Additional Information
Book Details
Abstract
Designed to teach you to think like an experienced clinician, this unique resource places as much value on process as it does on content. A case-based organization hones in on the must-know differential diagnoses of the common surgical presentations. Its convenient pocket-sized format enables you to review the material on the go, and online access via Student Consult enhances your study of the material and exponentially boosts your reference power.
- Provides high-yield core information essential to surgical rotations in a portable, pocket-sized format.
- Uses a color-coded system that places the core surgical information in a framework of the ACGME Core Competencies.
- Offers self-assessment activities throughout to promote retention and application of knowledge, including access on line to your own competency-based portfolio tools and competency-specific learning modules (Vertical Reads).
- Features ACGME Core Competencies enabling you to integrate evidence based medicine, continual self-assessment, and cognizance of interpersonal skills into your daily routine.
- Includes features such as “Speaking Intelligently and “Clinical Thinking in each chapter to help you see the “big picture.
- Organizes the most common and must-know surgical signs/symptoms and disorders by presentation, making reference simple.
- Presents “Teaching Visuals—an interactive teaching device designed to reinforce visual concepts.
- Equips you to perform a more in-depth review of surgical topics with “Clinical Entities that are referenced to top surgical references.
- Includes access to Student Consult at www.studentconsult.com, where you'll find the complete text and illustrations of the book online, fully searchable • "Integration Links" to bonus content in other Student Consult titles • M&M form • Self-Assessment Competency Log • Professors Pearls that provide cases with questions and annotated answers • Vertical Reads • and much more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Surgery: A Competency-Based Companion | iii | ||
| Copyright Page | iv | ||
| Table of Contents | xxvii | ||
| Educator’s Foreword | vii | ||
| Surgical Educator’s Foreword | ix | ||
| Preface | xi | ||
| Acknowledgments | xv | ||
| Contributors | xvii | ||
| Section I: INTRODUCTION TO THE COMPETENCIES | 1 | ||
| Chapter 1. How to Study This Book | 3 | ||
| STRUCTURE OF THE BOOK | 3 | ||
| ORGANIZING STRUCTURE | 3 | ||
| CHAPTER ELEMENTS | 4 | ||
| SUGGESTIONS FOR READING | 4 | ||
| TEACHING AND LEARNING ACTIVITIES | 5 | ||
| OPERATIONS | 5 | ||
| THE COMPETENCIES AND VERTICAL READS | 5 | ||
| A NOTE ABOUT PRACTICE-BASED LEARNING AND IMPROVEMENT | 6 | ||
| References | 6 | ||
| Chapter 2. Medical Knowledge: The Foundation of Patient Care | 7 | ||
| Chapter 3. Practice-Based Learning and Improvement | 8 | ||
| COMPONENT 1: EVIDENCE-BASED MEDICINE | 8 | ||
| COMPONENT 2: MORBIDITY AND MORTALITY CONFERENCE: A FRAMEWORK FOR SELF-ASSESSMENT AND PATIENT SAFETY | 10 | ||
| References | 12 | ||
| Chapter 4. Interpersonal and Communication Skills | 12 | ||
| References | 15 | ||
| Chapter 5. Professionalism in Surgery | 15 | ||
| References | 18 | ||
| Chapter 6. Systems-Based Practice | 19 | ||
| COMPONENT I: THE SYSTEM | 19 | ||
| COMPONENT II: IMPROVING SYSTEM FUNCTION | 20 | ||
| COMPONENT III: HEALTH-CARE POLICY AND BUSINESS | 20 | ||
| Reference | 21 | ||
| Chapter 7. How to Succeed on the Surgical Clerkship: Thoughts on Expectations, Feedback, and Stress | 22 | ||
| EXPECTATIONS FOR STUDENTS | 22 | ||
| FEEDBACK | 23 | ||
| STRESS | 23 | ||
| Chapter 8. The Resident as Teacher: Facilitating Student Success: Thoughts on Expectations, Feedback, and Stress | 24 | ||
| SETTING EXPECTATIONS | 24 | ||
| GIVING FEEDBACK | 25 | ||
| REDUCING STRESS | 25 | ||
| Chapter 9. The Art of Oral Presentation | 26 | ||
| ADJUSTING THE LEVEL OF DETAIL | 26 | ||
| DISTILLATION | 27 | ||
| SYNTHESIS | 27 | ||
| Typical Written History and Physical | 28 | ||
| Oral Presentations Appropriate for Different Contexts | 29 | ||
| Appendix 1: ACGME General Competencies | 31 | ||
| ACGME GENERAL COMPETENCIES VERSION 1.3 (9.28.99) | 31 | ||
| Patient Care | 31 | ||
| Medical Knowledge | 31 | ||
| Practice-Based Learning and Improvement | 32 | ||
| Interpersonal and Communication Skills | 32 | ||
| Professionalism | 32 | ||
