Dr. Pestana's Surgery Notes: Top 180 Vignettes for the Surgical Wards

Dr. Pestana's Surgery Notes: Top 180 Vignettes for the Surgical Wards

by Carlos Pestana

Paperback(Fourth Edition)

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Product Details

ISBN-13: 9781506235912
Publisher: Kaplan Publishing
Publication date: 10/02/2018
Series: Kaplan Test Prep Series
Edition description: Fourth Edition
Pages: 264
Sales rank: 134,791
Product dimensions: 5.20(w) x 7.90(h) x 0.50(d)

About the Author

Carlos Pestana, MD, PhD, is emeritus professor of surgery at the University of Texas Medical School at San Antonio. Ranked #1 in his medical school class, Dr. Pestana has a doctorate in surgery from the University of Minnesota and did a 5-year surgical residency at the Mayo Clinic. He has received over 40 teaching awards and prizes for teaching excellence. In the early 1990s he was a member of the Comprehensive Part II Committee of the National Board of Medical Examiners that designed what is now the clinical component of the USMLE Step 2 exam. Dr. Pestana is also the author of Fluids and Electrolytes in the Surgical Patient, which has been translated into Spanish, Italian, and Greek.

Table of Contents

About the Author vii

Preface ix

Section I Surgery Review

Chapter 1 Trauma 3

Initial Survey (the ABCs) 3

Airway 3

Breathing 4

Shock 4

Massive Bleeding 5

A Review from Head to Toe 7

Head Trauma 7

Neck Trauma 9

Spinal Cord Injuries 10

Chest Trauma 10

Abdominal Trauma 13

Pelvic Fractures 17

Urologic Injuries 17

The Extremities 19

Burns 19

Bites and Stings 23

Surgical Infections 25

Chapter 2 Orthopedics 29

Disorders in Children 29

Disorders of the Hip 29

Other Locations 30

Fractures 31

Tumors 32

Children and Young Adults 32

Adults 32

General Orthopedics 33

Common Adult Orthopedic Injuries 33

Orthopedic Emergencies 38

Common Hand Problems 40

Back Pain 41

Leg Ulcers 43

Foot Pain 44

Chapter 3 Pre-Op and Post-Op Care 45

Preoperative Assessment 45

Cardiac Risk 45

Pulmonary Risk 46

Hepatic Risk 46

Nutritional Risk 46

Metabolic Risk 47

Postoperative Complications 47

Fever 47

Chest Pain 48

Other Pulmonary Complications 49

Disorientation/Coma 50

Urinary Complications 51

Abdominal Distention 52

Is It Small Bowel or Colon? 53

What Are Air-Fluid Levels? 53

Wound 54

Intravenous Fluid Therapy 55

Fluids and Electrolytes 57

pH or Nanoequivalents? 58

Radiology for the Surgical Consumer 61

Chapter 4 General Surgery 63

Diseases of the Gastrointestinal System 63

The Upper Gastrointestinal System 63

The Mid and Lower Gastrointestinal System 65

Gastrointestinal Bleeding 70

The Acute Abdomen 72

Hepatobiliary 75

ERCP or MRCP? 78

The Pancreas 81

A Primer of Surgical Oncology 83

Diseases of the Breast 85

Breast Cancer: An Example of Evolving Knowledge 88

Diseases of the Endocrine System 90

Help from Nuclear Medicine 91

Surgical Hypertension 93

Decoding the Operative Note: The Names of Operations 95

Chapter 5 Pediatric Surgery 97

Birth Through the First 24 Hours 97

A Few Days Old Through the First Two Months of Life 100

Later in Infancy 102

Flu/d Needs in Children 103

Chapter 6 Cardiothoracic Surgery 105

Congenital Heart Problems 105

Acquired Heart Disease 107

The Lung 109

Chapter 7 Vascular Surgery 111

The Riddle of Biopsies: FNA Versus Core, Incisional Versus Excisional 114

Chapter 8 Skin Surgery 117

Chapter 9 Ophthalmology 119

Children 119

Adults 120

Chapter 10 Otolaryngology (ENT) 123

Neck Masses 123

Congenital 123

Inflammatory Versus Neoplastic 124

Other Tumors 125

Pediatric ENT 126

ENT Emergencies and Miscellaneous 126

Chapter 11 Neurosurgery 129

Differential Diagnosis Based on Patient History 129

Vascular Occlusive Disease 129

Intracranial Bleeding 130

Brain Tumors 131

Pain Syndromes 134

Chapter 12 Urology 135

Urologic Emergencies 135

Congenital Urologic Disease 137

Tumors 138

Retention and Incontinence 139

Stones 140

Miscellaneous 141

Diagnosing Nocturnal Erections with Postage Stamps: A Generation Gap 142

Chapter 13 Bariatric Surgery 143

Chapter 14 Organ Transplantation 147

Section II Practice Questions

Questions 151

Answer Key 243

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