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Basic Emergency and Surgical Skills
Basic Emergency and Surgical Skills
This file was designed for fresh medical graduates to introduce the basic surgical skills and trauma management to them.
It was intended to be the manual of a mandatory course for the interns in Cairo University Hospitals (BESS Course).
It is suitable for all medical students and junior surgeons.
It includes the principles of:
WOUND MANAGEMENT
HANDLING INSTRUMENTS
SUTURING TECHNIQUES
SUTURES…
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Advanced Update in General Surgery
Advanced Update in General Surgery
I have collected these notes from different sources during my revision for the FRCS exam.
It is not a formal text book nor a systematic notes to start studying with.
It is not suitable for junior surgeons.
Some subjects are hand written.
This is a scanned version of the original notes.
It is a very good source for revision before any advanced exam in General Surgery specially the FRCS or to…
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Emergency Surgery for Juniors - PDF - FREE DOWNLOAD
Emergency Surgery for Juniors – PDF – FREE DOWNLOAD
This PDF file is a very brief guide which was designed initially for interns in Cairo University hospitals to help them throughout the initial management of patients with surgical emergency presentation until they could seek senior advice.
Recently, I have found a lot of my junior colleagues including junior residents (SHOs) and interns (FYs) in many hospitals in Egypt using this guide in their…
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Ultrasound Basics for Surgeons, Emergency and Critical Care doctors
Ultrasound Basics for Surgeons, Emergency and Critical Care doctors
I have selected these youtube videos for Surgeons, Emergency and Critical Care doctors to raise the awareness regarding the importance of ultrasound in their practice..
[embedyt] http://www.youtube.com/watch?v=jLNNdc1LaxI%5B/embedyt%5D
[embedyt] http://www.youtube.com/watch?v=WK94Y4xLZW4%5B/embedyt%5D
[embedyt] http://www.youtube.com/watch?v=zvTieaDD3JQ%5B/embedyt%5D
[embedyt] http://www.youtube.…
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Surgical A-V fistula
Inspection
Dilated pulsatile vessels in forearm with an overlying scar
Site (radio-cephalic or bracio-cephalic)
Puncture site
Dilated veins (venous hypertension)
Palpation
Thrill
Alan’s test (on examiners hand)
Auscultation bruit
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Urology / Clinical
TAKING HISTORY FROM A PATIENT WITH urological CONDITION
Follow the general scheme (on this page) and use the following set of symptoms in the part of “Other symptoms in Relation to the main complaint”
Pain
Renal pain
Ureteric colic
Vesical pain
Prostatic pain
Urethral pain
Testicular and epididymal pain
Lower urinary tract symptoms “LUTS”
Irritative
Frequency
Noctorna
Urgency
Urge incontinence
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Anal canal / Clinical
Anal canal / Clinical
TAKING HISTORY FROM A PATIENT WITH Anal condition
Follow the general scheme (on this page) and use the following set of symptoms in the part of “Other symptoms in Relation to the main complaint”
Swelling
Pain
Discharge
Bleeding
Pruritus
Change bowel habits
Incontinence
Examination Position
Left lateral position
Chin rest on the chest
Hip flexed 90o or more
Knee flexed less than 90o
Inspection
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Clinical presentation of some abdominal/GIT disorders of surgical importance
Clinical presentation of some abdominal/GIT disorders of surgical importance
Inflammatory Bowel Disease
IBD “Other Options of Surgical Treatment not mentioned here”
Clinical presentation of a patient with chronic duodenal ulcer
Type of patient
Young & Active
Well fed & Plump
No apparent signs of ill health
Symptoms
Pain
Site Deep seated in the epigastrium Onset Course
Periodicity
Pain occur during periods of activity
Usually lasts for few weeks followed by a…
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Some of GI / Abdominal Symptomatology of Surgical Importance
Some of GI / Abdominal Symptomatology of Surgical Importance
TAKING HISTORY FROM A PATIENT WITH ABDOMINAL/GIT PROBLEM
Follow the general scheme (on this page) and use the following set of symptoms in the part of “Other symptoms in Relation to the main complaint”
Abdominal pain
Abdominal swelling
Related to esophagus and mouth
Halitosis
Salivation
Dysphagia
Heart burn
Reflux
Painful swallowing or odynophagia
Related to upper GIT
Dyspepsia or indigestion
E…
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Clinical Surgery Notes for MRCS OSCE part B exam for DOWNLOAD
Clinical Surgery Notes for MRCS OSCE part B exam for DOWNLOAD
Very Important
It is not the intention of these note to be a complete comprehensive notes for the clinical examination in General Surgery or for the OSCE part B MRCS examination.
The main intention of these notes is to create a skeleton upon which you can build up your plans in clinical examination. In addition to that, it can be used for a quick revision before the exam.
You can NOT go for the…
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Terms (of surgical importance) used to describe skin pathology
Terms (of surgical importance) used to describe skin pathology
Macule Localized change in color of the skin
Not elevated (or palpable) or freckled Papule Small solid elevation
Flat toped, conical, rounded, polyhedral, follicular (hairs), smooth or scaly Vesicle Small collection of fluid
Between the dermis and epidermis (a blister) Bulla Collection of fluid larger than a vesicle
Under epidermis WhealTransient elevation of the skin caused by edema
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History Taking
General sheet / Information Gathering
Hello Mr. …. Sit down please. I am …(position)…
Personal history Name – Age – Occupation
Complaint Pain – Swelling – Dysfunction – Others
History of present complaint Analysis
Other symptoms Relation to the main complaint
What is the problem? ….
Tell me more about that.
Tell me more about …. What about ….? Do you have ….?
History of present investigations…
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Ulcer - History
Ulcer – History
Ulcer Analysis
Site (where is it?)
Onset (sudden or gradual?)
Course (does it increase or decrease in size with the time?)
Duration (when did it appears?)
Other swellings (do you have other swellings?)
Relation to other symptoms like pain or swellings
Possible Cause(why do you think you’ve got it?)
Constitutional symptoms (did you become feverish?)
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Swelling - History
Swelling – History
Swelling analysis
Site (where is it?)
Onset (sudden or gradual?)
Course (does it increase or decrease in size with the time?)
Duration (when did it appears?)
Other swellings (do you have other swellings?)
Relation to other symptoms like pain (is it painful?)
Possible Cause (why do you think you’ve got it?)
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Pain - History
Pain – History
Pain analysis
Site & referral (where is it? Where it goes?)
Onset (sudden or gradual?)
Course (how often does it happen?)
Duration (when did it start?)
Severity (how bad is it?)
Character (Burning, throbbing, stabbing, constricting, tightness, colicky or just a pain) (what does it feel like?)
Relieving factors (what eases it?)
Exacerbating factors (what brings it?)
Cause like trauma (why do you…
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