| Systems-Based Practice | 33 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 34 | ||
| Appendix 2: Competency Assessment Forms | 34 | ||
| Competency Self-Assessment Form | 35 | ||
| Section II: CASES IN ABDOMINAL PAIN | 37 | ||
| Chapter 10. Radiology Tools for Abdominal Diagnosis | 39 | ||
| Radiology and the Competencies | 39 | ||
| The Obstruction Series | 40 | ||
| 1. Chest Radiograph (PA) | 40 | ||
| 2. Supine Abdominal Radiograph—Normal Anatomy (AP) | 41 | ||
| 3. Erect Abdominal Film (AP) | 42 | ||
| Extraluminal Air: “Free Air” | 43 | ||
| Common Causes of “Free Air” | 44 | ||
| Right Upper Quadrant Ultrasonography and the HIDA Scan | 45 | ||
| The HIDA Scan (Hydroxyl Iminodiacetic Acid Scan) | 47 | ||
| CT of the Abdomen and Pelvis | 47 | ||
| Chapter 11. Right Lower Quadrant Pain in a 28-Year-Old Female (Case 1) | 52 | ||
| Differential Diagnosis | 52 | ||
| Speaking Intelligently | 52 | ||
| PATIENT CARE | 52 | ||
| IMAGING CONSIDERATIONS | 54 | ||
| Clinical Entities Medical Knowledge | 54 | ||
| ZEBRA ZONE | 60 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 60 | ||
| Interpersonal and Communication Skills | 61 | ||
| Professionalism | 61 | ||
| Systems-Based Practice | 61 | ||
| Chapter 12. Right Upper Quadrant Pain in a 44-Year-Old Female (Case 2) | 62 | ||
| Differential Diagnosis | 62 | ||
| Speaking Intelligently | 62 | ||
| PATIENT CARE | 63 | ||
| IMAGING CONSIDERATIONS | 64 | ||
| Clinical Entities Medical Knowledge | 65 | ||
| ZEBRA ZONE | 68 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 69 | ||
| Interpersonal and Communication Skills | 70 | ||
| Professionalism | 70 | ||
| Systems-Based Practice | 71 | ||
| Chapter 13. Epigastric Pain in a 47-Year-Old Male (Case 3) | 71 | ||
| Differential Diagnosis | 71 | ||
| Speaking Intelligently | 72 | ||
| PATIENT CARE | 72 | ||
| ZEBRA ZONE | 77 | ||
| Practice-Based Learning and Improvement: Evidence-Based Medicine | 77 | ||
| Interpersonal and Communication Skills | 78 | ||
| Professionalism | 78 | ||
| Systems-Based Practice | 79 | ||
| Chapter 14. Lower Left Quadrant Pain in a 67-Year-Old Male (Case 4) | 79 | ||
| Differential Diagnosis | 79 | ||
| Speaking Intelligently | 79 | ||
| PATIENT CARE | 80 | ||
| IMAGING CONSIDERATIONS | 81 | ||
| ZEBRA ZONE | 84 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 85 | ||
| Interpersonal Skills and Communication | 85 | ||
| Professionalism | 86 | ||
| Systems-Based Practice | 86 | ||
| Chapter 15. Groin Mass in a 68-Year-Old Male (Case 5) | 87 | ||
| Differential Diagnosis | 87 | ||
| Speaking Intelligently | 87 | ||
| PATIENT CARE | 87 | ||
| IMAGING CONSIDERATIONS | 88 | ||
| ZEBRA ZONE | 91 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 91 | ||
| Interpersonal and Communication Skills | 92 | ||
| Professionalism | 92 | ||
| Systems-Based Practice | 93 | ||
| Chapter 16.\rAbdominal Pain and Diarrhea in a 43-Year-Old Female (Case 6) | 93 | ||
| Differential Diagnosis | 93 | ||
| Speaking Intelligently | 94 | ||
| PATIENT CARE | 94 | ||
| IMAGING CONSIDERATIONS | 95 | ||
| ZEBRA ZONE | 100 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 100 | ||
| Interpersonal and Communication Skills | 101 | ||
| Professionalism | 102 | ||
| Systems-Based Practice | 102 | ||
| Chapter 17. “Free Air” in a 72-Year-Old Female (Case 7) | 103 | ||
| Differential Diagnosis | 103 | ||
| Speaking Intelligently | 103 | ||
| PATIENT CARE | 103 | ||
| IMAGING CONSIDERATIONS | 105 | ||
| ZEBRA ZONE | 108 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 108 | ||
| Interpersonal and Communication Skills | 109 | ||
| Professionalism | 110 | ||
| Systems-Based Practice | 110 | ||
| Chapter 18. Abdominal Pain and Distention in a 63-Year-Old Man (Case 8) | 111 | ||
| Differential Diagnosis | 111 | ||
| Speaking Intelligently | 112 | ||
| PATIENT CARE | 112 | ||
| ZEBRA ZONE | 119 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 119 | ||
| Interpersonal and Communication Skills | 120 | ||
| Professionalism | 120 | ||
| Systems-Based Practice | 121 | ||
| Chapter 19. Abdominal Pain and Hypotension in a 79-Year-Old Female (Case 9) | 122 | ||
| Differential Diagnosis | 122 | ||
| Speaking Intelligently | 122 | ||
| PATIENT CARE | 123 | ||
| IMAGING CONSIDERATIONS | 124 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 128 | ||
| ZEBRA ZONE | 128 | ||
| Interpersonal and Communication Skills | 129 | ||
