general surgery outpatient decisions

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General Surgery Outpatient Decisions

Author : Gaunt Michael
ISBN : 9781315357966
Genre : Medical
File Size : 46. 54 MB
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Few doctors receive formal training in how to conduct an outpatient consultation or how to compose and dictate an outpatient letter. Trainee surgeons in each new specialty spend their first few weeks in outpatient clinics learning by experience with all the pitfalls this entails. Much work involves seeing patients who have been brought back for review by their predecessors. Problems are caused by inexperience, unfamiliarity, fear of making mistakes, the pressure of patient numbers and lack of training.New doctors will find little help in the standard textbooks on how to follow-up patients.This book provides the necessary background information to enable rational decision making in a concise and economical style. It describes reasonable and safe lines of management suitable for most patients, ideal for when discussion with a senior colleague is not possible. Since the First Edition was published surgical outpatient services have undergone tremendous change. The traditional general surgical clinic has been replaced by specialist clinics where decisions on patient management are taken by multidisciplinary teams.This new edition is multi-authored to take account of the multidisciplinary approach. As well as an overall review of general outpatient issues, every major specialty is covered, with clear notes for each condition covering history, examination, investigations, results, treatment, follow-up and post-operative follow-up. The book can be read before or during clinics, and enables trainees to have an action plan in mind before they walk into a consultation. All surgeons have to be trained to go through the process of dealing with unfamiliar clinical conditions for the first time. Surgeons will use this book as a useful foundation on which to build their own personal knowledge.

Outpatient Surgery

Author : Alan Dardik
ISBN : 1846195950
Genre : Medical
File Size : 20. 56 MB
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For the UK equivalent of this book, please see General Surgery Outpatient Decisions edited by Michael Gaunt, Tjun Tang and Stewart Walsh. Few doctors receive formal training on how to conduct an outpatient consultation or how to compose and dictate an outpatient letter. Trainee surgeons in each new specialty spend their first few weeks in outpatient clinics learning by experience, with all the pitfalls this entails. Much work involves seeing patients who have been brought back for review by their predecessors. Problems are caused by inexperience, unfamiliarity, fear of making mistakes, the pressure of patient numbers and lack of training. New doctors will find little help in the standard textbooks on how to follow-up patients. This book provides the vital background information to enable rational decision making in a concise and economical manner. It describes reasonable and safe lines of management suitable for most patients; ideal for when discussion with a senior colleague is not possible. Surgical outpatient services have undergone tremendous change in recent years. The traditional general surgical clinic has been replaced by specialist clinics where decisions on patient management are taken by multidisciplinary teams. This multi-authored volume takes into account the multidisciplinary approach. As well as an overall review of general outpatient issues, every major specialty is covered, with clear notes for each condition covering history, examination, investigations, results, treatment, follow-up and post-operative follow-up. The book can be read before or during clinics, and enables trainees to have an action plan in mind before they walk into a consultation. All surgeons have to be trained to go through the process of dealing with unfamiliar clinical conditions for the first time. This book is an important foundation on which to build their personal knowledge.

Breast Problems

Author : David R. Goldmann
ISBN : 0789441748
Genre : Health & Fitness
File Size : 46. 13 MB
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Provides information on understanding and living with disorders of the breast, covering such topics as causes, diagnosis, and treatments.

Resident Readiness General Surgery

Author : Debra Klamen
ISBN : 9780071779890
Genre : Medical
File Size : 75. 79 MB
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ARE YOU READY? GET RESIDENT READY. Resident Readiness: General Surgery prepares you for success during your surgical internship. Inside is a full range of scenarios you may experience during your residency, supported by comprehension questions with detailed answer explanations and tips to help you remember. You will also learn the clinical problem-solving process so you can think quickly on your feet, especially when time is critical. With the book's step-by-step guidance, you will gain the confidence you need to perform at your best on Day One of your residency. BEYOND TREATING YOUR PATIENT, RESIDENT READINESS PREPARES YOU TO Handle inpatient problems on the floor Manage patients in the ED, including trauma Follow up with patients in the outpatient clinics post-surgery Triage multiple simultaneous admissions and/or consults

General Surgery

Author : Kirby I. Bland
ISBN : 1846288320
Genre : Medical
File Size : 31. 87 MB
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General Surgery: Principles and International Practice is organized into Ten Sections, each representing an important branch of surgical science. It aims to provide the medical student, general surgical resident or active practitioner with an illustrative, instructive and comprehensive textbook depicting the rationale for the basic operative principles mandated by state-of-the-art surgical therapy. The reader can rapidly review the subject matter in a three-to-five page summary with contemporary bibliography in each chapter and a "Pearls and Pitfalls" section summarizing the 'impact', concerns and outcomes of surgical management. Amply supported by line drawings and photographs, algorithms and anatomical depictions, this provides the student of diseases, as well as those studying for Board examinations, a text that has rapidly assimilated data into the most contemporary applications of surgical therapy.

The Checklist Manifesto

Author : Atul Gawande
ISBN : 1429953381
Genre : Medical
File Size : 39. 73 MB
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The New York Times bestselling author of Better and Complications reveals the surprising power of the ordinary checklist We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third. In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds. An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.

