Surgery Clerkship Guide

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This practical, pocket-sized reference provides guidance on the core clinical information essential for rotating through a surgery clerkship. Divided into three sections, the text outlines the practical skills and procedures needed on rotation; organizes clinical discussions by presentations (symptom, sign, or abnormal lab value); and presents discussions of problems organized by specific diagnosis.

• Includes information on pre- and post-operative assessment throughout.
• Details a full range of basic procedures.
• Enables readers to assess their knowledge and prepare for exams with a wealth of multiple-choice questions at the end of the text.
• Focuses readers on the core material and most common complaints seen on rotation.
• Features helpful learning aids such as Key Points which focus the reader on essential information · real life clinical examples in Practice Cases · and Learning Objectives that reinforce learning in each Practice Case.

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Product Details

  • ISBN-13: 9780323018579
  • Publisher: Elsevier Health Sciences
  • Publication date: 10/29/2003
  • Series: Clerkship Guides Series
  • Edition description: New Edition
  • Pages: 800
  • Product dimensions: 4.90 (w) x 8.20 (h) x 1.40 (d)

Meet the Author

Staff Surgeon, Director of Surgical Education, Santa Clara Valley Medical Center, San Jose, CA; Clinical Instructor, Department of General Surgery, Stanford University Medical Center, Stanford, CA

Clinical Associate Professor, Stanford University School of Medicine, Stanford, CA; Staff Surgeon, Santa Clara Valley Medical Center, San Jose, CA

Clinical Professor of Surgery, Stanford University School of Medicine, Stanford, CA; Director, Trauma and Critical Care, Santa Clara Valley Medical Center, San Jose, CA

Associate Professor of Surgery, Stanford University School of Medicine, Stanford, CA; Chief, General Surgery, Palo Alto Veterans Hospital, Palo Alto, CA

Director, Minimally Invasive Surgery, Santa Clara Valley Medical Center, San Jose, CA

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Table of Contents

Section 1 Introduction to the Surgical Clerkship
1. Secrets to becoming a successful surgical clerk
Day-to-day inpatient skills
Day-to-day outpatient skills
OR etiquette
Patient confidentiality
2. The surgical patient
Preoperative assessment
Diagnostic imaging of the surgical patient
How to order the correct study
Abdominal / Pelvic imaging
Chest imaging
Neuro imaging
Vascular imaging
Laboratory assessment of the surgical patient
Operative management and anesthesia
Postoperative assessment and management
Pain management
Antibiotics in the surgical patient
Bowel preparation
Therapeutic antibiotic use
Approach to the acutely ill patient
3. How to perform basic procedures
Universal precautions
How to remove sutures and staples
How to place NG tubes
How to start IV’s / central lines
How to place urinary catheters
How to place thoracostomy tubes
How to change dressings
How to manage surgical tubes and drains

Section 2 Patients Presenting with a Specific Sign or Symptom
4. Abdominal mass
5. Abdominal pain / distention
6. Acute abdomen
7. Breast mass
8. Change in bowel habits
9. Claudication
10. Cough / hemoptysis
11. Dysphagia
12. Free intraperitoneal air
13. GI bleeding
14. Hypotension and shock
15. Inguinal / scrotal swelling
16. Jaundice
17. Leg pain, ulceration or swelling
18. Lymphadenopathy
19. Mental status changes
20. Nausea and vomiting
21. Neck mass
22. Nipple discharge
23. Postoperative bleeding
24. Postoperative fever
25. Retroperitoneal mass
26. Shortness of breath
27. Urine output changes
28. Wound problems

Section 3 Patients Presenting with a Known Surgical Condition
29. Abdominal wall hernias
30. Breast disease
Benign breast disease
Breast cancer
Breast reconstruction
31. Pulmonology
Bullous disease
Lung cancer
Pulmonary embolism
Reactive airway disease
Respiratory failure
32. Endocrinology
Adrenal disorders
APUDs (carcinoids)
Pancreatic disorders
Parathyroid disorders
Thyroid disorders
33. Gastroenterology
Benign anal disease
Biliary tract disease
Bowel obstruction
Diverticular disease
Esophageal motility disorders
Gastrointestinal cancer
Inflammatory bowel disease
Liver disease
Pancreatic disorders
Peptic ulcer disease / duodenal ulcer
34. Hematology
Transfusion guidelines
Indications for splenectomy
35. Infectious disease
Postoperative fever / infections
Necrotizing fasciitis
36. Nephrology
Acid base abnormalities
Acute renal failure
Electrolyte abnormalities
Fluid status assessment and treatment
37. Nutrition
Assessment of nutritional status
Enteral vs. parenteral nutrition
38. Surgical subspecialties
Skin cancer
Pediatric surgery
Assessment of the pediatric patient
Abdominal disorders
Pulmonary disorders
Urologic disorders
Plastic surgery
39. Trauma
Trauma assessment
Abdominal injury
Thermal injury
Chest injury
Facial injury
Head and cervical spine injury
Urological injury
Vascular injury
40. Vascular disease
Aortic vascular disease
Deep venous thrombosis
Carotid vascular disease
Peripheral vascular disease
Varicose veins
Vascular access
Chronic venous insufficiency

Case Answers

Practice Exam

Exam Answers

Abbreviations, Formulae and Laboratory Test Values

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