| Professionalism | 129 | ||
| Systems-Based Practice | 130 | ||
| Professor’s Pearls: Abdominal Pain | 131 | ||
| Section III: CASES IN SURGICAL ONCOLOGY | 135 | ||
| Chapter 20.\rAbnormal Screening Mammogram in a 48-Year-Old Female (Case 10) | 137 | ||
| Differential Diagnosis | 137 | ||
| Speaking Intelligently | 137 | ||
| PATIENT CARE | 137 | ||
| Interpersonal and Communication Skills | 141 | ||
| Professionalism | 141 | ||
| Systems-Based Practice | 142 | ||
| Chapter 21.\rBreast Mass in a 44-Year-Old Female (Case 11) | 143 | ||
| Differential Diagnosis | 143 | ||
| Speaking Intelligently | 143 | ||
| PATIENT CARE | 143 | ||
| IMAGING CONSIDERATIONS | 145 | ||
| ZEBRA ZONE | 149 | ||
| Practice-Based Learning and Improvement: The NSABP as a Model of Collective Practice-Based Improvement | 149 | ||
| Interpersonal and Communication Skills | 152 | ||
| Professionalism | 152 | ||
| Systems-Based Practice | 153 | ||
| Chapter 22. Teaching Visual: Breast Pathology | 154 | ||
| Medical Knowledge and Interpersonal and Communication Skills | 154 | ||
| Ductal Carcinoma in Situ (DCIS) | 155 | ||
| Evidence-Based Surgery: NSABP B-17 Trial | 156 | ||
| Interpersonal and Communication Skills | 156 | ||
| Treatments for the High-Risk Woman | 158 | ||
| References | 159 | ||
| Chapter 23. Pigmented Skin Lesion in a 58-Year-Old Female (Case 12) | 159 | ||
| Differential Diagnosis | 159 | ||
| Speaking Intelligently | 160 | ||
| PATIENT CARE | 160 | ||
| ZEBRA ZONE | 166 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 166 | ||
| Interpersonal and Communication Skills | 167 | ||
| Professionalism | 167 | ||
| Systems-Based Practice | 167 | ||
| Chapter 24. Dysphagia in a 62-Year-Old Male (Case 13) | 168 | ||
| Differential Diagnosis | 168 | ||
| Speaking Intelligently | 168 | ||
| PATIENT CARE | 169 | ||
| ZEBRA ZONE | 174 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 174 | ||
| Interpersonal and Communication Skills | 175 | ||
| Professionalism | 176 | ||
| Systems-Based Practice | 176 | ||
| Chapter 25. Thyroid Nodule in a 48-Year-Old Woman (Case 14) | 176 | ||
| Differential Diagnosis | 176 | ||
| Speaking Intelligently | 177 | ||
| PATIENT CARE | 177 | ||
| ZEBRA ZONE | 182 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 182 | ||
| Interpersonal and Communication Skills | 183 | ||
| Professionalism | 183 | ||
| Systems-Based Practice | 184 | ||
| Chapter 26. Hypercalcemia in a 56-Year-Old Female (Case 15) | 184 | ||
| Differential Diagnosis | 184 | ||
| Speaking Intelligently | 184 | ||
| PATIENT CARE | 185 | ||
| IMAGING CONSIDERATIONS | 186 | ||
| ZEBRA ZONE | 188 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 189 | ||
| Interpersonal and Communication Skills | 190 | ||
| Professionalism | 190 | ||
| Systems-Based Practice | 191 | ||
| Chapter 27. Lateral Neck Mass in a 67-Year-Old Male (Case 16) | 191 | ||
| Differential Diagnosis | 191 | ||
| Speaking Intelligently | 191 | ||
| PATIENT CARE | 192 | ||
| ZEBRA ZONE | 197 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 198 | ||
| Interpersonal and Communication Skills | 198 | ||
| Professionalism | 199 | ||
| Systems-Based Practice: Patient Safety | 199 | ||
| Chapter 28. 35-Year-Old Male with an Expanding Lump in the Thigh (Case 17) | 199 | ||
| Differential Diagnosis | 199 | ||
| Speaking Intelligently | 200 | ||
| PATIENT CARE | 200 | ||
| IMAGING CONSIDERATIONS | 201 | ||
| ZEBRA ZONE | 204 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 204 | ||
| Interpersonal and Communication Skills | 205 | ||
| Professionalism | 205 | ||
| Systems-Based Practice | 206 | ||
| Chapter 29. 63-Year-Old Female with Jaundice (Case 18) | 206 | ||
| Differential Diagnosis | 206 | ||
| Speaking Intelligently | 207 | ||
| PATIENT CARE | 207 | ||
| IMAGING CONSIDERATIONS | 209 | ||
| ZEBRA ZONE | 214 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 214 | ||
| Interpersonal and Communication Skills | 215 | ||
| Professionalism | 215 | ||
| Systems-Based Practice | 216 | ||
| Reference | 216 | ||
| Chapter 30. Teaching Visual: Anatomic Relationships of the Pancreatic Head | 216 | ||
| Medical Knowledge | 217 | ||
| Clinical Correlates | 217 | ||
| Interpersonal and Communication Skills | 220 | ||
| Chapter 31. Splenomegaly in a 40-Year-Old Female (Case 19) | 222 | ||
| Differential Diagnosis | 222 | ||
| Speaking Intelligently | 222 | ||
