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  • Appendicitis: A Clinical Study
    La comanda in aproximativ 4 saptamani
    110.00 lei

    Originally published in 1937, this book provides a brief clinical study of appendicitis and its common varieties. Bowen deals with topics such as the etiology and treatment of appendicitis as well as potential complications following the operation, such as fistula and jaundice. This book will be of value to anyone with an interest in the history of medicine.

  • Decision Making in Clinical Surgery
    La comanda in aproximativ 4 saptamani
    140.00 lei

    This book is a concise guide to the diagnosis and surgical treatment of common conditions for trainees. Divided into 11 sections, the text covers a variety of disorders in different systems of the body - abdomen, anorectal, head and neck, breast, vascular, skin and more. The book concludes with coverage of surgery for trauma and general care of a surgical patient. Written in a symptom-based, rather than pathology-based approach, the text is presented in an easy to understand format and features boxes summarising key points for each topic. This practical guide is authored by Florida-based expert Venkit S Iyer and includes illustrations and tables to assist learning. Key points Concise guide to diagnosis and surgical treatment of common conditions Covers variety of disorders in different systems of the body Written in a symptom-based, rather than pathology-based approach Authored by recognised, Florida-based expert in the field

  • 20200lei 180.00 lei

    For its third edition, this handbook has been fully revised and rewritten for the renowned Oxford Medical Handbook series. Including comprehensive coverage of all common surgical specialties and operations, it fully integrates practical advice on pre-operative procedure, equipment, step-by step surgical procedures, common techniques, and tips and tricks from over thirty experienced specialist surgeons.

    With over three hundred detailed practical diagrams and images to assist your understanding and packed with step-by-step, concise, and clear expert advice, you can be confident that this handbook will be your essential guide to all aspects of operative surgery.

    Providing an overview of modern operative surgical practice the Oxford Handbook of Operative Surgery will enable all surgeons, whether they are just starting out or posessing many years' experience, to prepare fully and be confident in observing, assisting or performing across the wide variety of surgical operations. Fully up to date and reflecting current practice and guidelines, it provides an essential complement to the highly successful Oxford Handbook of Clinical Surgery.

  • 20500lei 185.00 lei

     

    Description:

    For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Abernathy’s Surgical Secrets, 7th Edition, features the Secrets’ popular question-and-answer format that also includes lists, tables, and an easy-to-read style – making reference and review quick, easy, and enjoyable.

    The proven Secrets® format gives you the most return for your time – concise, easy to read, engaging, and highly effective.

    Covers the full range of essential topics in general surgery for in-training or practicing professionals.

    Written by global experts and thought leaders in surgery.

    Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams.

    Portable size makes it easy to carry with you for quick reference or review anywhere, anytime.

    Fully updated throughout, with clear illustrations, figures, and flow diagrams that expedite study and review.

     

    Table of Contents

     

    Answers to the Top 100 Questions that You Will Be Asked on Rounds

    I. General Topics

    Chapter 1. Are you ready for your surgical rotation?

    Chapter 2. Cardiopulmonary Resuscitation

    Chapter 3. How to Treat All Cardiac Dysrhythmias

    Chapter 4. How to Think About Shock

    Chapter 5. Congestive Heart Failure (CHF) and Pulmonary Insufficiency

    Chapter 6. Mechanical Ventilation

    Chapter 7. Why get arterial blood gases?

    Chapter 8. Fluids, Electrolytes, Gatorade, and Sweat

    Chapter 9. Nutritional Assessment, Parenteral, And Enteral Nutrition

    Nutritional Assessment

    Enteral Nutrition

    Enteral Controversies

    Parenteral Nutrition

    Parenteral Controversies

    Chapter 10. What does Postoperative Fever Mean?

    Chapter 11. Surgical Wound Infection

    Chapter 12. Priorities in Evaluation of the Acute Abdomen

    Physical Examination

    Laboratory Studies

    Surgical Treatment

    Chapter 13. Surgical Infectious Disease

    Antibiotics

    Prophylaxis

    Management of Surgical Site Infections

    Extra Credit Questions

    Chapter 14. Risks of Blood-Borne Disease

    Chapter 15. Sepsis

    Chapter 16. Frailty

    II. Trauma

    Chapter 17. Initial Assessment

    Chapter 18. Posttraumatic Hemorrhagic shock

    Chapter 19. Traumatic Brain Injury

    Chapter 20. Spinal Cord Injuries

    Chapter 21. Penetrating Neck Trauma

    Chapter 22. Blunt Thoracic Trauma

    Chapter 23. Penetrating Thoracic Trauma

    Chapter 24. Blunt Abdominal Trauma

    Chapter 25. Penetrating Abdominal Trauma

    Controversies

    Chapter 26. Hepatic and Biliary Trauma

    Surgical Anatomy of the Liver

    Operative Management of Liver Injury

    Biliary Tract Injury

    Chapter 27. Splenic Trauma

    Chapter 28. Pancreatic and Duodenal Injury

    Duodenum

    Chapter 29. Trauma to the Colon and Rectum

    Colon Trauma

    Rectal Trauma

    Chapter 30. Pelvic Fractures

    Chapter 31. Upper Urinary Tract Injuries

    Chapter 32. Lower Urinary Tract Injury and Pelvic Trauma

    Chapter 33. Extremity Vascular Injuries

    Chapter 34. Facial Lacerations

    Chapter 35. Maxillofacial Trauma

    Chapter 36. Hand Injuries

    Chapter 37. Burns

    Chapter 38. Pediatric Trauma

    III. Abdominal Surgery

    Chapter 39. Appendicitis

    Chapter 40. Gallbladder Disease

    Chapter 41. Pancreatic Cancer

    Chapter 42. Acute Pancreatitis

    Chapter 43. Diagnosis and Management of Chronic Pancreatitis

    Chapter 44. Portal Hypertension and Esophageal Varices

    Chapter 45. Gastroesophageal Reflux Disease

    Controversies

    Chapter 46. Esophageal Carcinoma

    Chapter 47. Acid Peptic Ulcer Disease

    Chapter 48. Small Bowel Obstruction

    Chapter 49. Intestinal Ischemia

    Controversies

    Chapter 50. Diverticular Disease of the Colon

    Controversies

    Chapter 51. Acute Large Bowel Obstruction

    Chapter 52. Inflammatory Bowel Disease

    Controversies

    Chapter 53. Upper Gastrointestinal Bleeding

    Chapter 54. Lower Gastrointestinal Bleeding

    Chapter 55. Colorectal Polyps

    Chapter 56. Colorectal Carcinoma

    Chapter 57. Anorectal Disease

    Anal Fissure

    Hemorrhoids

    Pilonidal Disease

    Chapter 58. Inguinal Hernia

    Controversies

    Chapter 59. Bariatric Surgery

    IV. Endocrine Surgery

    Chapter 60. Hyperparathyroidism

    Chapter 61. Hyperthyroidism

    Chapter 62. Thyroid Nodules and Cancer

    Chapter 63. Surgical Hypertension

    Chapter 64. Adrenal Incidentaloma

    V. Breast Surgery

    Chapter 65. Breast Masses

    Chapter 66. Primary Therapy for Breast Cancer

    VI. Other Cancers

    Chapter 67. What is Cancer?

    Chapter 68. Melanoma

    Chapter 69. Nonmelanoma Skin Cancer

    Chapter 70. Parotid Tumors

    Chapter 71. Neck Masses

    VII. Vascular Surgery

    Chapter 72. What is Atherosclerosis?

    Chapter 73. Arterial Insufficiency

    Chapter 74. Carotid Disease

    Chapter 75. Abdominal Aortic Aneurysm

    Chapter 76. Venous Disease

    Chapter 77. Noninvasive Vascular Diagnostic Laboratory

    Cerebrovascular Disease

    Venous Disease

    Peripheral Arterial Occlusive Disease

    Duplex us Surveillance of Vascular Therapy

    Controversies

    VIII. Cardiothoracic Surgery

    Chapter 78. Coronary Artery Disease

    Controversies

    Chapter 79. Mitral Stenosis

    Bonus Question

    Chapter 80. Mitral Regurgitation

    Bonus Question

    Chapter 81. Aortic Valve Disease

    Chapter 82. Thoracic Surgery for Nonneoplastic Disease

    Pleural Effusion

    Empyema

    Infections and Tuberculosis

    Chapter 83. Lung Cancer

    Chapter 84. Solitary Pulmonary Nodule

    Chapter 85. Dissecting Aortic Aneurysm

    Controversies

    IX. Pediatric Surgery

    Chapter 86. Hypertrophic Pyloric Stenosis

    Chapter 87. Intestinal Obstruction of Neonates and Infants

    Chapter 88. Anorectal Malformation

    Chapter 89. Tracheoesophageal Malformations

    Chapter 90. Congenital Diaphragmatic Hernia

    Chapter 91. Abdominal Tumors

    Chapter 92. Congenital Cysts and Sinuses of the Neck

    X. Transplantation

    Chapter 93. Liver Transplantation

    Chapter 94. Kidney Transplantation

    Chapter 95. Heart Transplantation

    Chapter 96. Mechanical Circulatory Support

    Chapter 97. Lung Transplantation

    Chapter 98. Penile and Scrotal Urologic Emergencies

    Chapter 99. Urolithiasis

    XI. Urology

    Chapter 100. Renal Cancer

    Chapter 101. Bladder Cancer

    Chapter 102. Prostate Cancer

    Chapter 103. Urodynamics and Voiding Dysfunction

    Chapter 104. Pediatric Urology

    XII. Healthcare

    Chapter 105. Can Healthcare Be Reformed?

    Chapter 106. Medical Ethics

    Chapter 107. Professionalism

    Chapter 108. Required Reading

    Index

     

  • 21000lei 190.00 lei

     

    Description:

    Surgery Morning Report: Beyond the Pearls is a case-based reference that covers the key material included on the USMLE Step 2 and Step 3, as well as the surgery clerkship. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios.

    Table Of Contents:

    Williams, Surgery Morning Report: Beyond the Pearls

    Section 1: General Principles

    1. Medical Student and Resident Survival at Morning Report

    2. Pre-Operative and Post-Operative Patient Care

    3. Surgical Techniques

    4. Radiology: Basic Methods and Modalities

    Section 2: Abdominal Pain

    5. Case 1: Right Lower Quadrant Pain in a 28-Year-Old Female

    6. Case 2: Right Upper Quadrant Pain in a 44-Year-Old Female

    7. Case 3: Epigastric Pain in a 47-Year-Old Male

    8. Case 4: Left Lower Quadrant Pain in a 67-Year-Old Female

    9. Case 5: Groin Mass in a 48-Year-Old Male

    10. Case 6: Abdominal Pain and Diarrhea in a 43-Year-Old Female

    11. Case 7: Abdominal Pain and Distension in a 63-Year-Old Male

    12. Case 8: "Free Air" in a 72-Year-Old Female

    Section 3: Gastrointestinal Surgery

    13. Case 9: Reflux in a 67-Year-Old Male

    14. Case 10: Upper Gastrointestinal Bleeding in a 58-Year-Old Female

    15. Case 11: Lower Gastrointestinal Bleeding in a 71-Year-Old Male

    16. Case 12: Morbid Obesity in a 29-Year-Old Female

    17. Case 13: Anorectal Pain in a 45-Year-Old Male

    Section 4: Surgical Oncology

    18. Case 14: Breast Mass in a 32-Year-Old Female

    19. Case 15: Abnormal Screening Mammogram in a 48-Year-Old Female

    20. Case 16: Pigmented Skin Lesion in a 58-Year-Old Female

    21. Case 17: Dysphagia in a 62-Year-Old Male

    22. Case 18: Thyroid Nodule in a 48-Year-Old Female

    23. Case 19: Hypercalcemia in a 56-Year-Old Female

    24. Case 20: Lateral Neck Mass in a 67-Year-Old Male

    25. Case 21: Thigh Mass in a 35-Year-Old Male

    26. Case 22: Jaundice in a 63-Year-Old Female

    27. Case 23: Splenomegaly in a 40-Year-Old Female

    Section 5: Vascular Surgery

    28. Case 24: Leg Pain in a 55-Year-Old Male

    29. Case 25: Leg Swelling in a 66-Year-Old Female

    30. Case 26: Transient Vision Loss in a 74-Year-Old Female

    31. Case 27: Pulsatile Abdominal Mass in a 62-Year-Old Male

    Section 6: Trauma

    32. Case 28: The Trauma Patient: an Introduction

    33. Case 29: Fall from Standing in an 88-Year-Old Female

    34. Case 30: Stab Wound to the Neck in a 33-Year-Old Male

    35. Case 31: Gunshot Wound to the Chest in a 23-Year-Old Male

    36. Case 32: Bicycle Accident Involving a 37-Year-Old Male

    37. Case 33: Penetrating Injury to Right Upper Quadrant

    38. Case 34: Blow to the Abdomen in a 19-Year-Old Male Football Player

    39. Case 35: Fall from Height Involving a 64-Year-Old Female

    Section 7: Cardiothoracic Surgery

    40. Case 36: Mediastinal Mass in a 61-Year-Old Male

    41. Case 37: Solitary Pulmonary Nodule in a 65-Year-Old Female

    42. Case 38: Shortness of Breath in a 78-Year-Old Female

    43. Case 39: Unstable Angina in a 67-Year-Old Male

    Section 8: Critical Care

    44. Case 40: Lethargy after Bowel Resection in a 55-Year-Old Ma44n

    45. Case 41: Acidosis in an Intubated 45-Year-Old Male

    46. Case 42: Chest Pain Radiating to the Back in a 52-Year-Old Male

    47. Case 43: Third-Degree Burns in a 22-Year-Old Female

    48. Case 44: Necrotizing Soft Tissue Infection in a 57-Year-Old Male

    Section 9: Transplant Surgery

    49. Case 45: Cirrhosis in a 45-Year-Old Male

    50. Case 46: End-Stage Renal Disease in a 46-Year-Old Female

    Section 10: Pediatric Surgery

    51. Cae 47: Jaundice in a 1-Month-Old Male

    52. Case 48: Abdominal Wall Defect in a Newborn Female

    53. Case 49: Hypoxemia and Labored Breathing in a Newborn Male

    54. Case 50: Bilious Vomiting in a 1-Week-Old Male

    55. Case 51: Abdominal Pain, Vomiting, and Fever in a 3-Year-Old Female

       

     

  • 24200lei 195.00 lei

     

    Description:

    Surgical diagnoses are often made on the basis of clinical assessment alone and thus achieving competence in clinical skills remains imperative to good practice in surgery. This book of over 140 cases is designed for candidates preparing for all surgical examinations, whether at undergraduate, postgraduate or exit examination level. It will demystify and simplify the clinical assessment of surgical cases and provides invaluable advice on how to achieve success. The text includes top tips, acronyms and up-to-date summaries of current practice based on the authors’ personal experience of surgical examinations.

    Features:

    All the cases are graded in terms of likely appearance in the examinations.

    Top tips emphasize specific subjects which often cause confusion.

    The text includes both commonly asked and advanced questions relating to each case.

    Examples of the common procedures and props that come up in the skill-based examination format are included.

    New To This Edition:

    This fully revised Third Edition now includes 175 photographs of clinical cases and signs as well as key manoeuvres performed during specific surgical examination routines.

     

  • 200.00 lei

     

    50 Studies Every Surgeon Should Know presents key studies that have shaped the practice of surgery. Selected using a rigorous methodology, the studies cover topics including: vascular, colorectal, bariatric, abdominal, hernial, and endocrine surgery, surgical outcomes, surgical oncology, trauma and surgical critical care, and studies of historical interest. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. An illustrative clinical case concludes each review, followed by brief information on other relevant studies. This book is a must-read for health care professionals and anyone who wants to learn more about the data behind clinical practice.

  • Kirk's Basic Surgical Techniques, 7e
    La comanda in aproximativ 4 saptamani
    25700lei 210.00 lei

     

    Description:

    The Seventh Edition of this highly regarded title for surgical trainees gives clear, concise guidance on all aspects of acquiring surgical techniques to ensure operative success. The full range of surgical skills is comprehensively reviewed in a clear ‘how-to-do-it’ style, which consolidates those learnt both in theatre and on training courses. This new edition has been thoroughly revised by a new author based on the much praised editions by its original author Mr R M Kirk. Key Points boxes throughout the text summarise the important aspects of each technique.

    Provides guidance on the full range of surgical techniques required by all trainee surgeons.

    Concentrates on the main principles behind the use of the surgical techniques

    Key Points boxes provide hints and tips to reinforce the main aspects of each technique.

    Now renamed Kirk’s Basic Surgical Techniques a new author has comprehensively revised the text taking full account of new developments in surgical techniques and equipment.

    A new final chapter on the handling the patient.

     

    Table of Contents:

     

    Chapter 1 Handling yourself

    Attitudes – the Five Cs

    Physical Attributes

    What Is Skill?

    Exercises Versus Practice

    Haptics

    Transferable Skills

    Skills Courses

    Thought Processes

    Rational Assessment of Information

    Communication

    Procedural Practice

    References

    Further Reading

    Chapter 2 Handling instruments

    Scalpel

    Other ‘Scalpels’

    Scissors

    Dissecting Forceps (Thumb Forceps)

    Artery Forceps (Haemostatic Forceps, Haemostats)

    Tissue Forceps

    Needle-Holders

    Retractors

    Clamps

    Haemostatic Clips

    Stapling Devices

    Dissection Aids

    Intraoperative Diagnostic Ultrasound

    Chapter 3 Handling threads

    Thread Characteristics

    Knots

    Ligatures

    Stitches

    Choice of Suture Material

    Chapter 4 Handling ducts and cavities

    Intubation

    Oropharyngeal Airway

    Nasopharyngeal Airway

    Dilating Ducts

    Endoscopic Access

    Display

    Occlusion

    Disobliteration

    Repair

    Resection

    Anastomosis

    Bowel Transfer

    Sphincters

    Acquired Channels and Cavities

    References

    Chapter 5 Handling blood vessels

    Percutaneous Puncture

    Percutaneous Cannulation

    Percutaneous Catheterisation

    Endovascular Procedures

    Sutures

    Exposure and Control

    Incision

    Veins – Direct Procedures

    Arteries – Direct Procedures

    Arterial Anastomosis

    Microvascular Surgery

    References

    Chapter 6 Handling skin

    Structure

    Healing

    Wound Management

    Analgesia

    Incision

    Excision

    Closure

    Grafts

    Flaps

    Free Tissue Transfer

    Tissue Expansion

    Aesthetic Procedures

    References

    Further Reading

    Chapter 7 Handling connective and soft tissues

    Percutaneous Diagnostic Procedures

    Connective Tissue

    Nerves

    Skeletal Muscle

    Cartilage

    Mucoperiosteum

    Breast

    Lymph Nodes

    Abdominal Wall

    Abdominal Contents

    Urological System

    Gynaecological System

    Cardiorespiratory System

    Endocrine System

    Brain and Spinal Cord

    Reference

    Chapter 8 Handling bone and joints

    Bone

    Exposure

    Biopsy

    Cutting

    Drilling

    Fixing

    Amputation

    Joints

    Cartilage

    Ligaments

    Tendon Insertion

    Chapter 9 Handling dissection

    Organize

    Expose

    Dissection Methods

    Layered or Solid Tissues?