Essentials Of General Surgery

Author : Peter F. Lawrence
ISBN : 9781469837291
Genre : Medical
File Size : 73. 90 MB
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For nearly 25 years, medical students and faculty alike have chosen Essentials of General Surgery and its companion textbook, Essentials of Surgical Specialties, for authoritative coverage of surgical information that every physician in training should know. The Fifth Edition incorporates current research from the field; new sample questions, answers, and rationales; and new tables and algorithms. A new art program presents concepts and images—including an Appendix with 50 burn images—in full color for optimal learning and retention.

Surgical Care At The District Hospital

Author : World Health Organization
ISBN : 9789241545754
Genre : Medical
File Size : 39. 73 MB
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Many patients who present to district (first-referral) level hospitals require surgical treatment for trauma obstetric abdominal or orthopaedic emergencies. Often surgery cannot be safely postponed to allow their transfer to a secondary or tertiary-level hospital but many district hospitals in developing countries have no specialist surgical teams and are staffed by medical nursing and paramedical personnel who perform a wide range of surgical procedures often with inadequate training. the quality of surgical and acute care is often further constrained by poor facilities inadequate low-technology apparatus and limited supplies of drugs materials and other essentials. the mission of the team responsible for Clinical Procedures in the World Health Organization Department of Essential Health Technologies (EHT) is to promote the quality of clinical care through the identification promotion and standardization of appropriate procedures equipment and materials particularly at district hospital level. WHO/BCT has identified education and training as a particular priority especially for non-specialist practitioners who practise surgery and anaesthesia. It has therefore developed Surgical Care at the District Hospital as a practical resource for individual practitioners and for use in undergraduate and postgraduate programmes in-service training and continuing medical education programmes. the manual is a successor of three earlier publications that are widely used throughout the world and that remain important reference texts: General Surgery at the District Hospital (WHO 1988) Surgery at the District Hospital: Obstetrics Gynaecology Orthopaedics and Traumatology (WHO 1991) Anaesthesia at the District Hospital (WHO 1988; second edition 2000). This new manual draws together material from these three publications into a single volume which includes new and updated material as well as material from Managing Complications in Pregnancy and Childbirth: a Guide for Midwives and Doctors (WHO 2000). Link to the full training tool kit CD-ROM: WHO Integrated Management for Emergency and Essential Surgical Care (IMEESC) Toolkit CD-ROM Surgical Care at the District Hospital is a compact but comprehensive outline of modern surgical care focusing on fundamental precepts and practical techniques. the illustrations are clear instructive and appropriate. the authors are to be commended on a much improved new edition. Barry J. Gainor MD Chairman Health Volunteers Overseas Professor of Orthopedic Surgery University of Missouri-Columbia ...Indispensable manual for outlying health centres. - International Federation of Surgical Colleges

Surgical Ethics

Author : Laurence B. McCullough
ISBN : 0199748799
Genre : Medical
File Size : 49. 53 MB
Format : PDF
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The first textbook on the subject, this is a practical, clinically comprehensive guide to ethical issues in surgical practice, research, and education written by some of the most prominent figures in the fields of surgery and bioethics. Discussions of informed consent, confidentiality, and advance directives--core concepts integral to every surgeon-patient relationship--open the volume. Seven chapters tackle the ethical issues in surgical practice, covering the full range of surgical patients--from emergency, acute, high-risk, and elective patients, to poor surgical risk and dying patients. The book even considers the special relationship between the surgeon and patients who are family members or friends. Chapters on surgical research and education address innovation, self-regulation in practice and research, and the prevention of unwarranted bias. Two chapters focus on the multidisciplinary nature of surgery, including the relationships between surgery and other medical specialties and the obligations of the surgeon to other members of the surgical team. The economic dimensions of surgery, especially within managed care, are addressed in chapters on the surgeons financial relationships with patients, conflicts of interest, and relationships with payers and institutions. The authors do not engage in abstract discussions of ethical theory; instead, their discussions are always directly relevant to the everyday concerns of practicing surgeons. This well-integrated volume is intended for practicing surgeons, medical educators, surgical residents, bioethicists, and medical students.

100 Cases In Surgery Second Edition

Author : James Gossage
ISBN : 9781444174281
Genre : Medical
File Size : 27. 97 MB
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A 64-year-old woman has been referred to the on-call general surgical team by her GP. She has been complaining of pain in the upper part of her abdomen and generalized itching. Her daughter has also noticed a yellowish discolouration of her skin. The symptoms started a week ago and are gradually getting worse. You have been assigned her initial assessment... 100 Cases in Surgery presents 100 scenarios requiring surgical treatment commonly seen by medical students and junior doctors in the emergency department or outpatient clinic. A succinct summary of the patient's history, examination, and initial investigations—including photographs where relevant—is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors. Making speedy and appropriate clinical decisions, and choosing the best course of action to take as a result, is one of the most important and challenging parts of training to become a doctor. These true-to-life cases will teach students and junior doctors to recognize important surgical conditions, and help to develop their diagnostic and management skills.

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