| PATIENT CARE | 222 | ||
| IMAGING CONSIDERATIONS | 224 | ||
| ZEBRA ZONE | 228 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 228 | ||
| Interpersonal and Communication Skills | 229 | ||
| Professionalism | 229 | ||
| Systems-Based Practice | 229 | ||
| Professor’s Pearls: Surgical Oncology | 231 | ||
| Section IV: CASES IN VASCULAR SURGERY | 239 | ||
| Chapter 32. Vascular Tools | 241 | ||
| Section Editor’s Note | 241 | ||
| Ankle-Brachial Index | 241 | ||
| Lower Extremity Arterial Duplex | 242 | ||
| Segmental Pressure Measurement | 243 | ||
| Transcutaneous Tissue Oxygen Tension (TcPO2) | 243 | ||
| Lower Extremity Venous Duplex Imaging | 244 | ||
| Arteriography | 244 | ||
| Carotid Duplex Imaging | 244 | ||
| MRA/CTA | 245 | ||
| Venography | 245 | ||
| Chapter 33. Teaching Visual: Peripheral Vascular Reconstruction | 246 | ||
| Medical Knowledge | 246 | ||
| Interpersonal and Communication Skills | 246 | ||
| Chapter 34. Peripheral Arterial Disease (Case 20) | 249 | ||
| Framework for Clinical Thinking | 249 | ||
| Speaking Intelligently | 250 | ||
| PATIENT CARE | 250 | ||
| ZEBRA ZONE | 259 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 259 | ||
| Interpersonal and Communication Skills | 260 | ||
| Professionalism | 261 | ||
| Systems-Based Practice | 261 | ||
| Chapter 35. Arterial Aneurysms (Case 21) | 262 | ||
| Framework for Clinical Thinking | 262 | ||
| Speaking Intelligently | 263 | ||
| PATIENT CARE | 263 | ||
| IMAGING CONSIDERATIONS | 265 | ||
| ZEBRA ZONE | 267 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 268 | ||
| Interpersonal and Communication Skills | 269 | ||
| Professionalism | 269 | ||
| Systems-Based Practice | 269 | ||
| Chapter 36. Cerebrovascular Disease (Case 22) | 270 | ||
| Framework for Clinical Thinking | 270 | ||
| Speaking Intelligently | 271 | ||
| PATIENT CARE | 271 | ||
| IMAGING CONSIDERATIONS | 273 | ||
| ZEBRA ZONE | 277 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 278 | ||
| Interpersonal and Communication Skills | 280 | ||
| Professionalism | 280 | ||
| Systems-Based Practice | 280 | ||
| Chapter 37. Leg Swelling (Case 23) | 281 | ||
| Framework for Clinical Thinking | 281 | ||
| Speaking Intelligently | 282 | ||
| PATIENT CARE | 282 | ||
| IMAGING CONSIDERATIONS | 284 | ||
| ZEBRA ZONE | 289 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 289 | ||
| Interpersonal and Communication Skills | 290 | ||
| Professionalism | 290 | ||
| Systems-Based Practice | 291 | ||
| Professor’s Pearls: Vascular Surgery | 292 | ||
| Section V: CASES IN GI BLEEDING | 297 | ||
| Chapter 38. Radiology Tools in the Diagnosis of GI Hemorrhage | 299 | ||
| Chapter 39 Upper GI Bleeding in a 58-Year-Old Male (Case 24) | 300 | ||
| Differential Diagnosis | 300 | ||
| Speaking Intelligently | 301 | ||
| PATIENT CARE | 301 | ||
| ZEBRA ZONE | 306 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 306 | ||
| Interpersonal and Communication Skills | 307 | ||
| Professionalism | 307 | ||
| Systems-Based Practice | 307 | ||
| Chapter 40. Lower GI Bleeding in a 71-Year-Old Male (Case 25) | 308 | ||
| Differential Diagnosis | 308 | ||
| Speaking Intelligently | 308 | ||
| PATIENT CARE | 309 | ||
| IMAGING CONSIDERATIONS | 310 | ||
| ZEBRA ZONE | 312 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 313 | ||
| Interpersonal and Communication Skills | 314 | ||
| Professionalism | 314 | ||
| Systems-Based Practice | 314 | ||
| Reference | 315 | ||
| Chapter 41. Anorectal Pain in a 45-Year-Old Male (Case 26) | 315 | ||
| Differential Diagnosis | 315 | ||
| Speaking Intelligently | 315 | ||
| PATIENT CARE | 316 | ||
| IMAGING CONSIDERATIONS | 317 | ||
| ZEBRA ZONE | 320 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 321 | ||
| Interpersonal and Communication Skills | 322 | ||
| Professionalism | 322 | ||
| Systems-Based Practice | 322 | ||
| Professor’s Pearls: GI Bleeding | 324 | ||
| Section VI: CASES IN POSTOPERATIVE CARE | 329 | ||
| Chapter 42. Chest Pain (Case 27) | 329 | ||
| Differential Diagnosis | 331 | ||
| Speaking Intelligently | 331 | ||
| PATIENT CARE | 331 | ||
| IMAGING CONSIDERATIONS | 333 | ||
| ZEBRA ZONE | 336 | ||
| Practice-Based Learning and Improvement: Evidence-Based Medicine | 336 | ||
| Interpersonal and Communication Skills | 337 | ||
| Professionalism | 337 | ||
| Systems-Based Practice | 338 | ||