    Tissue Planes

    Solid Tissues

    Diseased Tissues

    Neoplasms

    Aids to Dissection

    Reference

    Chapter 10 Handling bleeding

    Haemorrhage

    Prevention

    Aids

    Control

    Intracranial Bleeding

    Chapter 11 Handling drains

    Caution

    Types

    Sites

    Abscesses and Cysts

    External Fistulas

    Negative Pressure Wound Healing

    Reference

    Chapter 12 Handling infection

    Principles

    Infections

    Sepsis

    Viral Transmission

    Universal Precautions

    Trauma

    Preoperative

    Operating Routines

    Operation

    Bleeding

    Surgical Site Infection

    Treating Infections

    References

    Further Reading

    Chapter 13 Handling minimal access surgery

    Examples

    Laparoscopy

    Placing a Second Cannula (Port)

    Technical Aspects

    Closure

    Acquiring Skills

    Other Procedures

    References

    Further Reading

    Chapter 14 Handling the patient

    Preoperative Factors

    Planning the Order of an Operating List

    Periprocedural Factors

    In the Operating Theatre

    Postoperative Care

    Emergency Procedures

    Reference

    Chapter 15 Handling craft skills

    Physician/Surgeon

    Skills Courses

    Operating Precepts

    Emergencies

    Error Avoidance

    Assisting at Operations

    Mentoring

    Common Sense

    References

    Index

     

  • 25700lei 210.00 lei

     

    Description:

    Essential reading for residents and medical students, this popular handbook is a must-have resource for convenient, quick access to information on managing common surgical problems. Written by current surgery residents at the University of Cincinnati, the completely updated 7th Edition focuses on the surgical treatments, guidelines, procedures, and topics you need to know.

    New chapters cover Surgical Risk Assessment, Head and Neck Malignancy, Mediastinal Tumors, Dialysis Access, and Robotics.

    Rapid References section offers handy formulas and charts in one easy-access location.

    Thoroughly revised content throughout ensures that you stay up to date.

     

    Table of Contents:

     

    Part I. Perioperative Care

    Introduction

    1. Surgical History and Physical Examination

    I. Introduction and Initial Contact

    II. History

    III. Physical Examination

    2. Fluids and Electrolytes

    I. Basic Physiology

    II. Electrolyte Disturbances

    III. Parenteral Replacement Fluid Therapy

    IV. Acid-Base Disorders

    3. Nutrition

    I. Nutrition Basics

    II. Determination of Caloric Needs

    III. Nutritional Assessment

    IV. Preoperative Nutritional Supplementation

    V. Postoperative Nutritional Supplementation

    VI. Enteral Nutrition

    VII. Short-Term Supplementation

    VIII. Long-Term Supplementation (>6 Weeks)

    IX. Products

    X. Complications of Enteral Feeding

    XI. Parenteral Nutrition

    XII. Basic Composition of Formulations

    XIII. Central Formulas

    XIV. Peripheral Parenteral Nutrition

    XV. Infusion

    XVI. Monitoring

    XVII. Complications

    XVIII. Immunonutrition

    XIX. Nutrients/Macrominerals/Micronutrients/Vitamins

    4. Wound Healing

    I. Phases of Wound Healing

    II. Factors That Affect Wound Healing

    III. Wound Preparation

    IV. Types of Wound Closure

    V. Management of Wound Complications

    VI. Hypertrophic Scars and Keloids

    5. Surgical Risk Assessment

    I. Risks and Benefits of Surgery

    II. Surgical Risk Assessment

    III. Preoperative Preparation

    IV. Postoperative Care

    6. Suture Types, Needle Types, and Instruments

    I. Suture Material

    II. Needles

    III. Instruments

    Part II. Anesthesia

    Introduction

    7. Local Anesthesia

    I. Injectable Agents

    II. Techniques

    III. Topical Agents

    8. Conscious Sedation

    I. Introduction

    II. Preprocedural Evaluation

    III. Monitoring

    IV. Availability of Emergency Medical Equipment and Personnel

    V. Training in Airway Management

    VI. Medications

    VII. Reversal Medications

    VIII. Recovery and Discharge

    9. General Anesthesia

    I. Preoperative Assessment and Preparation

    II. Intraoperative Management

    III. Pharmaceuticals

    IV. Postoperative Management

    Part III. Surgical Critical Care

    Introduction

    10. Surgical Infection

    I. Background and Scope of Problem

    II. Most Common Infections Affecting Surgical Patients

    III. Sepsis

    11. Hemorrhage and Coagulation

    I. General Topics

    II. Laboratory Tests and Reference Values

    III. Specific Blood Products

    IV. Massive Transfusion And Damage Control Resuscitation

    V. Transfusion Reactions

    VI. Surgical Coagulopathy—General Considerations

    VII. Congenital Bleeding Disorders

    VIII. Acquired Bleeding Disorders

    IX. Medications

    12. Shock

    I. Pathophysiology

    II. hemodynamic Considerations

    III. Organ Response to Shock

    IV. Multiorgan Dysfunction Syndrome

    V. Shock States

    VI. Vasoactive Agents

    13. Cardiopulmonary Monitoring

    I. Cardiac Monitoring

    II. Pulmonary Monitoring

    III. Important Formulas

    14. Mechanical Ventilation

    I. Determining Need for Mechanical Ventilation

    II. Ventilation Versus Oxygenation

    III. Noninvasive Positive Pressure Ventilation

    IV. Conventional Mechanical Ventilation

    V. Effects on Cardiac Performance

    VI. Need for Tracheostomy

    VII. Ventilator Cautions

    VIII. Pearls

    Part IV. Trauma Surgery

    Introduction

    15. Primary and Secondary Survey

    I. Epidemiology

    II. Management of the Trauma Patient

    III. Pediatric Trauma

    IV. Trauma And Pregnancy

    V. Penetrating Neck Trauma

    16. Abdominal Trauma

    I. Pathophysiology

    II. Diagnosis

    III. Treatment

    IV. Organ-Specific Injury Management

    V. Special Circumstances

    17. Thoracic Trauma

    I. Epidemiology of Thoracic Trauma

    II. Physical Examination of the Chest

    III. Adjuncts to the Physical Examination

    IV. Pathophysiology of Thoracic Trauma

    V. Blunt Chest Trauma

    VI. Penetrating Chest Trauma

    VII. Resuscitative Thoracotomy

    VIII. Other Thoracic Procedures in the Face of Trauma

    IX. Postoperative Care of the Patient with a Chest Injury

    X. Complications of Thoracic Trauma

    18. Extremity Trauma

    I. Evaluation of the Injured Limb

    II. Open Fractures

    III. Compartment Syndrome

    IV. Pelvic Fractures

    V. Vascular Injury in Extremity Trauma

    19. Burn Care

    I. Causative Factors

    II. Indications for Hospital Admission

    III. Initial Management

    IV. Pathophysiologic Changes Associated with Burn Injuries

    V. Burn Wound Care

    VI. Supportive Care

    VII. Management of Infection in the Burn Patient

    VIII. Electrical Injuries

    IX. Chemical Injuries

    X. Outpatient and Clinic Treatment

    XI. Complications of Burn Injuries

    20. Neurosurgical Emergencies

    I. Evaluation and Management of the Neurotrauma Patient

    II. Cranial Trauma

    III. Spinal Trauma

    IV. Peripheral Nerve Trauma

    V. Traumatic Cerebrovascular Injuries

    Part V. Gastrointestinal Surgery

    Introduction

    21. Acute Abdomen

    I. Physiology of Abdominal Pain

    II. History

    III. Physical Examination

    IV. Laboratory Examination

    V. Radiographic Evaluation

    VI. Initial Treatment and Preoperative Preparation

    22. Abdominal Wall Hernias

    I. Historical Perspective

    II. Terminology

    III. Natural History

    IV. Anatomic Considerations

    V. Classification of Hernias

    VI. Causative Factors

    VII. Diagnosis

    VIII. Preoperative Considerations

    IX. Inguinal/Femoral Hernia Repair

    X. Ventral/Umbilical/Incisional Hernia Repair

    XI. Postoperative Complications

    23. Gastrointestinal Bleeding

    I. History

    II. Physical Examination

    III. Initial Management

    IV. Laboratory Evaluation

    V. Investigative and Diagnostic Procedures

    VI. Nonsurgical Treatment

    VII. Disease-Specific Therapy

    24. Intestinal Obstruction

    I. Terminology

    II. Causative Factors

    III. Presentation

    IV. Imaging

    V. Management

    VI. Outcomes

    25. Peptic Ulcer Disease

    I. Occurrence

    II. Presentation and Evaluation

    III. Pathogenesis

    IV. Helicobacter Pylori

    V. Treatment of Uncomplicated Disease

    VI. Treatment of Complicated Disease

    VII. Details of Surgical Options

    26. Inflammatory Bowel Disease

    I. Inflammatory Bowel Disease

    II. Extraintestinal Manifestations

    III. Ulcerative Colitis

    IV. Crohn Disease

    V. Indeterminate Colitis

    27. Benign Esophageal Disease

    I. Anatomy

    II. Physiology

    III. Motility Disorders

    IV. Diverticula

    V. Gastroesophageal Reflux

    VI. Benign Tumors of the Esophagus

    VII. Esophageal Rupture and Perforation

    VIII. Caustic Injury

    28. Benign Colorectal Disease

    I. Anatomy

    II. Hemorrhoids

    III. Anal Fissure

    IV. Anorectal Abscess

    V. Fistula in Ano

    VI. Pilonidal Disease

    VII. Anal and Perianal Infections

    VIII. Pruritus ANI

    IX. Anal Neoplasm

    X. Rectal Prolapse

    XI. Anoscopy

    XII. Rigid Sigmoidoscopy

    29. Appendix

    I. Overview

    II. Epidemiology

    III. Pathophysiology

    IV. Presentation

    V. Differential Diagnosis

    VI. Complications

    VII. Treatment

    VIII. Special Circumstances

    IX. Appendiceal Tumors

    30. Benign Pancreatic Disease

    I. Anatomy

    II. Acute Pancreatitis

    III. Chronic Pancreatitis

    31. Surgical Diseases of the Spleen

    I. Anatomy

    II. Function

    III. General Indications for Splenectomy

    IV. Surgical Techniques

    V. Postsplenectomy Considerations

    32. Bariatric Surgery

    I. Epidemiology of Morbid Obesity

    II. Comorbidity Associated with Morbid Obesity

    III. Medical Therapy For Morbid Obesity

    IV. Types of Procedures

    V. Preoperative Work-up

    VI. Surgical Procedures for the Bariatric Patient

    VII. Results of Bariatric Surgery

    Part VI. Surgical Oncology

    Introduction

    33. Tumor Biology, Syndromes, and Genetic Mutations

    I. Self-Sufficiency in Growth Signals

    II. Insensitivity to Growth-Inhibitory Signals

    III. Evasion of Programmed Cell Death

    IV. Limitless Replicative Potential

    V. Sustained Angiogenesis

    VI. Tissue Invasion and Metastasis

    VII. Genetic Instability

    VIII. Familial Cancer Syndromes

    IX. Pharmacotherapy

    X. Chemotherapeutic Agents: Mechanisms, Uses, and Important Toxicities

    34. Head and Neck Malignancy

    I. Epidemiology

    II. Work-Up of a Neck Mass

    III. Neck Dissection

    IV. Treatment of Cancer by Site

    V. Neck Dissection Indications for Salivary Gland Malignancy

    35. Esophageal Malignancy

    I. Esophageal Anatomy

    II. Epidemiology

    III. Histology and Risk Factors

    IV. Diagnosis and Staging

    V. TNM Staging System

    VI. Treatment Planning

    VII. Esophagectomy

    VIII. Esophagectomy Approaches

    IX. Endoscopic Therapies

    X. Chemotherapy and Radiotherapy

    XI. Palliative Care

    36. Gastric Malignancy

    I. Adenocarcinoma of the Stomach

    II. Gastric Lymphoma

    III. Gastrointestinal Stromal Tumors

    37. Small Bowel Malignancy

    I. Epidemiology

    II. Diagnosis

    III. Staging

    IV. Management

    38. Malignant Colorectal and Perianal Disease

    I. Colorectal Cancer: Epidemiology

    II. Risk Factors

    III. Signs and Symptoms

    IV. Screening Guidelines for Colorectal Cancer

    V. Polyps

    VI. Pathogenesis

    VII. Preoperative Evaluation

    VIII. Treatment of Colon Cancer

    IX. Rectal Cancer

    X. Postoperative Follow-Up

    XI. Anal Cancer

    XII. Tumors of the Anal Canal

    XIII. Signs and Symptoms

    XIV. Screening

    XV. Anatomy and Characterization

    XVI. Tumors of the Anal Canal

    XVII. Tumors of the Anal Margin

    XVIII. Malignant Melanoma of the Anal Margin/Canal

    39. Malignant Pancreas Disease

    I. Pancreatic Adenocarcinoma

    II. Premalignant Cystic Neoplasms of the Pancreas

    40. Diseases of the Breast

    I. Anatomy And Physiology

    II. History

    III. Physical Examination

    IV. Radiographic Studies

    V. Evaluation of Breast Mass

    VI. Benign Breast Disease

    VII. Breast Cancer

    41. Malignant Skin Lesions

    I. Basal Cell Carcinoma

    II. Squamous Cell Carcinoma

    III. Malignant Melanoma

    IV. Merkel Cell Carcinoma

    Part VII. Hepatobiliary Surgery

    Introduction

    42. Benign Gallbladder and Biliary Tree

    I. Anatomy

    II. Cholelithiasis

    III. Symptomatic Cholelithiasis

    IV. Choledocholithiasis

    V. Cholangitis

    VI. Acalculous Cholecystitis

    VII. Other Disorders of the Gallbladder

    VIII. Medical Treatments

    IX. Laparoscopic Cholecystectomy

    43. Malignant Gallbladder and Biliary Tree

    I. Gallbladder Cancer

    II. Bile Duct Cancer (Cholangiocarcinoma)

    44. Benign Liver Disease, Cirrhosis, and Portal Hypertension

    I. Pathophysiology

    II. Morphology

    III. Etiology

    IV. Diagnosis

    V. Classification

    VI. Consequences of Cirrhosis

    VII. Hepatic Syndromes

    45. Liver Tumors

    Part VIII. Transplant Surgery

    Introduction

    46. Renal Transplantation

    I. General Considerations

    II. Evaluation of Candidates for Transplantation

    III. Kidney Donation

    IV. Specific Operative Considerations

    V. Postoperative Considerations

    VI. Outcomes

    47. Liver Transplantation

    I. General Considerations

    II. Specific Operative Considerations

    III. Postoperative Considerations

    48. Pancreas Transplantation

    I. General Considerations

    II. Specific Operative Considerations

    III. Postoperative Considerations

    IV. Islet Cell Transplantation

    V. Pancreas Versus Islet Cell Transplantation

    Part IX. Endocrine Surgery

    Introduction

    49. Thyroid

    I. Embryology

    II. Anatomy

    III. Physiology

    IV. Work-Up of Thyroid Disease

    V. Hyperthyroidism

    VI. Hypothyroidism

    VII. Thyroiditis and Nontoxic Goiters

    VIII. Thyroid Nodules

    IX. Thyroid Neoplasms

    50. Parathyroid

    I. Parathyroid Embryology and Anatomy

    II. Primary Hyperparathyroidism

    III. Secondary Hyperparathyroidism

    IV. Tertiary Hyperparathyroidism

    V. Parathyroid Carcinoma

    51. Adrenal Gland

    I. Embryology and Anatomy

    II. Zona Glomerulosa—Mineralocorticoids

    III. Zona Fasiculata—Glucocorticoids

    IV. Zona Reticularis—Androgens

    V. Adrenocortical Cancer

    VI. Adrenal Medulla

    VII. Incidentaloma

    VIII. Adrenal Insufficiency

    IX. Adrenal Surgery

    52. Neuroendocrine Tumors

    I. Neuroendocrine Tumors

    II. Gastrinoma

    III. Insulinoma

    IV. Glucagonoma

    V. Vasoactive Intestinal Polypeptidoma, Vipoma

    VI. Somatostatinoma

    VII. Pancreatic Polypeptidomas

    Part X. Vascular Surgery

    Introduction

    53. Thromboembolic Disease

    I. Introduction

    II. Methods of Prophylaxis and Treatment of Deep Venous Thromboses and Pulmonary Emboli

    III. An Approach to Prophylaxis

    IV. Approach to the Patient with Pulmonary Embolus

    54. Aneurysms

    I. Epidemiology

    II. Pathology

    III. Natural History

    IV. Clinical Presentation

    V. Diagnostic Studies

    VI. Elective Management of Abdominal Aortic Aneurysm

    VII. Open Abdominal Aortic Aneurysm Repair

    VIII. Complications

    IX. Endovascular Abdominal Aortic Aneurysm Repair

    X. Operative Mortality

    XI. Ruptured Abdominal Aortic Aneurysm

    XII. Abdominal Aortic Aneurysm Screening

    55. Peripheral Vascular Disease

    I. Definitions

    II. Peripheral Arterial Disease

    III. Management of Atherosclerotic Peripheral Arterial Disease

    IV. Renal Artery Disease

    V. Lower Extremity Aneurysm Disease

    VI. Chronic Venous Insufficiency

    56. Carotid Disease

    I. Background: Stroke

    II. Diagnosis

    III. Differential Diagnosis of Stroke/Transient Ischemic Attacks

    IV. Management

    V. Postoperative Complications

    VI. Postoperative Care

    57. Mesenteric Ischemia

    I. Anatomy and Physiology

    II. Epidemiology

    III. Acute Mesenteric Ischemia

    IV. Chronic Mesenteric Ischemia

    V. Mesenteric Venous Thrombosis

    VI. Median Arcuate Ligament Syndrome (Celiac Artery Compression Syndrome)

    58. Dialysis Access

    I. Introduction

    II. General Overview of Dialysis Access Types

    III. Dialysis Catheters

    IV. Arteriovenous Fistulas and Grafts

    V. Arteriovenous Fistula Maturation

    VI. Complications of Arteriovenous Fistulas and Grafts

    VII. Peritoneal Dialysis

    59. The Diabetic Patient

    I. Definitions

    II. Medical Therapies

    III. Glycemic Control in the Critically Ill Patient

    IV. Complications of Diabetes

    V. Diabetic Foot Ulcers

    Part XI. Cardiothoracic Surgery

    Introduction

    60. Benign Tumors of the Lung

    I. Overview

    II. History

    III. Physical Examination

    IV. Initial Evaluation

    V. Imaging

    VI. Biopsy Options

    VII. Epithelial Tumors

    VIII. Mesenchymal Tumors

    IX. Miscellaneous Tumors

    X. Other Tumors

    XI. Inflammatory Pseudotumors

    XII. Other Benign Tumors

    61. Malignant Tumors of the Lung

    I. Epidemiology

    II. Etiology

    III. Screening

    IV. Solitary Pulmonary Nodule

    V. Clinical Features

    VI. Pathology

    VII. Adenocarcinoma—40%

    VIII. Squamous Cell Carcinoma—20%

    IX. Large Cell Carcinoma—10%

    X. Neuroendocrine Carcinoma—20%–25%

    XI. Other—5%–10%

    XII. Diagnosis

    XIII. Treatment

    XIV. The Future

    62. Thymus and Mediastinal Tumors

    I. Anatomy and Embryology

    II. Assessment of Mediastinal Masses

    III. Anterior Mediastinal Masses

    IV. Visceral Mediastinal Compartment Masses

    V. Posterior Mediastinal Masses

    63. Cardiac Surgery

    I. Preoperative Evaluation

    II. Operative Procedures

    III. Postoperative Care

    IV. Postoperative Complications

    V. Pharmacology

    64. Cardiac Transplantation

    I. History

    II. Indications

    III. Contraindications

    IV. Preoperative Evaluation

    V. Listing Criteria

    VI. Listing Status According to Whom It May Concern: Organ Procurement and Transplantation Network Policies

    VII. Medical and Mechanical Bridges to Transplant

    VIII. Donor Selection, Evaluation, and Management

    IX. Donor Heart Procurement

    X. Operative Technique for Cardiac Transplantation

    XI. Postoperative Management

    XII. Immunosuppression and Long-Term Management

    XIII. Prevention of Opportunistic Infection

    XIV. Survival

    Part XII. Surgical Subspecialties

    Introduction

    65. General Pediatric Surgery

    I. Fluids And Nutrition

    II. Lesions of the Head and Neck

    III. Thoracic Disorders

    IV. Esophageal Anomalies

    V. Gastrointestinal Tract

    VI. Abdominal Wall Defects

    VII. Anorectal Malformations

    VIII. Neoplasms

    66. Neurosurgery

    I. Cranial Urgencies and Emergencies

    II. Spinal Urgencies and Emergencies

    III. CNS Tumors

    IV. CNS Infectious Urgencies and Emergencies

    V. Other Neurosurgical Urgencies/Emergencies

    VI. Herniation Syndromes and Brain Death

    67. Orthopedic Surgery

    I. Assessment of the Orthopedic Patient

    II. Orthopedic Emergencies

    68. Plastic Surgery: Breast Reconstruction

    I. Introduction

    II. Relevant Anatomy for Reconstruction

    III. Preoperative Evaluation

    IV. Techniques

    V. Oncoplastic Surgery

    VI. Postreconstruction Follow-Up

    Part XIII. Future of Surgery

    Introduction

    69. Robotics and Newer Surgical Technologies

    I. Single-Incision Laparoscopic Surgery

    II. Robotic Surgery

    III. Natural Orifice Transluminal Endoscopic Surgery

    IV. Endoluminal and Endovascular Surgery

    Part XIV. Procedures

    Introduction

    70. Procedures

    I. Indications for an Artificial Airway

    II. Nonsurgical Techniques

    III. Surgical Airway Options and Methods

    IV. Alternate Airway Methods

    V. Arterial Catheterization

    VI. Bladder Catheterization

    VII. Central Venous Lines

    VIII. Enteral Access

    IX. Focused Assessment with Sonography in Trauma (Fast Examination)

    X. Pulmonary Artery (Swan-Ganz) Catheterization

    XI. Abscess Drainage

    XII. Thoracentesis

    Part XV. Rapid References

    Introduction

    71. Rapid References

    Index

     

