Learning Surgery: The Surgery Clerkship Manual by Stephen F. Lowry (Editor), Rocco G. Ciocca (Editor),

By Stephen F. Lowry (Editor), Rocco G. Ciocca (Editor), Candice S. Rettie (Editor)

A symptom-based model of the critically-acclaimed Norton/Surgery: easy technology and medical proof, studying surgical procedure offers a prepared connection with these in 3rd and fourth 12 months residencies. crucial algorithms and case displays meet with clerkship studying targets as defined via the organization of Surgical schooling of their ASE guide. sections contain creation to medical surgical procedure within the Surgical Clerkship surroundings and administration of Surgical ailments in the course of the Clerkship. Chapters contain: Stroke, high blood pressure, belly lots, Head accidents, and Burns. Written through top clinicians and educators, either surgical procedure citizens and scientific scholars will locate studying surgical procedure indispensible of their rotations and clerkships. Surgeons who teach citizens also will locate the textual content a priceless ajunct to their instructing.

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Femoral hernias Type 4. Recurrent hernia A. Direct B. Indirect C. Femoral D. Combined Source: Reprinted from Scott DJ, Jones DB. Hernias and abdominal wall defects. In: Norton JA, Bollinger RR, Chang AE, et al, eds. Surgery: Basic Science and Clinical Evidence. New York: Springer-Verlag, 2001, with permission. 2. 16. Step 2: Estimating a prognosis. Element Question component Creating an evidence-based medicine question Patient Intervention Comparison Outcome of problem intervention clinical interest Male, acute onset L groin pain Observation Operative intervention Likelihood of incarceration/ strangulation could occur.

To apply the algorithm, a patient problem is selected. The case of Mr. Edwards (see case at beginning of the chapter) serves as an example. Mr. Edwards has made an appointment with his physician because of a dragging sensation in his groin that has persisted for 3 days after he felt a sharp pain while lifting a heavy object. Mr. Edwards wants to find out if anything can, or should, be done about it. For Mr. Edwards’ physician, however, the clinical question becomes more complicated. Using the algorithm, five questions are generated that will guide the clinical decision making: • What is the most likely diagnosis for an acute pain in the groin that has evolved into a persistent dragging sensation in the same area?

Monitoring progress and complications? . 1. Metabolic monitoring . 2. Problems related to access Should nutrition support be terminated? 1. Algorithm for decision analysis for nutritional support. influence most biochemical or anthropometric parameters. Malnutrition appears to be a continuum that is influenced by altered intake and the degree of antecedent/concurrent metabolic stress. At a minimum, accurate documentation of weight loss over prior weeks and months is an indicator of the potential degree of malnutrition.

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