and fluctuates, with peaks of intensity followed by partial or complete relief before a further bout occurs. Colicky pain is always severe and makes the patient restless. The patient rolls about in agony, unable to find a comfortable position. It is usually accompanied by nausea and vomiting.
- Somatic pain, i.e. the severe pain due to inflammation of the parietal peritoneum from localized or general peritonitis, is aggravated by movement. The patient lies still and breathes shallowly to diminish abdominal wall excursion with respiration (e.g. perforated peptic ulcer) or assumes a position that releases tension on the abdominal musculature, i.e. draws the knees up, a posture often observed in patients with acute pancreatitis. The pain of...