  • 235.00 lei

     

    Description:

    This book covers the clinical approach to managing head and neck pathology as it presents to the otolaryngology department. Including cervical lymphadenopathy, salivary gland disease, oral, oropharyngeal, laryngeal and hypopharyngeal lesions as well as thyroid and parathyroid diseases. Each chapter presents an evidence-based, practical, and user-friendly approach to assessing, investigating and managing these patients A practical, clinically applicable guide to managing head and neck pathology An evidence-based approach to the clear guidance provided in the book. Colour images and flow charts for quick reference Clear, concise and comprehensive, Head, Neck & Thyroid Surgery: An introduction and practical guide will be useful to trainees and clinicians in otolaryngology, maxillo-facial and plastic surgery.

     

     

    Table of Contents:

     

    1. Anatomy and differential diagnosis in head and neck surgery

    2. Imaging in head and neck surgery

    3. Perioperative issues

    4. Congenital neck lumps

    5. Cervical lymphadenopathy

    6. Thyroid disease

    7. Parathyroid disease

    8. Oral cavity

    9. Oropharynx

    10. Hypopharynx

    11. Larynx

    12. Nasopharynx

    13. Sinonasal tumours

    14. The salivary glands

    15. Paediatric neck lumps

    16. Reconstruction in head and neck surgical oncology

    Index

     

  • 260.00 lei

    The new edition of this book is a complete guide to the diagnosis and management of head and neck cancers. Divided into seven sections, the text covers thyroid, salivary glands and parapharyngeal tumours, neck, paranasal sinuses, oral cavity and oropharynx, larynx, hypopharynx and nasopharynx, with a final section on general topics. Each topic includes discussion on pathology, imaging, and medical and surgical management. The second edition has been fully revised to provide the latest advances in the field, and includes new chapters on parathyroid tumours, infratemporal fossa, temporal bone tumours, facial nerve tumours, tracheostomy, and skin cancers. Recent changes in the American Joint Cancer Committee (AJCC) 8th Edition staging system have been incorporated. More than 300 photographs, illustrations and tables further enhance the comprehensive text. Key points Comprehensive guide to diagnosis and management of head and neck cancers Fully revised, second edition with many new topics included Covers recent changes in the American Joint Cancer Committee (AJCC) 8th Edition staging system Previous edition (9789351527916) published in 2015

  • The Washington Manual of Surgery
    La comanda in aproximativ 4 saptamani
    30000lei 260.00 lei

     

    Description:

    Written by teams of Washington University residents and faculty, The Washington Manual® of Surgery, 8th Edition, focuses on the essential information you need to know, providing concise, high-yield content that covers the broad spectrum of patient care in general surgery. In one convenient, portable resource, you’ll find practical information on all surgical subspecialties (thoracic, GI, colorectal, cardiac, vascular, breast, trauma, critical care, and more)—all at your fingertips for quick review and reference. This bestselling manual is an excellent source of expert guidance for surgical residents, attendings, medical students, and others who provide care for patients with surgical disease.

     

     

    Table of Contents:

     

    1 Preoperative Evaluation and Care

    Multiple Choice Questions

    2 Intraoperative Considerations

    PLANNING OPERATIONS

    GENERAL PRINCIPLES OF SURGICAL PROCEDURES

    Multiple Choice Questions

    3 Common Postoperative Problems

    Multiple Choice Questions

    4 Nutrition

    Multiple Choice Questions

    5 Fluid, Electrolytes, and Acid—Base Disorders Base

    Multiple Choice Questions

    6 Hemostasis, Anticoagulation, and Transfusions

    Multiple Choice Questions

    7 Anesthesia

    Multiple Choice Questions

    8 Critical Care

    INTRODUCTION

    Multiple Choice Questions

    9 Trauma Resuscitation and Adjuncts

    Multiple Choice Questions

    10 Head, Neck, and Spinal Trauma

    INTRODUCTION

    Multiple Choice Questions

    11 Chest Trauma

    INTRODUCTION

    TRAUMA EVALUATION

    Multiple Choice Questions

    12 Abdominal Trauma

    Multiple Choice Questions

    13 Extremity Trauma

    TREATMENT OF ORTHOPEDIC INJURIES

    Multiple Choice Questions

    14 Burns

    INTRODUCTION

    Multiple Choice Questions

    15 Wound Care

    INTRODUCTION

    ACUTE WOUND HEALING

    CHRONIC WOUND HEALING

    WOUND CLOSURE AND CARE

    Multiple Choice Questions

    16 Acute Abdomen

    INTRODUCTION

    Multiple Choice Questions

    17 Esophagus

    STRUCTURAL AND FUNCTIONAL DISORDERS OF THE ESOPHAGUS

    TRAUMATIC INJURY TO THE ESOPHAGUS

    ESOPHAGEAL TUMORS

    Multiple Choice Questions

    18 Stomach

    DISORDERS OF THE STOMACH

    Multiple Choice Questions

    19 The Surgical Management of Obesity

    INTRODUCTION

    TREATMENT

    POSTOPERATIVE MANAGEMENT

    COMPLICATIONS

    Multiple Choice Questions

    20 Small Intestine

    Multiple Choice Questions

    21 Surgical Diseases of the Liver

    ANATOMY AND PHYSIOLOGY

    BENIGN PATHOLOGY

    MALIGNANT PATHOLOGY

    SURGICAL MANAGEMENT

    Multiple Choice Questions

    22 Surgical Diseases of the Biliary Tree

    Multiple Choice Questions

    23 Pancreas

    INTRODUCTION

    Multiple Choice Questions

    24 Spleen

    Multiple Choice Questions

    25 Abdominal Transplantation

    INTRODUCTION TO PHYSIOLOGIC IMMUNITY

    TRANSPLANT IMMUNOLOGY

    TRANSPLANT REJECTION

    IMMUNOSUPPRESSION

    ORGAN ALLOCATION

    ORGAN DONATION

    ORGAN PROCUREMENT AND PRESERVATION

    ORGAN TRANSPLANTATION

    Multiple Choice Questions

    26 Appendix

    Multiple Choice Questions

    27 Colon and Rectum

    Multiple Choice Questions

    28 Anorectal Disease

    Multiple Choice Questions

    29 Hernias

    Multiple Choice Questions

    30 Endoscopic, Laparoscopic, and Robotic Surgery

    INTRODUCTION

    Multiple Choice Questions

    31 Breast

    Multiple Choice Questions

    32 Skin and Soft Tissue Tumors

    INTRODUCTION

    Multiple Choice Questions

    33 Diseases of the Adrenal, Pituitary, and Hereditary Endocrine Syndromes

    ACKNOWLEDGMENTS

    Multiple Choice Questions

    34 Thyroid and Parathyroid Glands

    Multiple Choice Questions

    35 Lung and Mediastinal Diseases

    Multiple Choice Questions

    36 Cardiac Surgery

    INTRODUCTION

    ANATOMY

    PREOPERATIVE EVALUATION

    CARDIOPULMONARY BYPASS

    CARDIAC SURGICAL PROCEDURES

    Multiple Choice Questions

    37 Cerebrovascular Disease

    INTRODUCTION

    Multiple Choice Questions

    38 Thoracoabdominal Vascular Disease

    INTRODUCTION

    Multiple Choice Questions

    39 Peripheral Arterial Disease

    INTRODUCTION

    CLINICAL PRESENTATION

    ACUTE ARTERIAL OCCLUSION OF THE EXTREMITY

    CHRONIC ARTERIAL AND ATHEROOCCLUSIVE DISEASE

    Multiple Choice Questions

    40 Venous and Lymphatic Disease

    Multiple Choice Questions

    41 Vascular Access

    INTRODUCTION

    Multiple Choice Questions

    42 Pediatric Surgery

    INTRODUCTION

    Multiple Choice Questions

    43 Otolaryngology for the General Surgeon

    Multiple Choice Questions

    44 Plastic, Reconstructive, and Hand Surgery

    INTRODUCTION

    BASIC TECHNIQUES AND PRINCIPLES

    ACUTE INJURIES

    GENERAL RECONSTRUCTIVE PLASTIC SURGERY

    AESTHETIC SURGERY PEARLS FOR THE GENERAL SURGEON

    Multiple Choice Questions

    45 Urology

    INTRODUCTION

    Multiple Choice Questions

    46 Obstetrics and Gynecology for the General Surgeon

    Multiple Choice Questions

    47 Radiology

    INTRODUCTION

    48 Biostatistics for the General Surgeon

    INTRODUCTION

    ADDITIONAL REFERENCES

    WEBSITES

    Multiple Choice Questions

    49 Patient Safety and Quality Improvement

    ADDITIONAL RESOURCES

    Multiple Choice Questions

    Index

     

  • 270.00 lei

    Bariatric or weight loss surgery is the reduction of the size of the stomach with a gastric band or through removal of a portion of the stomach, or by resecting and re-routing the small intestine to a small stomach pouch. Metabolic surgery involves weight loss treatments and procedures to treat metabolic diseases, especially, Type 2 diabetes. This book is a guide to techniques in bariatric and metabolic surgery. Divided into three sections, the text begins with an explanation of the history of bariatric surgery. The following section presents 25 clinical cases detailing necessary operative procedures for different disorders, and the final section discusses surgical techniques including sleeve gastrectomy, gastric bypass, and stapling technology. Based on the authors' own experiences, this quick reference guide is further enhanced by more than 200 surgical images, diagrams and tables. Key points Quick reference guide to procedures in bariatric and metabolic surgery Features 25 clinical cases for use of bariatric surgery Describes different surgical techniques Includes more than 200 surgical images, diagrams and tables

  • 28900lei 275.00 lei

     

    Description:

    From patient preparation to hand washing, from equipment to basic surgical procedures, this highly practical manual by Drs. Christopher J. Hartman and Louis R. Kavoussi, provides students, residents, and clinicians with a firm foundation in the core techniques and skills required for the operating room environment. Concise and easy to read, it uses a highly illustrated, step-by-step approach to teach the must-know information common to the culture, resources, and processes of today’s operating rooms.

    Provides a quick yet thorough overview of surgical principles, techniques, instruments, and supplies commonly encountered in the OR.

    Features detailed illustrations and intra-operative photographs that detail each step of the procedures.

    Explains the roles within the OR, the behaviors needed to excel in this demanding environment, equipment and tools, basic surgical techniques, and tips for assisting and integrating smoothly into the surgical team.

    Ideal for any professional in the operating environment, including medical students, residents, surgical techs, physician assistants, and nurse practitioners.

     

     

    Table of Contents:

     

    Introduction: The Surgical Culture

    Chapter 1. Preoperative Preparation of the Patient

    Preoperative Evaluation

    Laboratory Data

    Special Testing

    Patient Preparation

    Chapter 2. Welcome to the Operative Theater

    Why Is There an Operating Room?

    Basic Components of the Room

    Personnel

    Chapter 3. Scrubbing and Staying Sterile

    Basics of the Sterile Environment

    The Sterile Field

    Scrubbing

    Donning a Gown and Gloves

    Maintaining Sterility

    Doffing a Gown and Gloves

    Chapter 4. Patient Positioning and Prepping

    Securing and Padding the Patient to the Table

    Anesthesia Lines and Tubes

    DVT Prevention

    Antibiotics

    Skin Shaving

    Skin Sterilization

    The Time Out

    Chapter 5. Basic Tools of the Trade and How to Use Them

    Forceps

    Clamps and Clamping

    Needle Holders

    Scissors

    Retractors and Retracting

    Cautery Devices

    Suction Devices

    Chapter 6. Assisting in the OR: How to Help and Not Get in the Way

    Where to Stand

    Passing Instruments

    Exposing the Field

    Keeping the Field Clear

    Holding Things for the Surgeon

    Cutting Suture

    Applying Cautery

    Chapter 7. Sutures and Suturing

    Suture Materials and Sizes

    Needle Types and Sizes

    How to Throw a Suture

    Knot Tying

    Chapter 8. Making an Incision

    Planning the Incision—Where and How Long

    Local Anesthesia

    How to Make Incisions

    Hemostasis

    Chapter 9. Putting Everything Back Together: Concluding the Operation

    Inspecting the Field

    Irrigation

    Hemostasis and Hemostatic Agents

    Drains

    Suturing

    Skin Staplers

    Dressings

    Chapter 10. Postoperative Care

    Diet

    Analgesia

    Pulmonary Considerations

    Ambulation

    DVT Prophylaxis

    Wound Care

    Special Considerations: Foley Catheter and Drain Management

    Index

     

  • 32400lei 280.00 lei

    It is approaching a century since the first edition of Demonstrations of Physical Signs in Clinical Surgery was first published, authored by the pioneering surgical teacher Hamilton Bailey. That it has survived is testimony to the continuing need for those learning surgery to be able to elicit physical signs in the patient and to understanding their meaning and significance. The fully-revised nineteenth edition has been brought completely up to date reflecting current surgical practice in both the developed and developing nations, while preserving Hamilton Bailey's original message regarding the importance of physical signs in clinical surgery. It will continue to provide medical students and postgraduates embarking upon a surgical career with an invaluable and immediate source of distilled wisdom and knowledge, set in the context of current surgical practice around the world.

  • A History of Surgery: Third Edition
    La comanda in aproximativ 4 saptamani
    29500lei 285.00 lei

     

    Description:

    Written in a personal and engaging style, this book provides a fascinating and informative introduction to the development of surgery through the ages. It describes the key advances in surgery through the ages, from primitive techniques such as trepanning, some of the gruesome but occasionally successful methods employed by the ancient civilisations, the increasingly sophisticated techniques of the Greeks and Romans, the advances of the Dark Ages and the Renaissance and on to the early pioneers of anaesthesia and antisepsis such as Morton, Lister and Pasteur.

     

    Table of Contents:

     

    1 Surgery in prehistoric times

    Circumcision

    Trephination of the skull

    Cutting for the stone

    2 The early years of written history – Mesopotamia, Ancient Egypt, China and India

    Mesopotamia

    Ancient Egypt

    China

    India

    3 Surgery in Ancient Greece and Rome

    Ancient Greece

    Ancient Rome

    4 The Dark Ages and the Renaissance

    Southern Italy

    Byzantium

    Arabian medicine

    The Renaissance

    The Renaissance of anatomy

    5 The age of the surgeon-anatomist: Part 1 – from the mid-16th century to the end of the 17th century

    The 16th century

    The 17th century

    6 The age of the surgeon-anatomist: Part 2 – from the beginning of the 18th century to the mid-19th century

    The 18th century

    France

    Italy

    Germany

    Britain

    America

    The first half of the 19th century

    Dissection

    7 The advent of anaesthesia and antisepsis

    Anaesthesia

    The development of antiseptic surgery

    The development of aseptic surgery

    8 The birth of modern surgery – from Lister to the 20th century

    Gallstone surgery

    Gastric surgery

    Surgery of the large intestine

    Cancer of the large bowel

    Cancer of the colon

    Cancer of the rectum

    The acute abdomen

    Appendicitis

    Perforated peptic ulcer

    Intussusception

    The ruptured spleen

    Ruptured ectopic pregnancy

    Obstruction due to post-operative adhesions

    ‘Visceroptosis’

    Urological surgery

    Prostatectomy

    Neurosurgery

    Caesarian section

    9 The surgery of warfare

    The invention of gunpowder

    The Napoleonic Wars

    The Crimean War

    The American Civil War

    The Franco-Prussian War

    The Boer War

    The Russo-Japanese War

    The First World War

    The Spanish Civil War

    The Second World War (1939–1945)

    10 Orthopaedic surgery

    Fractures and dislocations

    Elective orthopaedics

    11 Breast tumours

    The development of the radical operation

    The treatment of the advanced disease

    12 Cutting for the stone

    Perineal lithotomy

    Suprapubic lithotomy

    Transurethral lithotrity

    13 Thyroid and parathyroid

    Surgery

    Hypothyroidism

    Hyperthyroidism

    The parathyroid glands

    14 Thoracic and vascular surgery

    Lung surgery

    Tuberculosis

    Resection of the lung

    Cardiac surgery

    Extracardiac surgery

    Constrictive pericarditis

    Persistent ductus arteriosus

    Coarctation of the aorta

    Fallot’s tetralogy

    Surgery on the beating heart

    Open-heart surgery

    Artificial heart valves

    The surgery of coronary artery disease

    Arterial surgery

    Aortic aneurysm surgery

    Endovascular surgery

    15 Organ transplantation

    Skin grafting

    Kidney transplantation

    Artificial kidneys

    The immunological basis of transplantation

    Transplantation of other organs

    Liver

    The heart

    Pancreas

    Intestine

    Multiple organ transplantation

    16 Envoi: Today and tomorrow

    Index

     

  • 33700lei 300.00 lei

     

    Description:

    There are about 1,300 general surgery residency spots a year in the US alone. In addition, 20,000 medical students rotate through surgery a year. With medical students and residents routinely scrubbing into surgeries that they've never seen or have only seen a handful of times, an easy, practical, to the point, user friendly reminder of the major steps of an operation is vital. It is not uncommon to see medical students and residents watching videos or searching online frantically to understand a common operation. This book serves as a practical guide for the resident to easily carry in their pocket, quickly skim through, and have the basic steps of every major operation at their fingertips. Common Surgeries Made Easy is written in a bullet point format with clear illustrations to provide an easy to read, quick overview of the "core" surgeries encountered during residency with some added advanced operations for extended use in the beginning stages of a medical career. Geared towards quick review for the oral board exams, this study guide caters specifically to the resident.