| Chapter 43. Shortness of Breath (Case 28) | 338 | ||
| Differential Diagnosis | 338 | ||
| Speaking Intelligently | 338 | ||
| PATIENT CARE | 339 | ||
| IMAGING CONSIDERATIONS | 341 | ||
| ZEBRA ZONE | 345 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 345 | ||
| Interpersonal and Communication Skills | 346 | ||
| Professionalism | 346 | ||
| Systems-Based Practice | 347 | ||
| Chapter 44. Postoperative Fever (Case 29) | 347 | ||
| Differential Diagnosis Medical Knowledge | 347 | ||
| Speaking Intelligently | 348 | ||
| PATIENT CARE | 348 | ||
| IMAGING CONSIDERATIONS | 349 | ||
| ZEBRA ZONE | 353 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 354 | ||
| Interpersonal and Communication Skills | 354 | ||
| Professionalism | 355 | ||
| Systems-Based Practice | 355 | ||
| Chapter 45. Low Urine Output (Case 30) | 355 | ||
| Differential Diagnosis | 356 | ||
| Speaking Intelligently | 356 | ||
| PATIENT CARE | 356 | ||
| IMAGING CONSIDERATIONS | 358 | ||
| ZEBRA ZONE | 362 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 362 | ||
| Interpersonal and Communication Skills | 363 | ||
| Professionalism | 363 | ||
| Systems-Based Practice | 364 | ||
| Reference | 364 | ||
| Chapter 46. Postoperative Wound Complications (Case 31) | 365 | ||
| Differential Diagnosis | 365 | ||
| Speaking Intelligently | 365 | ||
| PATIENT CARE | 365 | ||
| IMAGING CONSIDERATIONS | 367 | ||
| ZEBRA ZONE | 371 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 371 | ||
| Interpersonal and Communication Skills | 372 | ||
| Professionalism | 373 | ||
| Systems-Based Practice | 373 | ||
| Professor’s Pearls: Postoperative Care | 374 | ||
| Section VII: CASES IN TRAUMA | 377 | ||
| Chapter 47.\rIntroduction to the Trauma Patient: Using the Primary and Secondary Surveys | 379 | ||
| PRIMARY SURVEY: The ABCs of Trauma | 379 | ||
| SECONDARY SURVEY | 380 | ||
| Chapter 48. Trauma Radiology Tools | 381 | ||
| Cross-Table Lateral Cervical Spine Film | 382 | ||
| Anterior-Posterior Chest Film | 383 | ||
| Anterior-Posterior Pelvis Film | 385 | ||
| Sonography | 386 | ||
| Computed Tomography | 387 | ||
| Chapter 49. Head Trauma (Case 32) | 389 | ||
| Differential Diagnosis | 389 | ||
| Speaking Intelligently | 389 | ||
| PATIENT CARE | 389 | ||
| IMAGING CONSIDERATIONS | 391 | ||
| ZEBRA ZONE | 393 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 394 | ||
| Interpersonal and Communication Skills | 394 | ||
| Professionalism | 395 | ||
| Systems-Based Practice | 395 | ||
| Chapter 50. Penetrating Neck Injury (Case 33) | 396 | ||
| Differential Diagnosis | 396 | ||
| Speaking Intelligently | 396 | ||
| PATIENT CARE | 397 | ||
| IMAGING CONSIDERATIONS | 399 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 400 | ||
| Interpersonal and Communication Skills | 401 | ||
| Professionalism | 402 | ||
| Systems-Based Practice | 402 | ||
| Chapter 51. Penetrating Chest Injury (Case 34) | 403 | ||
| Differential Diagnosis | 403 | ||
| Speaking Intelligently | 403 | ||
| PATIENT CARE | 403 | ||
| IMAGING CONSIDERATIONS | 404 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 406 | ||
| Interpersonal and Communication Skills | 407 | ||
| Professionalism | 407 | ||
| Systems-Based Practice | 408 | ||
| Chapter 52. Blunt Chest Trauma (Case 35) | 408 | ||
| Differential Diagnosis | 408 | ||
| Speaking Intelligently | 409 | ||
| PATIENT CARE | 409 | ||
| IMAGING CONSIDERATIONS | 411 | ||
| ZEBRA ZONE | 415 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 415 | ||
| Interpersonal and Communication Skills | 416 | ||
| Professionalism | 416 | ||
| Systems-Based Practice | 416 | ||
| Chapter 53. Penetrating Abdominal Injury (Case 36) | 417 | ||
| Differential Diagnosis | 417 | ||
| Speaking Intelligently | 417 | ||
| PATIENT CARE | 418 | ||
| IMAGING CONSIDERATIONS | 419 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 422 | ||
| Interpersonal and Communication Skills | 422 | ||
| Professionalism | 423 | ||
| Systems-Based Practice | 423 | ||
| Reference | 423 | ||
| Chapter 54. Blunt Abdominal Trauma (Case 37) | 424 | ||
| Differential Diagnosis | 424 | ||
| Speaking Intelligently | 424 | ||
| PATIENT CARE | 424 | ||
| IMAGING CONSIDERATIONS | 426 | ||
| ZEBRA ZONE | 431 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality: Self-Assessment Form | 431 | ||
| Interpersonal and Communication Skills | 432 | ||
| Professionalism | 432 | ||
