Preface PartⅠ:The Patient Presents With 1.Acute Abdominal Pain Differential diagnosis of acute abdominal pain History to focus on the differential diagnosis of acute abdominal pain Examination of patients who have acute abdominal pain Investigation of patients who have acute abdominal pain 2.Dyspepsia Differential diagnosis of dyspepsia History to focus on the differential diagnosis of dyspepsia Examination of patients who have dyspepsia Investigation of patients who have dyspepsia 3.Vomiting,Haematemesis,and Melaena Differential diagnosis of vomiting,haematemesis,and melaena History to focus on the differential diagnosis of vomiting ,haematemesis,and melaena Examination of patients who have vomiting,haematemesis,and melaena Investigation of patients who have vomiting,haematemesis,and melaena 4.Change in Bowel Habit Differential diagnosis of a change in bowel habit History to focus on the differential diagnosis of a change in bowel habit Examination of patients who have a change in bowel habit Investigation of patients who have a change in bowel habit 5.Abdominal Mass and Distension Differential diagnosis of abdominal mass or distension History to focus on the differential diagnosis of abdominal mass or distension Examination of patients who have abdominal mass or distension Investigation of patients who have abdominal mass or distension 6.Rectal Bleeding Differential diagnosis of rectal bleeding History to focus on the differential diagnosis of rectal bleeding Examination of patients who have rectal bleeding Investigation of patients who have rectal bleeding 7.Anorectal Pain Differential diagnosis of anorectal pain History to focus on the differential diagnosis of anorectal pain Examination of patients who have anorectal pain Investigation of patients who have anorectal pain 8.Jaundice Differential diagnosis of jaundice History to focus on the differential diagnosis of jaundice Examination of patients who have jaundice Investigation of patients who have jaundice 9.Dysphagia Differential diagnosis of dysphagia History to focus on the differential diagnosis of dysphagia Examination of patients who have dysphagia Investigation of patients who have dysphagia 10.Breast Lump Differential diagnosis of a breast lump History to focus on the differential diagnosis of a breast lump Examination of patients who have a breast lump Investigation of patients who have a breast lump 11.Neck Lump Differential diagnosis of a neck lump History to focus on the differential diagnosis of a neck lump Examination of patients who have a neck lump Investigation of patients who have a neck lump 12.Ischaemic Limb Differential diagnosis of an ischaemic limb History to focus on the differential diagnosis of an ischaemic limb Examination of patients who have an ischaemic limb Investigon of patients who have an ischaemic limb 13.Leg Ulcer Differential diagnosis of a leg ulcer History to focus on the differential diagnosis of a leg ulcer Examination of patients who have a leg ulcer Investigation of patients who have a leg ulcer 14.Groin Swelling Differential diagnosis of a groin swelling History to focus on the differential diagnosis of a groin Swelling Examination of patients who have a groin swelling Investigation of patients who have a groin swelling 15.Scrotal Swelling Differential diagnosis of a scrotal swelling History to focus on the differential diagnosis of a scrotal swelling Examination of patients who have a scrotal swelling Investigation of patients who have a scrotal swelling 16.Haematuria Differential diagnosis of haematuria History to focus on the differential diagnosis of haematuria Examination of patients who have haematuria Investigation of patients who have haematuria 17.Urinary Difficulty Differential diagnosis of difficulty History to focus on the differential diagnosis of urinary difficulty Examination of patients who have urinary difficulty Investigation of patients who have urinary difficulty 18.Skin lesion Differential diagnosis of a skin lesion History to focus on the differential diagnosis of a skin lesion Examination of patients who have a skin lesion Investigation of patients who have a skin lesion 19.Anaemia Differential diagnosis of a anaemia History to focus on the differential diagnosis of a anaemia Examination of patients who have a anaemia Investigation of patients who have a anaemia 20.Postoperative Pyrexia Differential diagnosis of postoperative pyrexia History to focus on the differential diagnosis of postoperative pyrexia Examination of patients who have postoperative pyrexia Investigation of patients who have postoperative pyrexia PartⅡ:History,Examination,and Common Investigations 21.Clerking