     

    Table of Contents:

     

    Part I. Esophagus

    1. Laparoscopic Nissen Fundoplication

    2. Minimally Invasive Heller Myotomy

    3. Laparoscopic Transabdominal Paraesophageal Hernia Repair

    4. Minimally Invasive Ivor Lewis Esophagectomy

    Part II. Stomach

    5. The Graham Patch

    6. Billroth 1 Gastroduodenostomy

    7. Billroth 2 Gastroenterostomy

    8. Subtotal Gastrectomy with D2 Lymphadenectomy

    9. Total Gastrectomy

    10. Laparoscopic Roux-en-Y Gastric Bypass

    11. Sleeve Gastrectomy

    Part III. Small Bowel

    12. Loop Ileostomy- Laparoscopic

    13. Loop Ileostomy/Colostomy Reversal

    14. Stricturoplasty

    Part IV. Colon

    15. Laparoscopic Right Hemicolectomy (Medial-to-Lateral Approach)

    16. Laparoscopic Left Hemicolectomy (Medial-to-Lateral Approach)

    17. Laparoscopic Low Anterior Resection

    18. Abdominoperineal Resection

    19. Total Abdominal Colectomy

    20. Open Partial Colectomy with End Ileostomy and Distal Stump Creation – Hartmann’s Procedure

    21. End Colostomy Takedown

    22. Laparoscopic Appendectomy

    23. Open Appendectomy

    Part V. Liver

    24. Right Hepatectomy

    25. Left Hepatectomy

    Part VI. Pancreas

    26. Open Distal Pancreatectomy

    27. Laparoscopic Distal Pancreatectomy

    28. Pancreaticoduodenectomy (Whipple Procedure)

    Part VII. Biliary System

    29. Laparoscopic Cholecystectomy

    30. Open Cholecystectomy

    Part VIII. Hernia

    31. Inguinal Hernia Repair – Open Tissue Repair (Bassini)

    32. Open Inginual Hernia Repair – Lichtenstein Repair

    33. Open Femoral Hernia Repair – McVay

    34. Laparoscopic Totally Extraperitoneal (TEP) Inguinal Hernia Repair

    35. Laparoscopic Inguinal Hernia Repair – TAPP

    36. Rives-Stoppa Ventral Hernia Repair

    37. Anterior Component Separation

    38. Posterior Component Separation

    Part IX. Breast

    39. Simple Mastectomy

    40. Lumpectomy and Sentinel Lymph Node Biopsy

    41. Axillary Lymph Node Dissection

    Part X. Endocrine

    42. Thyroidectomy

    43. Thyroid Lobectomy

    44. Parathyroidectomy

    Part XI. Skin

    45. Split Thickness Skin Graft (STSG)

    Part XII. Amputations

    46. Above Knee Amputation (AKA)

    47. Below Knee Amputation (BKA)

    48. Toe/Ray Amputation

    Part XIII. Miscellaneous

    49. Percutaneous Dilatational Tracheostomy

    50. Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement

    51. Abdominal Access for Laparoscopic Surgery

    52. Facial Lacerations

    Back Matter

     

  • 325.00 lei

     

    Description:

    Essential Surgery is well-established as one of the leading textbooks of surgery for medical students, core surgical trainees and those in professions allied to medicine. Covering general surgery, trauma, orthopaedics, vascular surgery, urology, paediatric surgery, cardiothoracic surgery, neurosurgery, maxillofacial surgery and ENT, it also incorporates appropriate levels of basic science throughout. The book is ideal to accompany clinical courses, as well as being a practical manual for readers at more advanced levels requiring a revision aid for exams. Its main aim is to stimulate the reader to a greater enjoyment and understanding of the practice of surgery.

    The uniformity of the writing style and the clarity of elucidation will encourage continued reading, while the emphasis on the principles of surgery will enable a real understanding of the subject matter.

    The book incorporates a problem-solving approach wherever possible, emphasising how diagnoses are made and why particular treatments are used.

    The pathophysiological basis of surgical diseases is discussed in relation to their management, acting as a bridge between basic medical sciences and clinical problems.

    The book’s extensive use of original illustrations, colour photographs, radiology images, boxes and tables emphasises important concepts and will promote easy revision of topics.

    The principles of operative surgery and pre-, peri- and postoperative care are explained together with outlines of common operations, enabling students and trainee surgeons to properly understand procedures and to participate intelligently in the operating department.

    A major and comprehensive revision of the text has taken full account of the progressive evolution of surgery and includes new scientific and clinical concepts that have advanced medical understanding.

    Ensuring the book’s contents are aligned to the curriculum of the UK Intercollegiate MRCS examination has resulted in the addition of new topics including an emphasis on peri-operative care optimisation, enhanced recovery programmes, antibiotic use and resistance, updated cancer staging, minimally invasive surgery, and the evolving role of interventional radiology.

    Additional essential governance and management topics are covered, including patient safety, surgical ethics, communication, consent, clinical audit and principles of research.

    The broad experience of surgical teaching and training of two new editors and many new contributors, all with sub-specialist expertise, have brought a contemporary perspective on the book’s contents and its presentation.

    New national and international guidelines for managing common disorders have been incorporated where appropriate, including major haemorrhage management pathways and trauma.

    There are new dedicated chapters on major trauma management and elective orthopaedics.

    Table of Contents:

     

    Section A. Principles of Surgical Care

    1. Mechanisms of Surgical Disease and Surgery in Practice

    Approaches to Surgical Problems

    Principal Mechanisms of Surgical Disease

    Medical Ethics and Confidentiality

    Communication

    Evidence-Based Medicine and Guidelines

    Consent to Treatment

    Clinical Governance and Clinical Audit

    Research in Surgery

    Patient Safety

    Disease Processes

    2. Managing Physiological Change in the Surgical Patient

    Systemic Responses

    Systemic Inflammatory Responses and Sepsis (See Ch. 3)

    Fluid, Electrolyte and Acid–Base Management

    Nutritional Management in the Surgical Patient

    3. Immunity, Inflammation and Infection

    Immune Responses

    The Gut Microbiome

    Inflammation

    Infection

    Bacteria of Particular Surgical Importance

    Mycobacteria

    Viruses of Particular Surgical Importance

    Sepsis

    4. Shock and Resuscitation

    The Pathophysiology of Shock

    Early Recognition of Shock

    Types of Shock

    Clinical Features of Shock

    Specific Treatments for Shock

    Resuscitation of the ‘Collapsed’ Nontrauma Patient

    A Scheme for Managing the Acutely Ill or Shocked Patient

    Diagnostic Techniques

    5. Imaging and Interventional Techniques in Radiology and Surgery

    Introduction

    Plain Radiology

    Safety in Departments of Medical Imaging

    General Principles of Radiology

    Contrast Radiology

    Biliary Radiology

    Vascular and Interventional Radiology

    Imaging Techniques

    Interventional Radiology

    Radionuclide Scanning

    Flexible Endoscopy

    6. Screening for Adult Disease

    Principles of Screening

    Screening for Cancer

    Screening for Cardiovascular Disease

    Section B. Perioperative Care

    7. Preoperative Assessment and Management of Postoperative Problems

    Preoperative Assessment

    Preparation for Major Operation

    Postoperative Management

    8. Medical Problems

    Introduction

    Cardiac and Cerebrovascular Disease

    Respiratory Diseases

    Gastrointestinal Disorders

    Hepatic Disorders

    Renal Disorders

    Diabetes Mellitus

    Thyroid Disease

    Disorders of Adrenal Function

    Musculoskeletal and Neurological Disorders

    Haematological Disorders

    Psychiatric Disorders

    Obesity

    Chronic Drug Therapy

    9. Blood Transfusion

    Principles of Blood Transfusion

    Reducing the Need for Bank Blood Transfusion

    Laboratory Aspects of Blood Transfusion

    Blood Transfusion in Clinical Practice

    Adverse Effects of Blood Transfusion

    10. Principles and Techniques of Operative Surgery Including Neurosurgery

    Introduction

    Principles of Asepsis

    Basic Surgical Techniques

    Soft Tissue Surgery

    Surgery Involving Infected Tissues

    Principles of Plastic Surgery

    Laparoscopic Surgery

    Principles of Neurosurgery

    11. Elective Orthopaedics

    Introduction

    Children’s Orthopaedic Surgery

    Infection in Orthopaedics

    Orthopaedic Surgery and Neurological Problems Outside the Spine

    Somatisation

    Bone Tumours

    Regional Orthopaedics

    12. Complications of Surgery

    Introduction

    Complications of Anaesthesia

    General Complications of Operations

    Complications of Any Surgical Condition

    Complications of Operations Involving Bowel

    13. Principles of Cancer Management

    Introduction

    Neoplasia

    Treatment of Malignant Tumours

    Surgery for Cancer

    Radiotherapy

    Chemotherapy

    Hormonal Manipulation

    Targeted Therapies

    Palliative Care

    14. Principles of Transplantation Surgery

    Introduction

    Transplant Immunology

    Organ Donation and Preservation

    Specific Organ Transplants

    Section C. Principles of Trauma Surgery

    15. Major Trauma

    Injury Epidemiology

    Trauma Systems

    Prehospital Trauma Care

    Initial Assessment in Hospital

    Abdominal Injuries

    Injuries to Specific Solid Organs

    Chest Injuries

    Vascular Trauma

    Special Patient Groups

    Emergency Transfer

    Rehabilitation

    Orthopaedic injuries

    Dislocations and Subluxations

    Initial Management of Fractures in Polytrauma Victims: Damage Control (Also See Chapter 5)

    Ligament Injuries

    Muscle Injuries

    16. Head and Maxillofacial Injuries

    Head Injuries

    Management of Head Injuries

    Maxillofacial Injuries

    Common Ear, Nose and Throat Emergencies

    17. Soft Tissue Injuries and Burns

    Soft Tissue Injuries

    Burns

    Symptoms, Diagnosis and Management

    Abdomen, General Principles

    18. Nonacute Abdominal Pain and Other Abdominal Symptoms and Signs

    Introduction

    Pain

    Dysphagia and Odynophagia

    Weight Loss, Anorexia and Associated Symptoms

    Anal and Perianal Symptoms

    Change in Bowel Habit, Rectal Bleeding and Related Symptoms

    Iron Deficiency Anaemia

    Obstructive Jaundice

    Abdominal Mass or Distension

    19. The Acute Abdomen and Acute Gastrointestinal Haemorrhage

    Introduction

    Basic Principles of Managing the Acute Abdomen

    Disorders and Diseases Causing the Acute Abdomen

    Upper Gastrointestinal and Hepatobiliary

    20. Gallstone Diseases and Related Disorders

    Introduction

    Structure and Function of the Biliary System

    Pathophysiology of the Biliary System

    Investigation of Gall Bladder Pathology

    Clinical Presentations of Gallstone Disease

    Management of Gallstone Disease

    21. Peptic Ulceration and Related Disorders

    Introduction

    Pathophysiology and Epidemiology of Peptic Disorders

    Investigation and Clinical Features of Peptic Disorders

    Presenting Features of Peptic Ulcer Disease

    22. Disorders of the Oesophagus

    Introduction

    Carcinoma of the Oesophagus

    Hiatus Hernia and Reflux Oesophagitis

    Achalasia

    Pharyngeal Pouch

    Oesophageal Web

    Gastrooesophageal Varices

    23. Tumours of the Stomach and Small Intestine

    Introduction

    Carcinoma of Stomach

    Gastric Polyps

    Gastrointestinal Stromal Tumours

    Gastric and Small Bowel Lymphomas

    Carcinoid Tumours

    Other Tumours of the Small Intestine

    24. Tumours of the Pancreas and Hepatobiliary System; the Spleen

    Introduction

    Carcinoma of the Pancreas

    Endocrine Tumours of the Pancreas

    Biliary and Periampullary Tumours

    Carcinoma of the Gall Bladder

    Primary Sclerosing Cholangitis

    Liver Tumours and Abscesses

    The Spleen

    25. Pancreatitis

    Introduction

    Acute Pancreatitis

    Recurrent and Chronic Pancreatitis

    Coloproctology

    26. Appendicitis

    Introduction

    Anatomy of the Appendix

    Pathophysiology of Appendicitis

    Clinical Features of Appendicitis

    Making the Diagnosis of Appendicitis

    Appendicectomy

    27. Colorectal Polyps and Carcinoma

    Introduction

    Colorectal Polyps

    Adenocarcinoma of Colon and Rectum

    Stomas

    28. Chronic Inflammatory Disorders of the Bowel

    Introduction

    Ulcerative Colitis

    Crohn Disease

    Other Chronic Inflammations of the Colon

    29. Disorders of Large Bowel Motility, Structure and Perfusion

    Introduction

    Modern Diet and Disease

    Irritable Bowel Syndrome

    Constipation

    Sigmoid Volvulus (See Fig. 29.1)

    Diverticular Disease

    Colonic Angiodysplasias

    Ischaemic Colitis

    30. Anal and Perianal Disorders

    Introduction

    Anatomy of the Anal Canal

    Haemorrhoids

    Anal Fissure

    Anorectal Abscesses

    Anal Fistula

    Pilonidal Sinus and Abscess

    Rectal Prolapse

    Faecal Incontinence (Table 30.1)

    Anal Warts (Condylomata Accuminata)

    Squamous Cell Carcinoma of the Anus

    Proctalgia Fugax

    Pruritus Ani

    Thoracic Surgery Excluding Cardiac

    31. Thoracic Surgery

    Introduction

    Investigative Techniques

    Therapeutic Procedures

    Specific Thoracic Disorders

    Groin and Male Genitalia

    32. Hernias and Other Groin Problems

    Introduction

    Lumps in the Groin

    Inguinal Hernia

    Femoral Hernia

    Enlarged Inguinal Lymph Nodes

    Saphena Varix

    Femoral Artery Aneurysm

    Chronic Groin Pain

    Ventral Hernias

    33. Disorders of the Male Genitalia

    Disorders of the Scrotal Contents

    Male Sterilisation

    Disorders of the Penis

    Urology

    34. Symptoms, Signs and Investigation of Urinary Tract Disorders

    Introduction

    Symptoms of Urinary Tract Disease

    Approach to the Diagnosis of Urinary Symptoms

    Investigation of Suspected Urinary Tract Disease

    35. Disorders of the Prostate

    Introduction

    Anatomy

    Benign Prostatic Hyperplasia

    Acute Urinary Retention and Its Management

    Indwelling Catheters and Their Management

    Carcinoma of the Prostate

    Prostatitis

    36. Tumours of the Kidney and Urinary Tract

    Introduction

    Renal Cell Carcinoma

    Urothelial Carcinoma (Transitional Cell Carcinoma)

    37. Stone Disease of the Urinary Tract

    Introduction

    Pathophysiology of Stone Disease

    Clinical Features of Stone Disease

    Investigation and Management of Suspected Urinary Tract Stones

    Renal ultrasonography

    Management of Acute Ureteric Colic

    Long-Term Management of Urological Stone Disease

    38. Urinary Tract Infections

    Introduction

    Bacterial Infections of the Lower Urinary Tract

    Upper Urinary Tract Infections

    Genitourinary Tuberculosis

    Schistosomiasis

    Urethral Infections and Strictures

    39. Congenital Disorders and Diseases Secondarily Involving the Urinary Tract

    Congenital Urinary Tract Disorders

    Diseases Secondarily Involving the Urinary Tract

    Cardiovascular Disorders

    40. Pathophysiology, Clinical Features and Diagnosis of Vascular Disease Affecting the Limbs

    Introduction

    Vascular Insufficiency of the Limb (Table 40.1)

    Symptoms and Signs in the Limb

    41. Managing Lower Limb Arterial Insufficiency, the Diabetic Foot and Major Amputations

    Introduction

    Chronic Lower Limb Ischaemia

    Acute Lower Limb Ischaemia

    The Diabetic Foot

    Lower Limb Amputation

    42. Aneurysms and Other Peripheral Arterial Disorders

    Aneurysms (Table 42.1)

    Upper Limb Problems (See Table 40.5, P. 514)

    Extracranial Cerebral Arterial Insufficiency

    Arterial Insufficiency in Other Organs

    Complications of Arterial Surgery

    Long-Term Follow Up After Arterial Surgery

    43. Venous Disorders of the Lower Limb

    Venous Thrombosis and the Post-thrombotic Limb

    Axillary Vein Thrombosis

    Varicose Veins

    44. Cardiac Surgery

    Introduction and Cardiopulmonary Bypass

    Assessing Risk in Cardiac Surgery

    Congenital Cardiac Disease

    Acquired Heart Disease

    Disease of the Thoracic Aorta

    Pulmonary Embolism

    Advanced Heart Failure

    Disorders of the Breast and Skin

    45. Disorders of the Breast

    Introduction to Breast Disease

    Anatomy of the Female Breast

    Symptoms and Signs of Breast Disease

    Investigation of Breast Disorders

    Breast Cancer

    Benign Breast Disorders

    Male Breast Disorders

    46. Disorders of the Skin

    Introduction

    Overview of the Skin

    Signs and Symptoms of Skin Disorders

    Lesions Originating in the Epidermis

    Lesions Originating in the Dermis

    Lesions of the Hypodermis and Deeper Tissues

    Inflammatory and Infective Lesions

    Lesions of Vascular Origin

    Lesions Derived From Skin Appendages

    Disorders of the Nails

    Disorders of the Head and Neck

    47. Lumps in the Head and Neck and Salivary Calculi

    Introduction

    History and Examination in the Head and Neck

    Tumours of Salivary Glands

    Salivary Gland Stone Disease (Sialolithiasis)

    Inflammatory Disorders of Salivary Glands

    Salivary Retention Cysts

    Lymph Node Disorders of the Head and Neck

    Miscellaneous Causes of a Lump in the Neck

    48. Disorders of the Mouth

    Disorders of the Oral Cavity (Excluding Salivary Calculi)

    Miscellaneous Disorders Causing Intraoral Swelling

    49. Disorders of the Thyroid, Parathyroid and Adrenal Glands

    Introduction

    Thyroid Disorders

    Disorders of Parathyroid Glands

    Adrenal Glands

    Neonatal and Paediatric Surgery

    50. Acute Surgical Problems in Children

    Introduction

    Physiological Differences Between Infants and Adults

    Managing Surgery in Infants

    Surgical Emergencies in the Neonate

    Abdominal Emergencies in Infants and Young Children

    Abdominal Emergencies in Older Children

    51. Nonacute Abdominal and Urological Problems in Children

    Introduction

    Problems With the Groin and Male Genitalia

    Renal, Vesical and Urethral Abnormalities

    Hypospadias and Epispadias

    Posterior Urethral Valves

    Abdominal Problems

    Index

     

     

     

  • Handbook of Hepato-Pancreato-Biliary Surgery
    La comanda in aproximativ 4 saptamani
    330.00 lei

    A concise yet exhaustive overview of today s treatment of HPB surgical conditions! Handbook of Hepato-Pancreato-Biliary Surgery provides expert coverage of medical and surgical management of diseases of the liver, pancreas, and biliary tree. You ll find succinct overviews of contemporary approaches to malignant and non-malignant conditions, open and minimally invasive surgical techniques, and imaging of the pancreas and hepatobiliary system. "Key Features" Improve your decision-making skills for complex issues associated with pancreatic cancer and cysts, pancreatitis, complications of pancreatic surgery, ultrasound for liver disease, cirrhosis and portal hypertension, neuroendocrine and colorectal metastases to the liver, gallstones, cholesystitis, infections in biliary surgery, and more. Stay up to date with new developments in benign disease conditions such as acute and chronic pancreatitis, bile duct injury and benign bile duct stricture, primary sclerosing cholangitis, and benign liver lesions. Collaborate more effectively with multidisciplinary colleagues regarding diagnosis, evaluation, and operative and non-operative treatment of HPB patients. Easily visualize surgical procedures and concepts with more than 100 illustrations, many in full color. Benefit from the expertise of experts from around the world, all noted authorities in their areas of HPB surgery. Ideal for HPB surgery fellows, general surgeons who may not encounter these conditions in day-to-day practice, residents in training, and practitioners who are involved in interdisciplinary care of HPB patients. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: Complete content with enhanced navigation. Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web. Cross-linked pages, references, and more for easy navigation. Highlighting tool for easier reference of key content throughout the text. Ability to take and share notes with friends and colleagues. Quick reference tabbing to save your favorite content for future use. "

  • 34700lei 330.00 lei

     

    Description:

    Principles and Practice of Surgery is the surgical companion textbook to the international medical bestseller Davidson’s Principles and Practice of Medicine. It is a comprehensive textbook for both the surgical student and trainee, guiding the reader through key core surgical topics which are encountered throughout an integrated medical curriculum as well as in subsequent clinical practice. Although sharing the same format and style as Davidson’s Principles and Practice of Medicine, this text is complete in itself, thus enabling the student to appreciate both the medical and surgical implications of diseases encountered in surgical wards.