| Systems-Based Practice | 432 | ||
| Chapter 55. Pelvic Fracture (Case 38) | 433 | ||
| Differential Diagnosis | 433 | ||
| Speaking Intelligently | 433 | ||
| PATIENT CARE | 433 | ||
| IMAGING CONSIDERATIONS | 435 | ||
| ZEBRA ZONE | 438 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality: Self-Assessment Form | 438 | ||
| Interpersonal and Communication Skills | 439 | ||
| Professionalism | 439 | ||
| Systems-Based Practice | 440 | ||
| Professor’s Pearls: Trauma | 441 | ||
| Section VIII: BARIATRIC SURGERY | 445 | ||
| Chapter 56. Teaching Visual: The Roux-en-Y Limb | 447 | ||
| Medical Knowledge | 447 | ||
| Interpersonal and Communication Skills | 450 | ||
| Chapter 57. Gastric Bypass (Case 39) | 451 | ||
| Obesity Comorbidities | 451 | ||
| Speaking Intelligently | 451 | ||
| PATIENT CARE | 451 | ||
| IMAGING CONSIDERATIONS | 454 | ||
| Obesity Comorbidities and the Effect of Gastric Bypass | 454 | ||
| PATIENT CARE | 457 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 457 | ||
| Interpersonal and Communication Skills | 458 | ||
| Professionalism | 458 | ||
| Systems-Based Practice | 459 | ||
| Reference | 459 | ||
| Section IX: CASES IN CARDIOTHORACIC SURGERY | 461 | ||
| Chapter 58. Coronary Revascularization (Case 40) | 463 | ||
| Speaking Intelligently | 463 | ||
| PATIENT CARE | 463 | ||
| IMAGING CONSIDERATIONS | 465 | ||
| ZEBRA ZONE | 466 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 467 | ||
| Interpersonal and Communication Skills | 467 | ||
| Professionalism | 468 | ||
| Systems-Based Practice | 468 | ||
| References | 469 | ||
| Chapter 59. Teaching Visual: Coronary Bypass | 470 | ||
| Medical Knowledge | 470 | ||
| Interpersonal and Communication Skills | 474 | ||
| Chapter 60.\rMediastinal Mass in a 61-Year-Old Male (Case 41) | 475 | ||
| Differential Diagnosis | 475 | ||
| Speaking Intelligently | 475 | ||
| PATIENT CARE | 475 | ||
| IMAGING CONSIDERATIONS | 477 | ||
| ZEBRA ZONE | 481 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 481 | ||
| Interpersonal and Communication Skills | 482 | ||
| Professionalism | 482 | ||
| Systems-Based Practice | 483 | ||
| Chapter 61. Solitary Pulmonary Nodule in a 58-Year-Old Male (Case 42) | 483 | ||
| Differential Diagnosis | 483 | ||
| Speaking Intelligently | 483 | ||
| PATIENT CARE | 484 | ||
| IMAGING CONSIDERATIONS | 486 | ||
| ZEBRA ZONE | 489 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 489 | ||
| Interpersonal and Communication Skills | 490 | ||
| Professionalism | 490 | ||
| Systems-Based Practice | 491 | ||
| Professor’s Pearls: Cardiothoracic Surgery | 492 | ||
| Section X: CASES IN PEDIATRIC SURGERY | 495 | ||
| Chapter 62.\rPersistent Jaundice in a 1-Month-Old Infant (Case 43) | 497 | ||
| Differential Diagnosis | 497 | ||
| Speaking Intelligently | 497 | ||
| PATIENT CARE | 497 | ||
| IMAGING CONSIDERATIONS | 498 | ||
| ZEBRA ZONE | 500 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 501 | ||
| Interpersonal and Communication Skills | 501 | ||
| Professionalism | 502 | ||
| Systems-Based Practice | 502 | ||
| Chapter 63.\rNewborn Baby with a Large Abdominal Wall Defect (Case 44) | 503 | ||
| Differential Diagnosis | 503 | ||
| Speaking Intelligently | 503 | ||
| PATIENT CARE | 503 | ||
| IMAGING CONSIDERATIONS | 504 | ||
| ZEBRA ZONE | 507 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 507 | ||
| Interpersonal and Communication Skills | 508 | ||
| Professionalism | 508 | ||
| Systems-Based Practice | 509 | ||
| References | 509 | ||
| Chapter 64.\rNewborn Infant with Labored Breathing and Hypoxemia (Case 45) | 510 | ||
| Differential Diagnosis | 510 | ||
| Speaking Intelligently | 510 | ||
| PATIENT CARE | 510 | ||
| IMAGING CONSIDERATIONS | 511 | ||
| Clinical Entities Medical Knowledge | 511 | ||
| ZEBRA ZONE | 514 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 514 | ||
| Interpersonal and Communication Skills | 515 | ||
| Professionalism | 515 | ||
| Systems-Based Practice | 516 | ||
| Chapter 65.\rVomiting in an Infant (Case 46) | 516 | ||
| Differential Diagnosis | 516 | ||
| Speaking Intelligently | 517 | ||
| PATIENT CARE | 517 | ||
| IMAGING CONSIDERATIONS | 518 | ||
| ZEBRA ZONE | 521 | ||
| Interpersonal and Communication Skills | 522 | ||
| Professionalism | 522 | ||
| Systems-Based Practice | 522 | ||
| Chapter 66.\r3-Year-Old Female with a 12-Hour Onset of Abdominal Pain, Vomiting, and Fever of 38.5°C (Case 47) | 523 | ||