a Surgical Patient Introduction History Influence of coexisting disease on operative intervention Important medical conditions Common presenting symptoms 22.Examination of a Surgical Patient Examination of specific surgical conditions General examination of the patient Examination of the breast Examination of the neck and thyroid Examination of the abdomen Examination of a hernia Examination of a scrotal swelling Examination of peripheral vasculature Examination of varicose veins Examination of a patient who has multiple injuries 23.Writing Up a Surgical Clerking Sample clerking 24.Investigation of a Surgical Patient Assessment before general anaesthesia Investigation of the gastrointestinal tract Investigation of breast problems Investigation of thyroid disease Vascular investigations Urological investigations PartⅢ:Background Information and Management Plans 25.Oesophageal Disorders Gastro-oesophageal reflux Benign tumours of the oesophagus Oesophageal cancer Achalasia Pharyngeal pouch Plummer-Vinson syndrome Perforation of the oesophagus Dysphagia 26.Gastric and Duodenal Disorders Peptic ulceration Erosive gastritis Chronic atrophic gastritis Zollinger-Ellison syndrome Gastric cancer Gastric lymphoma 27.Disorders of Small Intestine Obstruction of the small intestine Crohn's disease Short gut syndrome Intestinal ischaemia Chronic ischaemia Radiation enteropathy Meckel's diverticulum Intussusception Tumours of the small intestine Carcinoid tumours 28.Colonic Disorders Acute appendictitis Appendix tumours Inflammatory bowel diseases Ulcerative colitis Crohn's disease of the colon Diverticulosis Volvulus Caecal volvulus Pseudo-obstruction Colonic polyps Villous adenoma Colonic carcinoma Vascular disorders Ischaemic colitis Colonic obstruction 29.Anorectal Disorders Haemorrhoids Anal fissure Perianal haematoma Rectal prolapse Perianal abscess Anal fistula Pruritus ani Anal carcinoma 30.Hepatobiliary Disorders Normal liver function Acute liver damage Portal hypertension Hepatic cysts Hepatic abscesses Hepatic tumours Chronic liver disease Gall bladder disease Acalculous cholecystitis Pancreatitis Chronic pancreatitis Pancreatic tumours Endocrine tumours of the pancreas Obstructive jaundice 31.Gynaecological Disorders Ovarian cysts and neoplasms Ovarian tumours Pelvic inflammatory disease Ectopic pregnancy Endometriosis Leiomyoma 32.Abdominal Hernias Types of hernia Inguinal gernia Femoral hernia Umbilical hernia Paraumbilical hernia Epigastric hernia Incisional hernia Uncommon hernias Diaphragmatic hernia Obturator hernia Rectus haematoma Desmoid tumour 33.Thyroid and Parathyroid Disorders Thyroid gland Thyroglossal cyst Thyroid goitre Solitary thyroid nodule Thyroiditis Thyroid carcinomas Thyroid operations Parathyroid disorders Hyperparathyroidism 34.Neck Swellings Cervical lymphadenopthy Other cervical swellings Salivary gland disorders Salivary gland tumours 35.Breast Disorders Breast development Benign breast disorders Benign breast lumps Breast cancer Gynaecomastia and male breast concer 36.Vascular Disorders Chronic limb ischaemia Acute limb ischaemia Compartment syndrome Aneurysm Abdominal aortic aneurysm Thoracoabdominal aneurysm Diabetic foot problems Amputation Carotid artery disease Coronary artery disease Thromboangiitis obliterans Raynaud's disease Raynaud's phenomenon Varicose veins Superficial thrombophlebitis Subclavian or axillary vein thrombosis Lymphatic disorders 37.Urological Disorders Urinary tract infection Renal tract calculi Renal carcinoma Nephroblastoma(Wilms'tumour) Tumours of the renal pelvis and ureter Bladder cancer Prostatic cancer Testicular cancer Penile cancer Lower urinary tract obstruction Upper urinary tract obstruction Renal transplantation Urinary incontinence Testicular problems Scrotal problems Disorders of the perineum 38.Skin Lesions Benign conditions Benign skin tumours Vascular lesions Malignan skin lesions Pigmented lesions 39.Soft Tissue Disorders Hand and nail problems Pilonidal sinus Soft tissue tumours 40.Trauma Chest injuries Abdominal trauma Head injury Limb injuries Burns 41.Postoperative care and complications Postoperative fluid management Shock Prevention of complications Postoperative analgesia Postoperative nutrition 42.Principles of Cancer Management Cancer Screening for cancer Spread of cancer Staging of cancer Operations for malignant disease Radiotherapy for malignant disease Chemotherapy for malignant disease Hormonal therapy for malignant disease Palliative care PartⅣ:Self-assessment Multiple-choice questions Short-answer questions Patient management problems MCQ answers SAQ anwers Index
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