    A three-section textbook of surgical principles and regional clinical surgery.

    The textbook presents a comprehensive account of international surgical practice, taking into account variations in the disease patterns and management approaches throughout the world.

    Superbly presented with line drawings, high quality radiographic images and colour photographs.

    Presented in similar form to its sister textbook Davidson’s Principles and Practice of Medicine.

    Full online and ebook version available as part of Student Consult.

    A new chapter on Evidence-based practice and professional development.

    An expanded chapter on Surgical preparation includes an account of the main issues surrounding day case surgery.

    A new International Advisory Board based in India, South Africa, South-east Asia and Europe has advised throughout on the structure and content of the book.

    Consequently the text has been updated to reflect changes in understanding, evidence and practice, and to keep the contents in line with undergraduate and postgraduate surgical curricula

    The evidence-based revision boxes that focus on major international guidelines have been thoroughly updated.

    The text on tropical conditions such as tropical pancreatitis, tuberculosis affecting the various organ systems and filarial lymphoedema has been expanded.

    Innovations useful in the practice of surgery in resource-poor environments have been included.

    The text gives a global emphasis on epidemiological and cultural issues such as problems associated with directed transfusion of blood products from first degree relatives, the issues of informed consent and patient autonomy.

    A comparison of SI and non-SI reference ranges for commonly used laboratory values has been added.

     

    Table of Contents:

     

    Section 1: Principles of perioperative care

    1: Metabolic response to injury, fluid and electrolyte balance and shock

    The metabolic response to injury

    Fluid and electrolyte balance

    Shock

    2: Transfusion of blood components and plasma products

    Introduction

    Blood donation

    Blood components

    Plasma products

    Red cell serology

    Pretransfusion testing

    Indications for transfusion

    Blood administration

    Adverse effects of transfusion

    Autologous transfusion

    Transfusion requirements in special surgical settings

    Methods to reduce the need for blood transfusion

    Better blood transfusion

    Future trends

    3: Nutritional support in surgical patients

    Introduction

    Assessment of nutritional status

    Assessment of nutritional requirements

    Causes of inadequate intake

    Methods of providing nutritional support

    Monitoring of nutritional support

    4: Infections and antibiotics

    Importance of infection

    Biology of infection

    Preventing infection in surgical patients

    Prophylactic use of antibiotics

    Management of surgical infections

    Specific infections in surgical patients

    Infections primarily treated by surgical management

    Healthcare-associated infections

    5: Ethics, preoperative considerations, anaesthesia and analgesia

    Ethical and legal principles for surgical patients

    Preoperative assessment

    Day surgery

    6: Principles of the surgical management of cancer

    The biology of cancer

    The management of patients with cancer

    7: Trauma and multiple injury

    Introduction

    Mechanisms of injury

    Injury severity

    Trauma scoring systems

    Trauma systems, centres and teams

    Shock

    Resuscitation

    Imaging

    Critical decision-making

    Surgery for trauma

    Junctional zone trauma

    8: Practical procedures and patient investigation

    Introduction

    General precautions

    Aseptic technique

    Local anaesthesia

    Suturing

    Airway procedures

    Thoracic procedures

    Abdominal procedures

    Vascular procedures

    Urinary procedures

    Central nervous system procedures

    Excision of lumps and swellings (e.g., sebaceous cyst, lipoma, dermoid, lymph node)

    Imaging

    9: Postoperative care and complications

    Introduction

    Immediate postoperative care

    Surgical ward care

    Complications of anaesthesia and surgery

    10: Evidence-based practice and professional development

    Introduction

    Levels of evidence

    Care pathways and guidelines

    Clinical governance

    Clinical audit

    Quality improvement

    Critical appraisal

    Continuing professional development

    Section 2: Gastrointestinal surgery

    11: The abdominal wall and hernia

    Umbilicus

    Disorders of the rectus muscle

    Abdominal hernia

    12: The acute abdomen

    Introduction

    Aetiology

    Pathophysiology of abdominal pain

    Pathogenesis

    Clinical assessment

    Peritonitis

    Acute appendicitis

    Nonspecific abdominal pain

    Gynaecological causes of the acute abdomen

    13: The oesophagus, stomach and duodenum

    Surgical anatomy

    Surgical physiology

    History and symptoms

    Examination

    Investigations

    Diagnosis and management: oesophagus

    Tumours of the oesophagus

    Diagnosis and management: gastroduodenal

    Management of uncomplicated peptic ulcer disease

    Complications of peptic ulceration requiring operative intervention

    Gastric neoplasia

    Miscellaneous disorders of the stomach

    Miscellaneous conditions of the duodenum

    14: The liver and biliary tract

    The liver

    The gallbladder and bile ducts

    15: The pancreas and spleen

    The pancreas

    The spleen

    16: The small and large intestine

    Introduction

    Surgical anatomy and physiology

    Clinical assessment of the small and large intestine

    Principles of operative intestinal surgery

    Disorders of the appendix

    Inflammatory bowel disease

    Disorders of the small intestine

    Small and large bowel obstruction

    Non-neoplastic disorders of the large intestine

    Intestinal stoma and fistula

    Polyps and polyposis syndromes of the large intestine

    Malignant tumours of the large intestine

    17: The anorectum

    Introduction

    Applied surgical anatomy

    Anorectal disorders

    Miscellaneous benign perianal lumps

    Anal cancer

    Rectal prolapse

    Anal incontinence

    Pruritus ani

    Pilonidal disease

    Section 3: Surgical specialties

    18: Plastic surgery including common skin and subcutaneous lesions

    Introduction

    Structure and function of the skin

    Wounds

    Burns

    Skin and soft tissue lesions

    19: The breast

    Anatomy and physiology

    Assessment of a patient with breast disease

    Benign breast conditions

    Breast lumpiness and pain

    Benign neoplasms

    Breast infection

    Breast cancer

    Male breast

    20: Endocrine surgery

    Introduction

    Thyroid gland

    Parathyroid glands

    Pituitary gland

    Adrenal gland

    Other surgical endocrine syndromes

    21: Vascular and endovascular surgery

    Introduction

    Pathophysiology of arterial disease

    Chronic lower limb arterial disease

    Arterial disease of the upper limb

    Mesenteric artery disease

    Acute limb ischaemia

    Pathophysiology of venous disease

    Venous thromboembolism

    Other forms of venous thrombosis

    Lymphoedema

    Filariasis

    Vascular access for haemodialysis

    22: Cardiothoracic surgery

    Basic considerations

    Acquired cardiac disease

    Congenital cardiac disease

    Thoracic surgery

    23: Urological surgery

    Assessment

    Upper urinary tract (kidney and ureter)

    Infections of the kidney

    Lower urinary tract (bladder, prostate and urethra)

    Disorders of micturition: incontinence

    External genitalia

    24: Neurosurgery

    Introduction

    Surgical anatomy and physiology

    Blood supply

    Intracranial pressure

    Investigations

    Cerebrovascular disease

    Neurotrauma

    Intracranial infections

    Intracranial tumours

    Spinal dysraphism

    Hydrocephalus

    Malformations of the skull

    Functional neurosurgery

    Vertebral column

    Peripheral nerve lesions

    25: Transplantation surgery

    Introduction

    Transplant immunology

    Organ donation

    Renal transplantation

    Liver transplantation

    Pancreas transplantation

    Pancreatic islet transplantation

    Heart and lung transplantation

    Summary

    26: Ear, nose and throat surgery

    Ear

    Nose

    Paranasal sinuses

    Nasopharynx

    Oral cavity

    Oropharynx

    Hypopharynx

    Larynx

    Neck

    27: Orthopaedic surgery

    Introduction

    History

    Examination

    Description of deformity

    Investigations

    Osteoarthritis: degenerative disease of the joints

    Inflammatory disorders

    Bone and joint infection

    Orthopaedic procedures

    Paediatric orthopaedic surgery

    Metabolic bone diseases

    Musculoskeletal tumours

    The upper limb

    The lower limb

    Trauma and fractures

    Appendix: Laboratory reference ranges

    Index

     

  • 33700lei 330.00 lei

     

    Description:

    This book is intended for medical students and surgical trainees such as surgical residents and fellows. It provides a practical preparation guide for common surgical procedures. Operations are divided into twelve sections that cover commonly performed general surgery operations such as bariatric, breast, cardiothoracic, colorectal, minimally invasive, and more. The chapters included in these sections aim to assist residents and fellows in facilitating memorization of the operation sequence and movements required to perform a given task. It will also help enhance skill development in the operating room. Written by residents and highly experienced attending surgeons, Mental Conditioning to Perform Common Operations in General Surgery Training: A Systematic Approach to Expediting Skill Acquisition and Maintaining Dexterity in Performance provides a comprehensive systematic approach to performing surgical procedures.

     

    Table of Contents:

    Part I. Introduction

    1. Evidence Behind Mental Training

    2. Introduction to Systematic Approach and Mental Training

    Part II. Bariatric Surgery

    3. Laparoscopic Roux-en-Y Gastric Bypass (Revised)

    4. Laparoscopic Sleeve Gastrectomy

    Part III. Breast

    5. Modified Radical Mastectomy

    6. Lumpectomy (Wire Localized and Seed Localized)

    7. Sentinel Lymph Node Biopsy

    Part IV. Cardiothoracic Surgery

    8. Chest Tube Thoracostomy

    9. Video-Assisted Thoracoscopic Procedures

    10. Thoracentesis

    Part V. Colorectal

    11. Open Hartmann’s Procedure

    12. Laparoscopic Sigmoid Resection

    13. Open Sigmoid Resection

    14. Laparoscopic Right Hemicolectomy

    15. Open Right Hemicolectomy

    16. Laparoscopic Low Anterior Rectal Resection with Diverting Loop Ileostomy

    17. Open Low Anterior Rectal Resection with Diverting Loop Ileostomy

    18. Laparoscopic Proctocolectomy with Ileal Pouch-Anal Anastomosis (IPAA)

    19. Open Proctocolectomy with Ileal Pouch-Anal Anastomosis (IPAA)

    20. Abdominoperineal Resection (Extralevator)

    21. Loop Ileostomy Creation and Closure

    22. Hemorrhoidectomy

    23. Lateral Internal Sphincterotomy for Fissure-in-ano

    24. Incision and Drainage of Perianal Abscess

    25. Transanal Total Mesorectal Excision (TaTME)

    Part VI. Critical Care

    26. Internal Jugular Vein Central Line Placement with and Without Ultrasound

    27. Subclavian Vein Central Line Placement

    28. Femoral Line Placement with Ultrasound

    29. Arterial Line Placement

    30. Tracheostomy

    Part VII. General and Minimally Invasive Surgery

    31. Laparoscopic Appendectomy

    32. Laparoscopic Cholecystectomy

    33. Laparoscopic Heller Myotomy

    34. Laparoscopic Nissen Fundoplication

    35. Laparoscopic Hiatal Hernia Repair with Nissen Fundoplication

    36. Laparoscopic Distal Gastrectomy with Billroth II Anastomosis

    37. Laparoscopic Splenectomy

    38. Laparoscopic Total Extraperitoneal (TEP) Inguinal Hernia Repair

    39. Open Jejunostomy

    40. Open Small Bowel Resection and Primary Side-to-Side Bowel Anastomosis

    41. Open Ventral Hernia Repair with Underlay Mesh

    42. Open Inguinal Hernia Repair

    Part VIII. Head, Neck and Endocrinology Surgery

    43. Thyroidectomy and Parathyroidectomy

    Part IX. Hepatobiliary and Pancreatic Surgery

    44. Laparoscopic Pancreatic Cystogastrostomy

    45. Laparoscopic Left Hepatectomy

    46. Laparoscopic Right Hepatectomy

    47. Laparoscopic Central Pancreatectomy

    48. Laparoscopic Distal Pancreatectomy with Splenectomy

    49. Laparoscopic Pancreaticoduodenectomy (Whipple Procedure)

    50. Laparoscopic Unroofing of Hepatic Cyst

    51. Open Pancreatoduodenectomy (Whipple Procedure)

    52. Open Distal Pancreatectomy with Splenectomy

    53. Open Longitudinal Pancreaticojejunostomy

    Part X. Plastic Surgery

    54. Excision of Lipoma

    55. Nevus Excision

    Part XI. Vascular Surgery

    56. Carotid Endarterectomy

    57. Femoral Thrombectomy and Thromboembolectomy

    58. Radio-Cephalic Arteriovenous (AV) Fistula Formation

    59. Open Resection of Abdominal Aortic Aneurysm

    60. Technique for Compartment Release of the Leg: Two-Incision Technique

    61. Femoral Popliteal (FEM-POP) Bypass (Above-Knee) Using Reversed Saphenous Vein

    62. Great Saphenous Vein Ligation and Stripping

    63. Great Saphenous Vein Radiofrequency Ablation

    Part XII. Miscellaneous

    64. Surgical Knot

    65. Port and Umbilical Port Placement

    66. Surgical Instruments

    67. Suture and Needles Used in Surgery

    Back Matter

     

  • 38300lei 335.00 lei

     

    Description:

    Study efficiently and effectively for high-stakes surgery exams with this superb review tool. Rush University Medical Center Review of Surgery, 6th Edition, has been thoroughly updated with new questions and answers in all chapters, and content has been revised to reflect what is most important on today’s exams. A broad range of surgical topics provide a complete review of the information you need to know.

    Features:

    Comprehensive coverage of both general surgery and surgical subspecialties in a user-friendly question-and-answer format that mimics actual exams.

    More than 1,500 peer-reviewed questions mirror standardized test blueprints.

    Single best answer format provides a realistic exam simulation.

    Questions are followed by answers and explanations, with rationales backed up by references to leading texts and references.

    Ideal for residents in training, surgeons preparing for certification or recertification exams, and experienced clinicians who need to stay up to date with current practices and recent advances.

    New To This Edition:

    Written by one of the premier general surgery departments in the U.S., with a new editorial team led by Dr. Jonathan A. Myers.

    Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

    Table Of Contents:

    1 Physiologic Response to Injury
    2 Wound Healing and Cell Biology
    3 Hemostasis and Transfusion
    4 Nutrition, Metabolism, and Fluid and Electrolytes
    5 Surgical Infection and Transmissible Diseases and Surgeons
    6 Transplantation and Immunology
    7 Perioperative Care and Anesthesia
    8 Fundamentals of Surgical Technology
    9 Critical Care
    10 Surgical Critical Care
    11 Trauma
    12 Burns
    13 Skin and Soft Tissue
    14 Hernia
    15 Breast
    16 Thyroid
    17 Parathyroid
    18 Adrenal
    19 Metabolic and Bariatric Surgery
    20 Esophagus
    21 Stomach and Duodenum
    22 Small Bowel and Appendix
    23 Colon, Rectum, and Anus
    24 Liver and Portal Venous System
    25 Gallbladder and Biliary Tract
    26 Pancreas
    27 Spleen and Lymphatic System
    28 Vascular Surgery
    29 Thoracic Surgery
    30 Head and Neck
    31 Pediatric Surgery
    32 Plastic & Reconstructive Surgery
    33 Special Considerations in Surgery
    34 Evidence-Based Surgery and Applications of Biostatistics
    35 Core Competencies and Quality Improvement

       

     

  • 42100lei 340.00 lei

    Description:

    Although benign biliary disease is an area in which many surgeons have experience, there are many nuances to providing the highest quality of surgical care.  The biliary anatomy is unique but presents with anatomical variances and can be distorted by benign pathology.  Biliary surgery has been one of the areas where minimally invasive techniques were first applied in the late 1980s.  However, surgical technique has continued to evolve due to acquisition of advanced minimal surgical skills and improvement in surgical technology.  The expertise, sage, and knowledge of the members of the Society of American Gastrointestinal and Endoscopic Surgery (SAGES) have prioritized the creation of this manual on modern biliary surgery. This manual will provide the standard for the current state of biliary surgery in the 21st century. The SAGES Manual of Biliary Surgery will align with the new SAGES University Masters program. The Manual supplements the Masters Program Biliary Surgery Pathway. Its goal is to help the surgeon progress from the competent to the proficient and finally to the mastery level.   Both for the surgical trainee and senior surgeon, this guidebook will also give insight into modern evaluation and management.  The highlights will emphasize what is both feasible and safe from a minimally invasive approach in biliary surgery. The concept of Safe Cholecystectomy will be defined and expounded on in detail.  The difficult cholecystectomy will be given ample coverage to include management of intraoperative bile duct injury, indications and techniques of subtotal cholecystectomy, and special attention to intraoperative diagnostic imaging that serve as adjuncts, including cholangiograpy, ultrasound, as well as indocyanine green biliary fluorescence.  We will review the updated international Tokyo guidelines for acute cholecystitis.  Furthermore, the evolution of treatment of choledocohlithiasis has evolved the most in recent years, and thus requires an extensive discussion of the non-operative and operative management of bile duct stones. This text will serve as an important contribution to the medical literature sponsored by SAGES, an international leading authority in gastrointestinal surgery with a keen interest in safe and proficient biliary surgery.  Leaders in the field of biliary surgery will impart their insight and considerable experience in the chapters planned for this manual.  The intent for this manual is to be the cited resource for high quality and applicable knowledge for the treatment of benign biliary disease.

