By James Gossage, Bijan Modarai, Arun Sahai, Richard Worth
The purpose of the a hundred situations sequence is to supply a unique studying and revision software that works via guiding scholars via medical circumstances, imitating those who scholars and condo officials are inclined to meet in coincidence and emergency and outpatient departments, and often practice.The circumstances are written to curiosity scholars in scientific difficulties and to assist them advance their abilities of medical reasoning, with every one state of affairs supplying info of a patient's scientific background and the most important findings of a medical exam, including preliminary research effects info for evaluation.Key questions then urged scholars to guage the sufferer, and succeed in a call concerning the patient's and the potential therapy plan; whereas the reply pages can help scholars to appreciate the methods clinician or general practitioner is going via in such events. Designed with the scholar in brain, this quantity contains beneficial properties to help self-directed studying, scientific pondering and problem-solving.100 instances in surgical procedure covers universal and more odd court cases awarded, within the following surgical area of expertise components: vascular, breast, endocrine, urology, orthopedic, neurosurgery, top GI, reduce GI, anesthesia, and put up operative issues.
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Extra info for 100 Cases in Surgery (A Hodder Arnold Publication)
1 was found in a loop of small bowel. 1 Operative picture of the small bowel. Questions • What is the diagnosis? • What are the characteristics of this anomaly? • How can this present? • How would you deal with this intra-operative finding? 19 100 Cases in Surgery ANSWER 10 The photograph demonstrates a Meckel’s diverticulum located on the anti-mesenteric border of a segment of ileum. This is a remnant of the omphalomesenteric duct. e. it is present in 2 per cent of the population, it is 2 inches long and located 2 feet from the ileocaecal valve.
1. 1 Previous investigation. Questions • What is the above investigation and what does it show? • What is the likely diagnosis? • What treatment would you initiate? • What are the possible complications? • How can the patient prevent further episodes? 33 100 Cases in Surgery ANSWER 16 The study shown is a barium enema. There are multiple diverticula of the sigmoid colon giving a diagnosis of diverticular disease. Diverticula are outpouchings of the mucous membrane alongside the taenia coli, at the entry point of the supplying blood vessels.
KEY POINT • Serum ferritin should be checked in patients with microcytic anaemia. 24 General and colorectal CASE 13: ABDOMINAL DISTENSION AND PAIN History A 70-year-old man has been sent to the emergency department from a nursing home, complaining of intermittent sharp abdominal pain. He has not opened his bowels for 5 days. He suffered a major stroke in the past and requires constant nursing care. He has a history of chronic constipation. Previous medical history includes chronic obstructive airways disease for which he is on regular inhalers.
100 Cases in Surgery (A Hodder Arnold Publication) by James Gossage, Bijan Modarai, Arun Sahai, Richard Worth