| Differential Diagnosis | 523 | ||
| Speaking Intelligently | 523 | ||
| PATIENT CARE | 523 | ||
| IMAGING CONSIDERATIONS | 524 | ||
| ZEBRA ZONE | 527 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 527 | ||
| Interpersonal and Communication Skills | 528 | ||
| Professionalism | 528 | ||
| Systems-Based Practice | 529 | ||
| Chapter 67.\r4-Year-Old Boy with a Groin Mass (Case 48) | 529 | ||
| Differential Diagnosis | 529 | ||
| Speaking Intelligently | 529 | ||
| PATIENT CARE | 530 | ||
| IMAGING CONSIDERATIONS | 531 | ||
| ZEBRA ZONE | 535 | ||
| Interpersonal and Communication Skills | 535 | ||
| Professionalism | 536 | ||
| Systems-Based Practice | 536 | ||
| Chapter 68.\r2-Year-Old Boy with Gastrointestinal Bleeding (Case 49) | 537 | ||
| Differential Diagnosis | 537 | ||
| Speaking Intelligently | 537 | ||
| PATIENT CARE | 537 | ||
| IMAGING CONSIDERATIONS | 539 | ||
| ZEBRA ZONE | 543 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 543 | ||
| Interpersonal and Communication Skills | 544 | ||
| Professionalism | 544 | ||
| Systems-Based Practice | 545 | ||
| Chapter 69.\rAbdominal Mass in a 4-Month-Old Infant (Case 50) | 545 | ||
| Differential Diagnosis | 545 | ||
| Speaking Intelligently | 545 | ||
| PATIENT CARE | 546 | ||
| IMAGING CONSIDERATIONS | 547 | ||
| ZEBRA ZONE | 550 | ||
| Practice-Based Learning and Improvement: Morbidity and Mortality Self-Assessment Form | 550 | ||
| Interpersonal and Communication Skills | 551 | ||
| Professionalism | 551 | ||
| Systems-Based Practice | 552 | ||
| Professor’s Pearls: Pediatric Surgery | 553 | ||
| In Memoriam | 554 | ||
| Reference | 554 | ||
| Section XI: CASES IN TRANSPLANTATION | 559 | ||
| Chapter 70.\rLiver Transplant Evaluation (Case 51) | 561 | ||
| Speaking Intelligently | 561 | ||
| PATIENT CARE | 561 | ||
| Interpretation of Liver Function Tests | 562 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 564 | ||
| Interpersonal and Communication Skills | 565 | ||
| Professionalism | 566 | ||
| Systems-Based Practice | 566 | ||
| Chapter 71.\rKidney Transplant Evaluation (Case 52) | 567 | ||
| Speaking Intelligently | 567 | ||
| PATIENT CARE | 567 | ||
| Clinical Options | 569 | ||
| Kidney Transplantation in Diabetics | 570 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 571 | ||
| Interpersonal and Communication Skills | 572 | ||
| Professionalism | 572 | ||
| Systems-Based Practice | 572 | ||
| Chapter 72.\rCardiac Transplant Evaluation (Case 53) | 574 | ||
| Speaking Intelligently | 574 | ||
| PATIENT CARE | 574 | ||
| Interpretation of Laboratory Tests | 576 | ||
| Practice-Based Learning and Improvement: Evidence-Based Surgery | 578 | ||
| Professionalism | 579 | ||
| Interpersonal and Communication Skills | 579 | ||
| Systems-Based Practice | 580 | ||
| Reference | 580 | ||
| Professor’s Pearls: Transplantation | 581 | ||
| Section XII: CRITICAL CARE | 583 | ||
| The Competencies in the ICU | 584 | ||
| Chapter 73.\rIntroduction to Surgical Critical Care | 585 | ||
| ICU FLOW-SHEET INTERPRETATION AND PRESENTATION | 587 | ||
| Chapter 74.\rFluid and Electrolyte Disorders | 588 | ||
| Speaking Intelligently | 588 | ||
| Case 1 | 588 | ||
| Medical Knowledge | 589 | ||
| Case 2 | 590 | ||
| Medical Knowledge | 590 | ||
| Case 3 | 590 | ||
| Medical Knowledge | 591 | ||
| Case 4 | 591 | ||
| Medical Knowledge | 592 | ||
| Case 5 | 592 | ||
| Medical Knowledge | 592 | ||
| Case 6 | 593 | ||
| Medical Knowledge | 593 | ||
| Case 7 | 595 | ||
| Medical Knowledge | 595 | ||
| Case 8 | 596 | ||
| Medical Knowledge | 596 | ||
| Chapter 75.\rAcid-Base Balance | 597 | ||
| Speaking Intelligently | 597 | ||
| Case 1 | 598 | ||
| Case 2 | 600 | ||
| Medical Knowledge | 600 | ||
| Case 3 | 601 | ||
| Medical Knowledge | 601 | ||
| Chapter 76 Mechanical Ventilation | 602 | ||
| Speaking Intelligently | 602 | ||
| Case 1 | 603 | ||
| Medical Knowledge | 603 | ||
| Case 2 | 604 | ||
| Medical Knowledge | 604 | ||
| Case 3 | 607 | ||
| Medical Knowledge | 607 | ||
| Case 4 | 608 | ||
| Medical Knowledge | 609 | ||
| Case 5 | 609 | ||
| Medical Knowledge | 610 | ||
| Chapter 77.\rShock: Principles of Management | 611 | ||
| Speaking Intelligently | 611 | ||
| Case 1 | 612 | ||
| Medical Knowledge | 613 | ||
| Case 2 | 615 | ||
| Medical Knowledge | 615 | ||
| Case 3 | 616 | ||
| Systems-Based Practice | 617 | ||