     

    ·  1. Introduction to Biliary Manual

    ·  2. Biliary Anatomy

    ·  3. Basic Principles of Safe Laparoscopic Cholecystectomy

    ·  4. Preoperative Optimization for Elective Cholecystectomy

    ·  5. Preoperative Imaging in Patients Undergoing Cholecystectomy

    ·  6. Choosing the Best Timing for Cholecystectomy

    ·  7. When to Perform a Cholecystectomy After Percutaneous Cholecystostomy Tube Placement

    ·  8. Intraoperative Cholangiography (IOC): Important Aid in Biliary and Common Bile Duct Surgery

    ·  9. Intraoperative Indocyanine Green During Cholecystectomy

    ·  10. Laparoscopic Biliary Ultrasound

    ·  11. The Difficult Cholecystectomy

    ·  12. Non-operative Management of Common Bile Duct Stones: ERCP and Other Techniques (Lithotripsy)

    ·  13. Common Bile Duct Exploration

    ·  14. Management of Common Bile Duct Injury

    ·  15. Operative Management of Bile Duct Injury in the Presence of Prior Roux-en-Y

    ·  16. Management of Common Bile Duct Stones in the Presence of Prior Roux-en-Y

    ·  17. Advanced Biliary Procedures

  • 37300lei 340.00 lei

     

     

     

    Description:


    For surgery residents studying for their yearly in-service exam, recent graduates preparing for Surgery written boards, or those recertifying, there’s no better review tool than Dr. Christian DeVirgilio’s Review of Surgery for ABSITE and Boards, 2nd Edition. Content has been tested for a number of years on Harbor-UCLA surgical residents and has proven to significantly improve exam scores. Now thoroughly up to date with new topics, new questions, and new contributors, it fully prepares you for success on surgery exams.

    Features:

    957 multiple-choice, single best answer questions that closely follow the new ABSITE and board style.

    Proven content has been tested and shown to help you get the score you want.

    Online testing allows you to test yourself and quickly score your responses.

    Correct answers and rationales are based on information found in major reference works in the field of surgery.

    New To This Edition:

    NEW topic areas (gynecology, urology, and orthopaedics) reflect the format of the new exam.

    NEW section on Medical Knowledge.

    NEW contributors (general surgery residents) ensure that the content is relevant to the needs of general surgery trainees.

    NEW! Aligned with the SCORE (Surgical Council on Residency Education) Curriculum Outline for General Surgery Residents.

    Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.


    Table Of Contents:


    PART I PATIENT CARE

    Chapter 1. Abdomen - General

    Chapter 2. Abdomen - Hernia

    Chapter 3. Abdomen - Biliary

    Chapter 4. Abdomen - Liver

    Chapter 5. Abdomen - Pancreas

    Chapter 6. Abdomen - Spleen

    Chapter 7. Alimentary Tract - Esophagus

    Chapter 8. Alimentary Tract - Stomach

    Chapter 9. Alimentary Tract - Small Intestine

    Chapter 10. Alimentary Tract - Large Intestine

    Chapter 11. Alimentary Tract - Anorectal

    Chapter 12. Breast

    Chapter 13. Endocrine

    Chapter 14. Skin and Soft Tissue Infection

    Chapter 15. Surgical Critical Care

    Chapter 16. Trauma

    Chapter 17. Vascular - Arterial Disease

    Chapter 18. Vascular - Venous

    Chapter 19. Vascular - Access

    Chapter 20. Transplantation

    Chapter 21. Thoracic Surgery

    Chapter 22. Pediatric Surgery

    Chapter 23. Plastic Surgery

    Chapter 24. Genitourinary

    Chapter 25. Gynecology

    Chapter 26. Head and Neck

    Chapter 27. Nervous System

    PART II MEDICAL KNOWLEDGE

    Chapter 28. Anesthesia

    Chapter 29. Fluids, Electrolytes, and Acid-Base Balance

    Chapter 30. Immunology

    Chapter 31. Infection and Antimicrobial Therapy

    Chapter 32. Nutrition and Metabolism

    Chapter 33. Oncology and Tumor Biology

    Chapter 34. Pharmacology

    Chapter 35. Preoperative Evaluation and Perioperative Care

    Chapter 36. Transfusion and Disorders of Coagulation

    Chapter 37. Wound Healing

       

     

  • Current Diagnosis and Treatment Surgery, 15th
    La comanda in aproximativ 4 saptamani
    42700lei 340.00 lei

     

    Evidence-based, point-of-care information on the full scope of surgical diseases
    CURRENT Diagnosis& Treatment Surgery delivers to-the-point information on more than 1,000 diseases and
    disorders that surgeons are most often required to treat. Concise yet thorough,the book covers both general surgery and the surgical subspecialties, including neurosurgery, otolaryngology, plastic and reconstructive surgery, gynecology, orthopedic surgery, urology, and pediatric surgery. This Fifteenth Edition has been updated throughout to reflect the latest research and discoveries. The consistent presentation, headings, and accessible text makes it easy to find answers quickly. 


    • An outstanding review for the USMLE and shelf examinations
    • The best introductory text to the field of surgery
    • More than 600 photographs and illustrations
    • Detailed treatment algorithms
    • Updated throughout with the latest research and discoveries
    • Intuitively organized to help you find answers quickly and easily
    • More than 200 chapter review multiple choice questions

     



    Table of Contents:

    1. Approach to the Surgical Patient

    2. Training, Communication, Professionalism, & Systems-Based Practice

    3. Preoperative Preparation

    4. Postoperative Care

    5. Postoperative Complications

    6. Wound Healing

    7. Power Sources in Surgery

    8. Inflammation, Infection, & Antimicrobial Therapy in Surgery

    9. Fluid, Electrolyte, & Acid–Base Disorders

    10. Surgical Metabolism & Nutrition

    11. Anesthesia

    12. Shock in Surgical Patients

    13. Acute Pulmonary Failure in Surgical Patients

    14. Management of the Injured Patient

    15. Burns & Other Thermal Injuries

    16. Otolaryngology: Head and Neck Surgery

    17. Thyroid & Parathyroid

    18. Breast Disorders

    19. Thoracic Wall, Pleura, Mediastinum, & Lung

    20. Acquired Cardiac Disease

    21. Congenital Heart Disease

    22. Esophagus & Diaphragm

    23. The Acute Abdomen

    24. Peritoneal Cavity

    25. Stomach & Duodenum

    26. Liver & Portal Venous System

    27. Biliary Tract

    28. Pancreas

    29. Spleen

    30. Appendix

    31. Small Intestine

    32. Large Intestine

    33. Anorectum

    34. Abdominal Wall Hernias

    35. Adrenals

    36. Arteries

    37. Veins & Lymphatics

    38. Neurosurgery

    39. The Eye & Ocular Adnexa

    40. Urology

    41. Gynecology

    42. Orthopedic Surgery

    43. Plastic & Reconstructive Surgery

    44. Hand Surgery

    45. Pediatric Surgery

    46. Surgical Weight Management

    47. Oncology

    48. Abdominal Organ Transplantation

    Appendix: Answers to Multiple Choice Questions

    Index

     

     

     

     

  • 43100lei 350.00 lei

    TIPARITA DOAR LA CERERE IN 4-8 SAPTAMANI


    This issue of the Surgical Clinics of North America will include articles devoted to the following topics: diagnostic Imaging of pancreatic malignancies,  technical conduct of operation for pancreatic malignancies, portal vein resection, neoplasms of the Body and Tail, neoadjuvant therapy for pancreatic malignancies,  ontraductal papillary mucinous neoplasm, diagnostic evaluation of cystic malignancies, operative management of cystic malignancies, endoscopic evaluation and treatment for pancreatic malignancies, curative chemotherapy  for pancreatic malignancies, curative radiation therapy for pancreatic malignancies, palliative chemotherapy for pancreatic malignancies, minimally invasive treatment of pancreatic malignancies, performance outcomes, palliative surgery for pancreatic malignancies.

  • 375.00 lei

    LA COMANDA IN 3-4 SAPTAMANI



    Features
    • Provides a comprehensive review of surgical training methods and assessment for laparoscopic colorectal surgery
    • Offers an essential reference for general surgical trainees with a colorectal subspecialty interest
    • Illustrates in full color various methods accompanied by operative videos embedded in the eBook

    Summary

    This unique reference in laparoscopic colorectal surgery starts by looking at the establishment of the Lapco training programme in the UK. It then goes on to provide a comprehensive technical manual of operative and patient care for laparoscopic colorectal surgery, offers insight into training and assessment methodology and finally looks to the future and where we may be going. It shares knowledge of a unique training programme which healthcare systems worldwide are trying to emulate, and provides an up-to-date manual of know-how from some of the world’s most experienced laparoscopic colorectal trainers.

  • 47700lei 385.00 lei

     

    Description:

     

    This book provides a concise summation of current operative decision making and techniques for situations faced by the on-call general surgeon.  This manual covers pertinent topics such as minimally invasive surgery in the trauma setting, surgical emergencies in the bariatric patient, and treatment of emergencies in pregnancy, cirrhotics, and anti-coagulated patients. The experts at SAGES pooled their knowledge and created this manual to describe the most up-to-date treatment options for the emergent surgical patient. The SAGES Manual of Acute Care Surgery aligns with the new SAGES UNIVERSITY MASTERS Program and supplements the Master’s Program Acute Care Pathway. Its goal is to help educate surgeons to bring the optimum care to the patients that they are called to see in their emergency rooms, and to help surgeons progress from the competent to the proficient and finally to the mastery level.

     

    Table of Contents:

     

    1. SAGES University MASTERS Program: Acute Care Pathway

    2. Appendicitis

    3. Cholecystectomy

    4. Foregut and Hindgut Perforations

    5. Small Bowel Obstruction

    6. Colon Emergencies

    7. Acute Gastrointestinal Bleeding

    8. Emergency Hernia Surgery: What to Know When Evaluating a Patient with an Incarcerated Hernia

    9. Bariatrics

    10. Paraesophageal Hernia

    11. Necrotizing Pancreatitis

    12. Acute Complications of Inflammatory Bowel Disease

    13. Minimally Invasive Techniques in Trauma: Above and Below the Diaphragm

    14. The Difficult Patient

    15. Incorporating ACS into Your Practice

    16. The Future of Acute Care Surgery: From Divergence to Emergence and Convergence

     

  • 40400lei 385.00 lei

     

    Description:

    Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. First presented by the American College of Surgeons and the Alliance for Clinical Trials in Oncology in 2015, the comprehensive, evidence-based examination of cancer surgery techniques as standards distills the well-defined protocols and procedures that are critical to achieve optimal outcomes in a cancer operation.  This unique, one of a kind collaboration between the American College of Surgeons and the Alliance for Clinical Trials in Oncology focuses on best practices and state-of-the-art methodologies. Operative Standards for Cancer Surgery clearly describes the surgical activities that occur between skin incision and skin closure that directly affect cancer outcomes.

     

     

    Table of Contents:


    SECTION I THYROID

    Introduction

    Chapter 1: Thyroidectomy

    Chapter 2: Oncologic Components of Lymphadenectomy

    SECTION II GASTRIC

    Introduction

    Chapter 3: Gastrectomy

    SECTION III RECTUM

    Introduction

    Chapter 4: Proctectomy

    Chapter 5: Abdominoperineal Resection

    Chapter 6: Local Excision

    SECTION IV ESOPHAGUS

    Introduction

    Chapter 7: Esophagectomy

    SECTION V MELANOMA

    Introduction

    Chapter 8: Wide Local Excision

    Chapter 9: Sentinel Lymph Node Biopsy

    Chapter 10: Neck, Axillary, Ilioinguinal, and Other Lymph Node Dissections

     

  • 390.00 lei

    Description:

    Surgery: A Case Based Clinical Review has proven to be the premiere resource to help prepare medical students for the surgical shelf exam and clinical wards. The second edition was conceived after listening to the feedback we received from students.  We have added several new chapters and updated the others.  This book continues to provide the reader with a comprehensive understanding of surgical diseases in one easy-to-use reference that combines multiple teaching formats. The book begins using a case based approach. The cases presented cover the diseases most commonly encountered on a surgical rotation. The cases are followed by a series of short questions and answers, designed to provide further understanding of the important aspects of the history, physical examination, differential diagnosis, diagnostic work-up and management, and questions that may arise on surgical rounds and on the shelf exam. The book is written in an easy-to-understand manner to help reinforce important surgical exam concepts. The second edition of Surgery: A Case Based Clinical Review will be of great utility for medical students when they rotate on surgery, as well as interns, physician assistant students, nursing students, and nurse practitioner students.

     

    ·  I. Acute Care Surgery

    ·  1. Fever and Hypotension in the Intensive Care Unit

    ·  2. Nausea, Vomiting, and Left Groin Mass

    ·  3. Abdominal Pain, Nausea, and Vomiting

    ·  4. Right Leg Pain, Swelling, and Erythema for Two Days

    ·  Part Back Matter

    ·  II. Breast and Skin

    ·  5. Abnormal Screening Mammogram

    ·  6. New Palpable Mass in the Right Breast

    ·  7. Recently Changed Skin Lesion

    ·  Part Back Matter

    ·  III. Cardiothoracic

    ·  8. Chest Pain, Diaphoresis, and Nausea

    ·  9. Chest and Back Pain

    ·  10. Hemoptysis, Cough, and Weight Loss

    ·  Part Back Matter

    ·  IV. Endocrine

    ·  11. Incidentally Discovered Adrenal Mass on CT Scan

    ·  12. Fatigue, Constipation, and Depressed Mood

    ·  13. Intermittent Episodes of Sweating, Palpitations, and Hypertension

    ·  14. Neck Mass that Moves with Swallowing

    ·  Part Back Matter

    ·  V. Head and Neck

    ·  15. Progressively Hoarse Voice

    ·  16. Lump on the Neck Increasing in Size

    ·  17. Aural Fullness, Hearing Loss, and Tinnitus

    ·  Part Back Matter

    ·  VI. Hepatopancreaticobiliary

    ·  18. Postprandial Right Upper Quadrant Pain

    ·  19. Right Upper Quadrant Pain, Fever, Nausea, and Vomiting

    ·  20. Severe Epigastric Pain with Nausea and Vomiting

    ·  21. New Onset of Painless Jaundice

    ·  Part Back Matter

    ·  VII. Lower Gastrointestinal

    ·  22. Bright Red Blood per Rectum

    ·  23. Right Lower Quadrant Abdominal Pain

    ·  24. Pencil-Thin Stools and Intermittent Constipation

    ·  25. Chronic Constipation Presenting with Severe Abdominal Pain

    ·  26. Left Lower Quadrant Pain and Fever

    ·  27. Fatigue and Bloody Diarrhea

    ·  Part Back Matter

    ·  VIII. Neurosurgery

    ·  28. Neck Pain and Extremity Weakness Following Trauma

    ·  29. Loss of Consciousness Following Head Trauma

    ·  Part Back Matter

    ·  IX. Orthopedic

    ·  30. Multiple Extremity Injuries After Motorcycle Accident

    ·  31. Immediate Swelling After Trauma to the Knee

    ·  32. Adolescent Male with Right Groin Pain and Limp

    ·  33. Chronic Right-Hand Pain

    ·  Part Back Matter

    ·  X. Pediatric

    ·  34. Full-Term Male Infant with Respiratory Distress

    ·  35. Infant with Bilious Emesis

    ·  36. Infant with Nonbilious Emesis

    ·  37. Infant Born with Abdominal Wall Defect

    ·  38. Excessive Drooling in a Newborn

    ·  Part Back Matter

    ·  XI. Surgical Complications

    ·  39. Postoperative Bleeding

    ·  40. Postoperative Decreased Urine Output

    ·  41. Shortness of Breath 5 Days After Surgery

    ·  Part Back Matter

    ·  XII. Trauma

    ·  42. Abdominal Pain Following Motor Vehicle Collision

    ·  43. Penetrating Abdominal Trauma

    ·  44. Pedestrian Struck by Motor Vehicle

    ·  45. Gunshot Wound to the Left Neck

    ·  46. Stab Wound to the Chest

    ·  47. Burns to the Face, Trunk, and Extremities

    ·  48. Severe Right Leg Pain After Tibia Fracture

    ·  Part Back Matter

    ·  XIII. Upper Gastrointestinal Bleeding

    ·  49. Bloody Emesis

    ·  50. Severe Epigastric Abdominal Pain

    ·  51. Weight Loss and Early Satiety

    ·  52. Chest Pain After Vomiting

    ·  Part Back Matter

    ·  XIV. Urology

    ·  53. Scrotal Pain

    ·  54. Scrotal Mass

    ·  55. Blood in Urine

    ·  Part Back Matter

    ·  XV. Vascular

    ·  56. Transient Loss of Vision in the Right Eye

    ·  57. Right Calf Pain with Walking

    ·  58. Sudden Onset of Severe Left-Sided Abdominal Pain

    ·  59. Cold, Painful Right Lower Extremity

    ·  Part Back Matter

  • 45000lei 395.00 lei

     

    Description:

    This book with accompanying videos focuses on pectus excavatum correction using custom-made silicone implants. It discusses patient evaluation, the minimally invasive procedure and follow-up care. It also describes in detail, and in a way that is comprehensible for practicing clinicians, the procedure for creating silicone implants using a scanner (computer-aided design). Further, the book presents the possibility of using fat grafting to correct this congenital deformity and highlights secondary surgical procedures and complications (e.g. infections).  Correcting pectus excavatum using a computer-aided design silicone implant is a simple and reliable technique that yields high-quality, aesthetic results. In the medium term, the approach may render invasive techniques obsolete, however, these operations remain risky.

     

    Table of Contents:

    1. Thoracic Malformations: Etiopathogeny, Genetic, and Associated Syndromes

    2. Computer-Aided Design: Prototyping and Manufacturing (Pectus Excavatum and Poland Syndrome)

    3. Pectus Excavatum Remodelling by CAD Custom-Made Silicone Implant: Experience of 600 Cases

    4. Poland Syndrome Remodeling by CAD Silicone Custom-Made Implants

    5. Breasts and Pectus Excavatum

    6. Filling Method with Fat Graft Technique in Pectus Excavatum and Poland Syndrome

    7. Thoracic Surgical Correction of Pectus Excavatum: Minimal and Open Approaches

    8. Pectus Excavatum: Functional Respiratory Impact, Quality of Life, and Preoperative Assessment

    9. The Cardiorespiratory Implications of Pectus Excavatum

    10. Complications and Hazards with Pectus Excavatum Surgeries: Secondary Surgical Procedures wit

     

  • 42000lei 400.00 lei

    Gastrointestinal Emergencies 3E provides practical, up-to-date guidance for gastroenterologists, endoscopists, surgeons, emergency and acute physicians, medical students and trainees managing patients presenting with GI complications and/or emergencies.
    Combining a symptom section, a specific conditions section and a section that examines complications (and solutions) of GI procedures, focus throughout is on clear, specific how-to guidance, for use before a procedure or immediately after emergency stabilization.  An evidence-based approach to presentation, diagnosis and investigation is utilized throughout.
    New to this third edition are several brand new chapters covering various complications of procedures and specific conditions not previously featured, as well as a thorough look at the many diagnostic and therapeutic advances in recent years.  In addition, every chapter from the current edition has undergone wholesale revision to ensure it is updated with the very latest in management guidelines and clinical practice.  Once again, full range of emergencies encountered in daily clinical practice will be examined, such as acute pancreatitis, esophageal perforation, capsule endoscopy complications, acute appendicitis, and the difficulties after gastrointestinal procedures. International guidelines from the world’s key gastroenterology societies will be included in relevant chapters.
    Gastrointestinal Emergencies 3E is the definitive reference guide for the management of gastrointestinal emergencies and endoscopic complications, and the perfect accompaniment for the modern-day gastroenterologist, surgeon, emergency and acute physicians.

    Every Emergency Department, GI/endoscopy unit, medical/surgical admission unit should keep a copy close at hand for quick reference.

  • 42000lei 400.00 lei

    TIPARITA DOAR LA CERERE IN 4-8 SAPTAMANI

     

    Description:

    Perfect for residents, pediatricians, practitioners, or parents seeking further information, Smith’s Recognizable Patterns of Human Deformation provides evidence-based management for a range of common pediatric problems affecting the limbs and craniofacial region. The only source devoted to the diagnoses and management of birth defects resulting from mechanical forces, this reference supplies the essential guidance needed for timely intervention and effective treatment.

    Features:

    Examines the initial clinical approach to suspected deformation problems, and then walks you through pathogenesis, diagnostic features, management, prognosis, and counseling for each condition.

    Addresses a full range of lower extremity deformations; joint dislocations; nerve palsies; chest and spinal deformations; head and neck deformations; craniosynostosis and cranial bone variations; problems associated with abnormal birth presentation, birth palsies, and procedure-related defects; infant head shape variations; and torticollis.

    Distinguish deformations from malformations for appropriate management.

    New To This Edition:

    Each chapter utilizes four consistent sections – Genesis, Features, Management and Prognosis, and Differential Diagnosis – to provide concise yet comprehensive information on 50 common pediatric conditions. These chapters are available for individual purchase or download to serve as educational guides for parents regarding evidence-based management of these conditions.

    Diagnosis and management of common pediatric orthopedic conditions is covered in detail.

    Updated discussion of Sudden Infant Death Syndrome brings a new focus to the important topic of infant sleeping environments.

    New before-and-after illustrations and detailed discussions focus on cranial-orthotic molding helmets and the surgical correction of craniosynostosis.

    Provides evidence-based management recommendations on common fetal complications such as oligohydramnios, pulmonary hypoplasia, and uterine structural abnormalities, and discusses current management techniques for each.

    Selected references at the end of each chapter provide further recent information regarding each of these topics.

    Offers essential information to a range of professionals, including neonatologists, pediatricians, family practitioners, nurses, physical and occupational therapists, rehabilitative specialists, pediatric nurse practitioners, and residents in all fields.

    Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references in the book on a variety of devices.

    Table Of Contents:

    Section 1 Introduction

    1. Clinical Approach to Deformation Problems: Malformations, Deformations, Disruptions, and Dysplasias

    Section 2 Patterns Of Deformation

    2. Foot Deformations: Foot Contractures, Positional Foot Abnormalities

    3. Calcaneovalgus (Pes Planus)

    4. Metatarsus Adductus (Metatarsus Varus)

    5. Talipes Equinovarus (Clubfoot)

    6. Deformed Toes

    7. Flexible Flatfoot

    Section 3 Other Lower Extremity Deformations

    8. Tibial Torsion

    9. Femoral Anteversion

    Section 4 Joint Dislocations

    10. Joint Dislocation

    11. Developmental Dysplasia of the Hip (Congenital Dislocation of the Hip)

    12. Knee Dislocation (Genu Recurvatum)

    13. Dislocation of the Radial Head

    Section 5 Neurapraxias (Palsies)

    14. Facial Palsy

    15. Brachial Plexus Palsy

    16. Diaphragmatic Paralysis: Diaphragmatic Eventration

    17. Other Peripheral Nerve Palsies

    Section 6 Thoracic Cage and Spinal Deformations

    18. Lung Hypoplasia

    19. Pectus Excavatum and Pectus Carinatum

    20. Scoliosis

    Section 7 Head and Neck Deformations

    21. Nose Deformation

    22. External Ears

    23. Mandibular Deformation

    24. Congenital Muscular Torticollis

    25. Torticollis-Plagiocephaly Deformation Sequence: Nonsynostotic or Positional Plagiocephaly

    26. Infant Sleeping Position and Sudden Infant Death Syndrome

    27. Positional Brachycephaly

    28. Other Postnatal Head Deformations

    Section 8 Craniosynostosis

    29. Craniosynostosis: General

    30. Sagittal Craniosynostosis

    31. Coronal Craniosynostosis

    32. Metopic Craniosynostosis

    33. Lambdoidal Craniosynostosis

    34. Multiple Sutural Craniosynostosis

    Section 9 Cranial Bone Variations

    35. Vertex Birth Molding

    36. Vertex Craniotabes

    37. Anterior Fontanelle Bone

    38. Parietal Foramina

    39. Aplasia Cutis Congenita: Scalp Vertex Cutis Aplasia, Temporal Triangular Alopecia

    40. Cephalohematoma

    41. Wormian Bones

    Section 10 Abnormal Birth Presentation

    42. Breech Presentation Deformation

    43. Transverse Lie Deformation

    44. Face and Brow Presentation Deformation

    Section 11 Whole-Body Deformation Or Disruption

    45. Small Uterine Cavity Deformation: Bicornuate or Myomatous Uterus

    46. Oligohydramnios Sequence

    47. Fetal Akinesia Deformation Sequence

    48. Abdominal Pregnancy (Extrauterine Pregnancy)

    49. Early Embryonic Compression or Disruption

    50. Obstetric Procedure–Related Defects

    Section 12 Mechanics In Morphogenesis

    51. Principles of Human Biomechanics

       

     

     

  • Sjogren's Syndrome: A Clinical Handbook
    La comanda in aproximativ 4 saptamani
    47300lei 400.00 lei

     

    Description:

    Written by leaders in the field and edited by Dr. Frederick Vivino, this concise, practical resource provides best practices for the diagnosis and treatment of Sjogren’s Syndrome. It offers a concise overview of this complex autoimmune disease, including information on specific clinical settings, childhood Sjogren’s, extra-oral and extra-ocular manifestations, vaccine safety, complementary and alternative medicine, and much more.

    Provides concise, clinically focused content with an emphasis on diagnosis and treatment.

    Includes Sjogren's Syndrome Foundation Practice Guidelines and the most recent ACR-EULAR classification criteria.

    Consolidates today's available information and experience in this important area into one convenient resource.

     

    Table of Contents:

     

    Chapter 1. Sjögren's syndrome: Past, present, and future

    Perspective

    Brief review of the past—as “we only stand on the shoulders of past giants”

    Questions for the present

    Looking forward to to the future

    Conclusions

    Chapter 2. Diagnosis and evaluation of Sjögren's syndrome

    Challenge of diagnosis

    Clinical presentations

    Approach to diagnosis in the clinical setting

    Objective assessment of dry eyes

    Objective assessment of salivary gland involvement

    Proof of autoimmunity

    Evolution of the classification criteria

    Practical diagnosis

    Differential diagnosis

    Further evaluation

    Conclusions

    Chapter 3. Oral manifestations and management in Sjögren's syndrome

    Importance of saliva

    Major complications and management

    Salivary gland swelling

    Salivary gland obstruction

    Infections

    Mucosal lesions

    Conclusions

    Chapter 4. Diagnosis and management of Sjögren's syndrome related dry eye

    Introduction

    Diagnosis

    Treatment of dry eye and meibomian gland dysfunction

    Special considerations

    Conclusions

    Chapter 5. Approach to children with Sjögren’s syndrome

    Introduction

    Clinical manifestations

    Evaluation

    Management

    Conclusions

    Chapter 6. Extraglandular abnormalities in Sjögren's syndrome

    Fatigue and fever

    Musculoskeletal manifestations

    Pulmonary manifestations

    Renal manifestations

    Gastrointestinal manifestations

    Hematologic abnormalities

    Dermatologic manifestations

    Conclusions

    Chapter 7. Vasculitis in Sjögren's syndrome

    Definition and classification

    Clinical manifestations

    Treatment

    Conclusions

    Chapter 8. Lymphoproliferative disease in Sjögren's syndrome

    Introduction

    Epidemiology

    Lymphoma in secondary Sjögren's syndrome

    Lymphoma subtypes

    Multiple myeloma

    Risk factors and prediction models

    Pathology and pathogenesis

    Clinical presentation

    Imaging

    Diagnostic evaluation

    Lymphoma staging

    Treatment of lymphoma

    Prognosis

    Screening protocol for lymphoma

    Conclusions

    Chapter 9. Sjögren's syndrome: Peripheral and autonomic nervous system involvement

    Epidemiology

    Clinical presentation

    Diagnostic evaluation

    Lessons from clinicopathologic studies

    Management and prognosis

    Conclusions

    Chapter 10. Diagnosis and management of central nervous system Sjögren's syndrome

    Prevalence

    Pathophysiology

    Major clinical syndromes

    Neurodiagnostic studies

    Treatment

    Conclusions

    Chapter 11. Treatment of Sjögren's syndrome internal organ manifestations and constitutional symptoms

    Constitutional symptoms

    Rheumatologic manifestations

    Respiratory manifestations

    Management of gastrointestinal manifestations

    Management of renal manifestations

    Conclusions

    Chapter 12. Integrative rheumatology: Complementary and alternative medicine for the management of Sjögren's syndrome

    Introduction

    Dietary modifications

    Nutritional supplements

    Acupuncture

    Guided imagery

    Psychodynamic group therapy

    Cognitive behavior therapy

    Sleep disorders

    Nonpharmacologic therapies for management of fibromyalgia

    Conclusions

    Chapter 13. Perioperative management of patients with Sjögren's syndrome

    Perioperative management specific to Sjögren's syndrome

    Managing sicca preoperatively

    Managing extraglandular manifestations

    Postoperative care

    Risk of infection after surgery

    Management of immunosuppression

    Conventional disease-modifying antirheumatic drugs

    Biologic and targeted therapies

    Glucocorticoids

    Key messages for immunosuppression

    Conclusions

    Chapter 14. Utility and safety of vaccines in Sjögren's syndrome

    Vaccination: general considerations

    Chapter 15. The cost of Sjögren's syndrome and the value of patient resources and support in management

    Introduction

    Burden of illness

    Disability

    Stress and Sjögren's syndrome

    Support and availability of resources linked to better health

    The Sjögren's Foundation: creating a community of support

    Conclusions

    Index

     

  • 400.00 lei

    Presented by the American College of Surgeons and the Alliance for Clinical Trials in Oncology, the first comprehensive, evidence-based examination of cancer surgery techniques as standards distills the well-defined protocols and techniques that are critical to achieve optimal outcomes in a cancer operation. This unique, one of a kind collaboration between the American College of Surgeons and the Alliance for Clinical Trials in Oncology focuses on best practices and state-of-the-art methodologies. Operative Standards for Cancer Surgery clearly describes the surgical activities that occur between skin incision and skin closure that directly affect cancer outcomes. "Key Features" Quickly grasp the proper technical elements of a cancer operation through clear, practical text and more than 120 illustrations. Benefit from careful analysis of the best evidence available in the literature, gathered here to create the highest quality standards in four key disease sites: breast, colon, lung, and pancreas. Learn from experts drawn from diverse groups including the American College of Surgeons, the Alliance for Clinical Trials in Oncology, the National Cancer Institute Cooperative Groups, and the Commission on Cancer, as well as national societies and organizations with an interest in these four cancer types. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: Complete content with enhanced navigation. Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web. Cross-linked pages, references, and more for easy navigation. Highlighting tool for easier reference of key content throughout the text. Ability to take and share notes with friends and colleagues. Quick reference tabbing to save your favorite content for future use.

  • Thyroid Surgery: Principles and Practice
    La comanda in aproximativ 4 saptamani
    405.00 lei

     

    Description:

    This book will bridge a gap between the huge platform of literature available about thyroid surgery and the practical working reality. The pearls in techniques and surgical procedures will be exhaustively detailed with authors' individual experience enriched with quality photographs. It covers management of large/massive multinodular goiters which are the hall mark of Indian Thyroids. However, the emphasis will be more on applying this knowledge to a given patient and would largely revolve around this theme. It aims to provide a take home message in controversial areas and is a ready reference to all interested in learning science and craftsmanship of thyroid surgery. Key Features Covers all topics comprehensively with a practical approach Inclusion of guidelines adds value to the content Discusses all investigatory modalities Consists of useful surgical tips with exhaustive operating photography Features large anatomical illustrations with cadaveric dissections

     

     

    Table of Contents:

     

    Chapter 1: History and Evolution of Thyroid Surgery

    Introduction

    The History of Goiter

    The History of the Thyroid and Parathyroid Hormones

    The History of Surgery and of Surgical Instruments

    The History of Thyroid Surgery

    Future Directions

    References

    Chapter 2: Surgical Anatomy of the Thyroid

    Introduction

    Embryology of the Thyroid Gland

    Capsule of the Thyroid Gland

    Blood Supply of the Thyroid Gland

    Parathyroids

    The Nerves

    Ligament of Berry

    Pyramidal Lobe

    References

    Chapter 3: Clinical Assessment of the Thyroid Nodule

    History Taking

    Physical Examination

    Chapter 4: Imaging of the Thyroid

    Introduction

    Thyroid Ultrasound

    Thyroid Nodules

    Follicular Neoplasm

    Papillary Thyroid Carcinoma

    Papillary Thyroid Microcarcinoma

    Medullary Thyroid Carcinoma

    Anaplastic Carcinoma

    Metastasis to the Thyroid

    Conclusion

    References

    Chapter 5: Pathology of the Thyroid

    Non-Neoplastic Lesions of the Thyroid

    Neoplastic Lesions

    Reference

    Suggested Reading

    Chapter 6: Medical Management of Thyroid Disorders

    Graves’ Disease

    Thyroiditis

    Hypothyroidism

    Suggested Reading

    Chapter 7: Anesthesia for Thyroid Surgery

    Introduction

    Main Content

    Pre-Operative Preparation

    Induction of Anesthesia

    Post-Operative Complications

    Regional Anesthesia

    Cervical Epidural Anesthesia

    Authors’ Experience/Pearls of Wisdom

    Conclusion

    References

    Chapter 8: Safe Thyroidectomy

    Who Is at Risk?

    The Size

    Anesthesia

    Appliances and Technology

    Learning Curve

    Identifying the Injuries

    References

    Chapter 9: Surgery for Multinodular Goiter

    Evolution of MNG

    Genesis of the Thyroid Nodule and MNG

    Follow-Up Strategy for MNG Surgery

    References

    Chapter 10: Management of Retrosternal Goiter

    Introduction

    Clinical Manifestations

    Investigation for RSG

    Classification

    Treatment

    Conclusion

    References

    Chapter 11: Remote Access Endoscopic and Robotic Thyroidectomy

    Introduction

    The History of Robotic/Endoscopic Thyroidectomy

    Robotic/Endoscopic Thyroidectomy Classification

    Author’s Experience

    Conclusions

    References

    Chapter 12: Robotic Thyroidectomy

    Introduction

    Indications and Contraindications

    Concluding Remarks

    Authors’ Experience and Pearls of Wisdom

    References

    Chapter 13: Intra-Operative Neural Monitoring

    How Common Is RLN Paralysis?

    Importance of a Laryngeal Exam—Pre-Operative and Post-Operative Assessment

    Intra-Operative Neural Monitoring—Utility and Applications

    Standards for Intra-Operative Nerve Monitoring

    New Horizons in IONM

    References

    Chapter 14: Surgical Management of Differentiated Thyroid Cancers

    Introduction

    Active Surveillance as an Alternative to Surgery

    Completion Thyroidectomy

    Debate of Hemi- versus Total Thyroidectomy

    Surgical Tips and Tricks

    References

    Chapter 15: Management of Nodal Metastasis in Thyroid Cancer

    Quantification of the Problem

    Diagnosis

    Conclusions

    References

    Chapter 16: Complications of Thyroid Surgery

    Introduction

    Seroma

    Infection

    Hematoma

    Hypertrophic or Keloid Scar

    Aerodigestive Injury

    Airway Concerns

    Salient Points

    Authors’ Experience/Pearls of Wisdom

    Concluding Remarks

    References

    Chapter 17: Locally Advanced Thyroid Cancer

    Introduction

    Invasion of the Strap Muscles

    Invasion of the Aerodigestive Tract (Larynx, Trachea, Hypopharynx, and/or Esophagus)

    Surgical Management

    Pharyngeal/Esophageal Involvement

    Vascular Invasion

    Conclusion

    References

    Chapter 18: Surgical Management of Medullary Thyroid Cancers

    Introduction

    Work-Up

    TNM Classification AJCC, 8th Edition, for MTC

    Recurrence/Metastasis/Residual MTC

    Adjuvant External Beam Radiotherapy (EBRT)

    Prophylactic Cancer Surgery

    Salient Points

    Authors’ Experience/Pearls of Wisdom

    Concluding Remarks

    Acknowledgments

    References

    Chapter 19: Surgical Management of Anaplastic Thyroid Cancers

    Introduction

    Clinical Presentation

    Treatment

    Role of Neoadjuvant Treatment

    References

    Chapter 20: Post-Treatment Surveillance of Thyroid Cancer

    Introduction

    Surveillance Tools for DTC

    Initial Risk Stratification

    Dynamic Risk Stratification

    Surveillance Strategies

    Summary

    Acknowledgments

    References

    Chapter 21: Applications of Radioisotopes in the Diagnosis and Treatment of Thyroid Disorders

    Introduction

    Molecular Basis of Imaging with RAI

    Non-Radioactive Iodine Imaging

    Salient Points

    References

    Chapter 22: Systemic Therapy (Targeted Therapy and Immunotherapy) for Thyroid Cancers

    Introduction

    Molecular Pathogenesis: Genetic Changes and Altered Signaling Pathways

    Targeted Therapy in Thyroid Cancer

    Conclusion

    References

    Chapter 23: Surgical Management of Parathyroid Disorders

    Introduction

    Clinical Profile

    Diagnosis

    Minimally Invasive Parathyroidectomy

    Pathology

    Conclusions

    References

    Chapter 24: Pediatric Thyroid Surgery

    Introductions

    Benign Conditions Warranting Surgical Management

    Thyroid Malignant Lesions

    Who Should Be Operating on Children?

    Thyroid Pain and Abscess

    Ectopic Thyroid Gland

    References

    Index

     

  • 46200lei 410.00 lei

     

    Description:

    Is surgery required? Is the patient effectively communicating symptoms to make the correct clinical diagnosis? Clinical Problems in Surgery, 3rd Edition supports medical students in applying clinical reasoning to problems they encounter in a clinical setup. Individual chapters are dedicated to specific regions of the body where surgeons encounter most of the problems. The content structure follows the logical step-by-step process of introducing a clinical problem; seeking history and conducting physical examination; diagnosing the patient and devising a treatment plan based on this informed diagnosis.

     

     

    Table of Contents:

     

    FIGURE 1 Iron deficiency anaemia may be A: the primary presentation of an occult carcinoma of the caecum; B: a secondary problem when carcinoma of the sigmoid presents with altered bowel habit

    FIGURE 2 Forms of presentation of gastrointestinal blood loss A: melaena from a duodenal ulcer; B: occult blood loss and anaemia from a caecal carcinoma; C: acute colonic haemorrhage from diverticular disease; D: defaecatory bleeding from haemorrhoids

    FIGURE 3 Forms of presentation of duodenal ulcer A: haemorrhage presenting as haematemesis and melaena; B: pyloric stenosis presenting as vomiting; C: perforation presenting as an acute abdomen. Duodenal ulcer most commonly presents as chronic epigastric pain.