| Case 4 | 617 | ||
| Medical Knowledge | 618 | ||
| Chapter 78.\rCoagulation and Transfusion | 618 | ||
| Speaking Intelligently | 619 | ||
| Medical Knowledge | 619 | ||
| Coagulation | 619 | ||
| Case 1 | 620 | ||
| Medical Knowledge | 621 | ||
| Case 2 | 621 | ||
| Medical Knowledge | 622 | ||
| Case 3 | 622 | ||
| Case 4 | 623 | ||
| Case 5 | 623 | ||
| TRANSFUSION | 624 | ||
| COMPLICATIONS | 625 | ||
| Chapter 79.\rInfections in the Critically Ill: Principles and Management | 626 | ||
| Speaking Intelligently | 626 | ||
| Practice-Based Learning and Improvement | 626 | ||
| Case 1\r | 628 | ||
| Medical Knowledge | 628 | ||
| Case 2 | 629 | ||
| Medical Knowledge | 629 | ||
| Case 3 | 630 | ||
| Medical Knowledge | 630 | ||
| Chapter 80. Nutrition Support in the ICU | 631 | ||
| Speaking Intelligently | 631 | ||
| Case 1 | 632 | ||
| Medical Knowledge | 632 | ||
| Case 1 Continued | 633 | ||
| Medical Knowledge | 633 | ||
| Case 2 | 633 | ||
| Medical Knowledge | 634 | ||
| Case 3 | 635 | ||
| Medical Knowledge | 636 | ||
| Chapter 81.\rMultiple System Organ Failure | 637 | ||
| Speaking Intelligently | 637 | ||
| Medical Knowledge | 637 | ||
| Case 1 | 638 | ||
| Medical Knowledge | 639 | ||
| Case 2 | 640 | ||
| Medical Knowledge | 640 | ||
| Case 3 | 641 | ||
| Medical Knowledge | 641 | ||
| CRITICAL CARE EXERCISES: Integrating the Management of the Critical Care Patient | 642 | ||
| Professor’s Assessment | 643 | ||
| Section XIII: THE COMPETENCIES: CHALLENGES AND PATIENT PERSPECTIVES | 655 | ||
| Chapter 82.\rThe Iraq Experiences: Do Competencies Apply in the War Zone? | 657 | ||
| CHANGING AND CONTRADICTORY RESPONSIBILITIES | 657 | ||
| LIMITED RESOURCES | 658 | ||
| CARING FOR THE ENEMY | 658 | ||
| THE WAR FIGHTER | 659 | ||
| AFTER ACTION REVIEW OF PERFORMANCE | 659 | ||
| Chapter 83.\rPotential Conflict between Patient Care and Systems-Based Practice Competencies | 660 | ||
| Chapter 84.\rBloodless Care Medicine: The Intersection of Religion and the Competencies | 662 | ||
| Chapter 85.\rA Patient’s Perspective | 665 | ||
| Chapter 86.\rOn CABGs and Competencies | 667 | ||
| Chapter 87.\rBusiness Challenges to Our Professionalism | 669 | ||
| Reference | 671 | ||
| Section XIV: OPERATIONS | 673 | ||
| Introduction | 675 | ||
| GENERAL COMPLICATIONS TO BE CONSIDERED IN ALL POSTOPERATIVE PATIENTS | 676 | ||
| Operation 1: Breast Biopsy | 677 | ||
| Operation 2: Partial Mastectomy (Lumpectomy) | 678 | ||
| Operation 3: Sentinel Lymph Node Biopsy (SLNB) | 679 | ||
| Operation 4: Axillary Node Dissection | 680 | ||
| Operation 5: Total (Simple) Mastectomy | 681 | ||
| Operation 6: Thyroidectomy | 682 | ||
| Operation 7: Parathyroidectomy | 683 | ||
| Operation 8: Tracheostomy | 684 | ||
| Operation 9: Open Inguinal Hernia Repair | 685 | ||
| Operation 10: Laparoscopic Inguinal Hernia Repair\r | 686 | ||
| Operation 11: Laparoscopic Ventral Hernia Repair | 687 | ||
| Operation 12: Splenectomy | 688 | ||
| Operation 13: Gastrectomy | 689 | ||
| Operation 14: Laparoscopic Gastric Bypass | 690 | ||
| Operation 15: Laparoscopic Adjustable Gastric Band | 691 | ||
| Operation 16: Laparoscopic Fundoplication | 692 | ||
| Operation 17: Graham Patch for Perforated Ulcer | 693 | ||
| Operation 18: Oversew of Bleeding Duodenal Ulcer (Vagotomy and Pyloroplasty) | 694 | ||
| Operation 19: Small Bowel Resection | 695 | ||
| Operation 20: Right Colectomy | 696 | ||
| Operation 21: Left Colectomy and Low Anterior Resection | 697 | ||
| Operation 22: Laparoscopic Colectomy | 698 | ||
| Operation 23: Colostomy and Ileostomy | 699 | ||
| Operation 24: Open Appendectomy | 700 | ||
| Operation 25: Laparoscopic Appendectomy | 701 | ||
| Operation 26: Hemorrhoidectomy | 702 | ||
| Operation 27: Laparoscopic Cholecystectomy | 703 | ||
| Operation 28: Common Bile Duct Exploration | 704 | ||
| Operations 29: Hepatic Lobectomy | 705 | ||
| Operation 30: Whipple Procedure (Pancreaticoduodenectomy) | 706 | ||
| Operation 31: Distal Pancreatectomy | 708 | ||
| Operation 32: Pulmonary Lobectomy | 709 | ||
| Operation 33: Endovascular Aneurysm Repair (EVAR) | 710 | ||
| Operation 34: Carotid Endarterectomy | 711 | ||
| Operation 35: Femoral-Popliteal Bypass Grafting | 713 | ||
| Operation 36: Dialysis Access Procedures | 714 | ||
| Operation 37: Insertion of Portacath | 715 | ||
| Credits | 717 | ||
| Index | 721 |