    The problem-oriented clinical approach

    1 Collect and record the database

    Take a history and examine the patient

    Record the data in a systematic manner

    History of the presenting complaint

    Subjective data (S)

    Objective data (O)

    2 Constructing a problem list

    3 Assessment and plan

    4 Progress notes

    5 Discharge summary

    Medical record

    Discharge summary

    Student case presentations

    Suggested format

    What to put on visual aids such as computer presentation packages

    Suggestions

    Example case presentation

    Format of bedside presentations

    ISBAR

    Chapter 1 Integument problems

    1.1 Introduction

    FIGURE 1.1 Focal skin lesionsA: macule; B: papule (1), nodule (2) or plaque (3); C: vesicle or pustule; D: wheal

    The clinical history of a lump or ulcer

    1 Onset and duration

    FIGURE 1.2 Types of epithelial ulceration1. squamous cell carcinoma; 2. basal cell carcinoma; 3. venous ulcer; 4. neuropathic ulcer; 5. peptic ulcer; 6. anal fissure; 7. keratoacanthoma

    2 Change and progression

    3 Other symptoms

    4 Multiplicity

    The physical examination of a lump or ulcer

    TABLE 1.1 Growth pattern of some common skin nodules

    Box 1.1 Characteristics of a lump on physical examination

    1 Situation and depth

    2 Size

    3 Shape and surroundings

    4 Colour

    5 Contour

    6 Consistency

    7 Temperature

    8 Tenderness

    9 Transillumination

    10 Fluctuation and percussion

    FIGURE 1.3 Testing fluctuationTwo watching fingers detect transmitted impulse (A) while the displacing finger applies compression (B).

    11 Fixity

    12 Fields

    1.2 Focal skin lesions

    Clearly benign lesions

    FIGURE 1.4 Focal skin lesionsA: hyperkeratosis with central crusting on dorsum of hand, infective warts on index finger; B: calluses over first metatarsal head and over proximal interphalangeal joint in hammer toe

    Box 1.2 Clearly benign macules and nodules in children

    Pigmented lesions

    Other lesions

    Box 1.3 Clearly benign macules and nodules in adults

    Non-pigmented lesions

    Pigmented lesions

    Common causes of benign skin lesions

    In children

    In adults

    Clinical features, diagnostic and treatment plans

    Children

    Port-wine stain

    Strawberry naevus (capillary haemangioma)

    Benign mole

    Intradermal, junctional and compound naevus

    FIGURE 1.5 The histology of benign pigmented molesA: junctional naevus showing melanocytes at the epidermal–dermal junction; B: intradermal naevus with pigmented cells in the dermis. The histological combination of A and B is known as a compound naevus

    Blue naevus

    Freckles (ephelides)

    Infective warts

    Pyogenic granuloma

    Adults

    Senile freckling

    Senile purpura

    Callosity (callus)

    Infective warts

    Skin tag (benign squamous papilloma, soft fibroma)

    Seborrhoeic keratosis (seborrhoeic wart)

    Solar keratosis (senile keratosis, hyperkeratosis)

    Sclerosing haemangioma (dermatofibroma, histiocytoma)

    Senile haemangioma (Campbell-De Morgan's spots, cherry angioma)

    Spider naevus

    Xanthoma

    Benign mole

    ‘Suspicious’ lesions

    Causes of ‘suspicious’ skin lesions

    Clinical features and diagnosis

    1 Basal cell carcinoma

    Box 1.4 Clinical forms of BCC

    2 Squamous cell carcinoma

    3 Keratoacanthoma

    4 Pyogenic granuloma

    5 Malignant melanoma

    FIGURE 1.6 The ABCDE assessment aids in the identification of skin lesions suspicious of melanomaA: asymmetry – one half unlike the other; B: border – irregular edge; C: colour – variable pigmentation; D: diameter – usually larger than 6 mm; E: evolving – change in the lesion including increasing elevation

    6 Kaposi sarcoma

    Treatment plans

    1 Basal cell carcinoma

    2 Squamous cell carcinoma

    3 Keratoacanthoma

    TABLE 1.2 Malignancies and their mimics

    4 Pyogenic granulomas

    5 Melanoma

    Box 1.5 Suspicious pigmented lesions

    FIGURE 1.7 Prognosis in malignant melanoma is measured in two ways: depth of invasion (Clark's levels I–V) or simple measurement of tumour depth in millimetresComparison of the two methods is shown. Level I: an in situ lesion above the basement membrane of the basal layer of the epidermis, less than 0.75 mm in depth. Level II: the lesion is invading into the papillary dermis, equivalent to a depth 0.75–1.5 mm. Level III: the lesion fills the papillary dermis down to its junction with the reticular dermis, a depth of 1.5–2.25 mm. Level IV: the lesion extends into the reticular dermis, a depth of 2.25–3.0 mm. Level V: well into the subcutaneous tissue, a depth greater than 3.0 mm

    TABLE 1.3 Tumour depth in melanoma influences management and prognosis

    6 Kaposi sarcoma

    7 Other malignant or infective skin lesions

    Pigmented skin lesions

    TABLE 1.4 Types of benign pigmented moles

    Diagnostic and therapeutic plans

    Box 1.6 Pigmented skin lesions – indications for excision

    1.3 Subcutaneous lumps

    Common causes

    Clinical features and treatment plan

    1 Lipoma

    FIGURE 1.8 Lipoma and sebaceous cystA: the surface contour of a lipoma is classically lobulated; B: when a lipoma is pressed, it tends to slip from beneath the finger; C: these features are not seen in sebaceous cyst, which is fixed to the skin, has a spherical shape and a smooth contour

    2 ‘Sebaceous’ cyst

    FIGURE 1.9 Excision of a lipomaA–C: most lipomas can be shelled out after infiltration with a local anaesthetic and an incision directly over the lesion

    FIGURE 1.10 Excision of a sebaceous cystInfiltration of local anaesthetic. A: bisection through the punctum and avulsion of each half using an artery forcep; B: formal excision using an elliptical incision. The cyst is freed from the subcutaneous tissue by blunt dissection.

    3 Ganglion

    FIGURE 1.11 Ganglion on the dorsum of the wrist joint is made more prominent by hyperflexion of the joint

    4 Bursa

    5 ‘Dermoid’ cysts

    6 Neurofibromas

    1.4 Cutaneous and subcutaneous infections

    Pathology

    Clinical features

    Diagnosis and treatment plans

    General principles

    1 The primary site of infection

    Box 1.7 The general principles of the treatment of surgical infection

    FIGURE 1.12 Incision and drainage of subcutaneous infectionA: the central area of the abscess is infiltrated with local anaesthetic; B: the abscess is incised to allow free drainage; C: an appropriate dressing is used to allow the cavity to heal by secondary intention

    2 The infectious agent

    3 The susceptible host and measures to strengthen host resistance

    Specific infections of skin and subcutaneous tissues

    Common types

    Clinical features and treatment plan

    1 Infected epidermoid (sebaceous) cysts

    2 Folliculitis, furuncle, carbuncle, hydradenitis

    3 Erysipelas, cellulitis, impetigo

    4 Necrotising soft tissue infections

    5 Specific sites

    1.5 Lymph node swellings

    FIGURE 1.13 The Karydakis operation for chronic pilonidal sinusA: one side of the incision is placed further from the midline; B: the sinus and surrounding fibrous tissue is excised down to the fascia over the sacrum, creating a flap on one side; C: closure brings the flap away from the midline, avoiding a central unstable scar and thus reducing the chance of recurrence

    FIGURE 1.14 Lymph nodes in the neck1: submental nodes drain the lip; 2: submandibular nodes drain the anterior two-thirds of the tongue, floor of mouth, gums and buccal mucosa; 3: upper jugular nodes of the deep cervical chain drain the oral cavity, nasopharynx, tonsil, base of the tongue, pharynx and larynx; middle nodes drain the thyroid, pyriform sinus and larynx; 4: supraclavicular nodes from the arm and mediastinum; 5: posterior triangle nodes drain the nasopharynx; 6: mastoid nodes drain the nasopharynx and parotid; 7: suboccipital nodes drain the posterior scalp; 8: pre-auricular nodes drain the scalp, ear and parotid; A: Stohr's node; B: the tonsillar node; C: Virchow's node; D: the Delphic node. Intralymphatic deposits of melanoma are visible on the chest wall together with a left axillary mass due to lymphadenopathy

    FIGURE 1.15 Lymph nodes in the axillaA: the axilla can be exposed by abducting and/or extending the arm; B: the axilla can be considered a pyramidal space with the lymph node groups arranged as numbered below.1. subscapular nodes; 2. pectoral nodes drain lymph from the breast; 3. central nodes drain lymph from the breast and back; 4. apical nodes drain the other axillary node groups and are continuous with the supraclavicular nodes; 5. lateral nodes

    FIGURE 1.16 Lymph nodes in the groin1. vertical group of superficial inguinal nodes drain the lower limb; 2. horizontal group of superficial inguinal nodes. The lateral group drain back below the iliac crest and the medial group drain the anterior abdominal wall, below the umbilicus, the perineum and external genitalia and the lower half of the anal canal; 3. deep inguinal nodes including the node of Cloquet (4) collect deep and superficial lymph fluid

    Common causes

    Localised lymph node swellings

    Generalised lymph node swellings

    Clinical assessment

    Localised lymph node swellings

    Generalised lymph node swellings

    Diagnostic and treatment plans

    Chapter 2 ENT, Head and neck problems

    2.1 Introduction

    History

    Examination of the head and neck

    Ear

    Nose

    Nose and sinuses

    TABLE 2.1 Symptoms of ear, nose and throat conditions

    TABLE 2.2 Referred or non-otologic otalgia

    Throat

    Mouth

    Oropharynx

    Hypopharynx

    Nasopharynx

    Head and neck lumps

    FIGURE 2.1 Division of lymph node groups levels I–VI (VII)

    TABLE 2.3 Thyroid examination – performed if thyroid disease is detected or suspected

    TABLE 2.4 Screening examination of the cranial nerves

    FIGURE 2.2a and b Voroscope

    FIGURE 2.3 Nasolaryngoscope

    Regional and developmental anatomy

    2.2 Ear

    TABLE 2.5 Outer ear, middle ear and inner ear components

    FIGURE 2.4 Anatomy of the ear

    Role of the ear

    Nearby blood vessels

    External ear

    Wax and otitis externa

    Management

    Middle ear

    Otitis media

    FIGURE 2.5a Extracranial complications of otitis media

    FIGURE 2.5b Intracranial complications of otitis media

    Inner ear

    Hearing loss

    TABLE 2.6 Causes of hearing loss

    Vertigo

    Tinnitus

    FIGURE 2.6 Tuning fork tests

    FIGURE 2.7 Audiograms

    FIGURE 2.8 Otologic causes for dizziness

    TABLE 2.7 Causes of tinnitus

    2.3 Facial weakness

    Trauma

    2.4 Nose and sinuses

    Anatomy/physiology

    FIGURE 2.9 Structure of the lateral nasal wall

    Blood supply

    Nerve supply

    Olfactory nerve – cranial nerve I

    FIGURE 2.10 Paranasal sinuses

    Paranasal sinuses

    Epistaxis

    Nasal obstruction

    Sinusitis, nasal polyps, allergy

    Investigations

    Treatment

    2.5 Throat

    Tonsils and adenoids

    FIGURE 2.11 Laryngeal framework

    TABLE 2.8 Related spaces and anatomy

    Anatomy

    Microbiology/pathology

    Infectious mononucleosis

    History and examination

    TABLE 2.9 Organisms found in the tonsil

    Diagnosis

    Medical treatment

    Surgical treatment

    FIGURE 2.12 Bacterial tonsillitis

    FIGURE 2.13 Infectious mononucleosis

    2.6 Airway emergencies and tracheostomy

    FIGURE 2.14 Quinsy

    Tube types

    FIGURE 2.15 Tracheostomy tubes

    Complications

    Avoiding complications

    2.7 Snoring and obstructive apnoea

    Treatment

    2.8 Voice, dysphonia, hoarse voice

    Anatomy

    Nerve supply

    Dysphonia

    FIGURE 2.16 The larynx

    TABLE 2.10 The anatomy of the larynx

    TABLE 2.11 Organic and non-organic causes of dysphonia

    2.9 Dysphagia

    2.10 Congenital anomalies

    Thyroglossal cysts

    Branchial cysts

    FIGURE 2.17 Congenital anomaliesa. Thyroglossal duct cyst

    b. Type II Branchial cleft cyst

    Vascular malformations

    Nasolabial cyst, dermoids, cleft lip and cleft palate

    2.11 Foreign bodies

    Ear

    History

    Examination

    Investigation

    Treatment

    Nose

    History

    Examination

    Investigation

    Treatment

    Oropharyngeal/oesophageal

    History

    Examination

    Investigation

    Treatment

    Upper airway

    History

    Examination

    Investigation

    Treatment

    2.12 Head and neck cancer

    2.13 Larynx

    TABLE 2.12 TNM

    Larynx

    2.14 Parotid and salivary glands

    TABLE 2.13 Staging for lip and oral cancer

    TABLE 2.14 Staging for oropharyngeal carcinoma

    TABLE 2.15 Staging for hypopharyngeal carcinoma

    TABLE 2.16 Staging for nasopharyngeal carcinoma

    TABLE 2.17 Staging for supraglottic carcinoma

    FIGURE 2.18 Carcinoma of tonsil

    TABLE 2.18 Staging for glottic carcinoma

    TABLE 2.19 Staging for subglottic carcinoma

    TABLE 2.20 Staging for salivary gland carcinoma

    Investigations

    2.15 Thyroid/parathyroid

    Goitre

    Common causes

    Clinical features

    History

    TABLE 2.21 Physical examination of the thyroid

    Common causes – specific clinical features

    I General enlargements

    1 Multinodular goitre

    2 Graves' disease

    3 Hashimoto's thyroiditis

    4 Anaplastic carcinoma

    II Single nodule

    Benign lesion

    FIGURE 2.19 Goitre – single noduleA: dominant nodule in a multinodular goitre; B: benign adenoma; C: celloid nodule within a haemorrhagic cyst; D: carcinoma (papillary) with nodes

    Carcinoma

    TABLE 2.22 Thyroid carcinoma classification and staging

    TABLE 2.23 Staging papillary or follicular carcinoma

    TABLE 2.24 Staging undifferentiated – anaplastic carcinoma

    TABLE 2.25 Thyroid carcinoma outcome statistics

    TABLE 2.26 The Mayo Clinic carcinoma classification system

    TABLE 2.27 The Lahey Clinic's AMES classification

    Diagnosis

    Thyroid function tests

    Thyroid imaging

    Aspiration cytology

    Other biochemical tests

    Treatment plan

    I General enlargement

    Generalised longstanding gland enlargement (multinodular goitre)

    Graves' disease

    Hashimoto's thyroiditis

    Anaplastic invasive cancer

    II Solitary thyroid nodules

    2.16 Mouth ulcers and lesions

    Common causes

    Clinical features and treatment

    Benign disease

    Benign ‘dental’ ulcer

    Herpes labialis (‘cold sore’)

    Benign fissures and crusting of mucous membrane

    Prosthetic ulcers and epulides

    Pyogenic granuloma

    Lichen planus

    Candidiasis

    Mucous retention cyst

    Neutropenia

    Pigmented and vascular lesions

    Premalignant lesions

    2.17 Approach to a head and neck lump

    2.18 Neck pain

    Clinical features, diagnostic and treatment plans

    Cervical spondylosis and cervical disc degeneration

    Whiplash

    Cervical rib

    Referred pain

    Other causes

    2.19 Cranial nerve evaluation

    First (olfactory) cranial nerve

    Second (optic) cranial nerve

    Third, fourth and sixth cranial nerves

    Fifth cranial nerve (trigeminal)

    Seventh (facial) cranial nerve

    Eighth cranial nerve

    Ninth and tenth cranial nerves (glossopharyngeal and vagus)

    Eleventh cranial nerve (accessory)

    Twelfth cranial nerve (hypoglossal)

    Chapter 3 Breast problems

    3.1 Introduction

    History

    Physical examination

    Box 3.1 Causes of unilateral enlargement of the breast or breast asymmetry

    FIGURE 3.1 Asymmetrical breast development

    FIGURE 3.2 Accessory nipple

    FIGURE 3.3 Accessory breast tissue in the axilla

    FIGURE 3.4 Upper outer breast distortion

    FIGURE 3.5 Skin tethering due to cancer only demonstrable when the patient raises her arms

    FIGURE 3.6 Breast examination

    FIGURE 3.7 Scheme for recording the characteristics of breast lesions

    Diagnostic tests

    Imaging techniques: mammography, ultrasound

    Cytology and histology

    3.2 Breast pain

    Common causes

    Clinical features and diagnosis

    FIGURE 3.8 Mammographic and sonographic images of the breastMammographic and sonographic images of the breast often demonstrate the features of benign and malignant breast lesions. (a) Breast cancer typically appears on a mammogram as a focal density with spiculate edges. (b) Microcalcification can be associated with benign and malignant breast pathology and is graded according to its morphology. Typically malignant calcification is variable in size and shape and may cast the branching pattern of the milk ducts. (c) Simple cysts may show as a discrete density on mammography, but ultrasound best demonstrates the smooth cyst wall and anechoic cyst fluid. (d) Fibroadenomas may also appear as a discrete density on mammography and on ultrasound. A benign solid lesion should have more breadth than height.

    Treatment plan

    3.3 Breast lump

    Causes

    History and physical examination

    1 Carcinoma

    FIGURE 3.9 Locally advanced breast cancer

    Box 3.2 Breast cancer staging

    Primary tumour (T)

    Regional lymph node involvement (N)

    Metastatic involvement (M)

    2 Involutional change with stromal hyperplasia

    3 Fibrocystic change (breast cyst)

    4 Fibroadenoma

    5 Mammary duct ectasia

    6 Less common causes

    Diagnostic plans

    1 Fine needle aspiration cytology

    2 Mammography

    Treatment plan

    1 Clinical staging

    2 Curative surgical treatment for early disease

    4 Stage IV disease and advanced local disease

    3.4 Nipple discharge

    TABLE 3.1 Differences between Paget's disease and eczema of the nipple

    Common causes

    Diagnostic plans

    Discharge from many duct orifices (often bilateral)

    FIGURE 3.10 Paget's disease of the nipple

    FIGURE 3.11 Eczema affecting the areola

    Unilateral bloody discharge from a single duct

    FIGURE 3.12 Multiduct discharge in duct ectasia

    FIGURE 3.13 Single duct discharge suggestive of a papilloma

    Mammary duct fistula

    FIGURE 3.14 Nipple discharge A spot of fluid is seen to appear from a single duct with pressure on the related breast segment.

    Diagnostic plan

    Treatment plan

    FIGURE 3.15 MicrodochectomyA: identification of affected duct by local pressure and insertion of lacrimal probe; B: excision of a segment containing the duct and papilloma through a circumareolar incision

    3.5 Gynaecomastia

    Common causes

    Clinical features

    1 Puberty and old age

    2 Systemic disease

    3 Carcinoma of the lung and other tumours

    4 Drug-induced gynaecomastia

    Box 3.3 Common drugs associated with gynaecomastia

    Diagnostic plan

    Treatment plan

    Chapter 4 Chest and chest wall problems

    4.1 Introduction

    Box 4.1 Assessment of exercise tolerance

    History

    TABLE 4.1 New York Heart Association classification of angina

    Physical examination

    General inspection

    Examination of the periphery

    TABLE 4.2 Grades of finger clubbing

    Examination of the pulse

    Examination of the head and neck

    Jugular venous pressure and pulse

    TABLE 4.3 Venous and arterial pulses and pressures in th