Master the Wards: Surgery Flashcards 2017 PDF
Master the Wards: Surgery Flashcards 2017 PDF is written by USMLE super star conrad fischer.SOMETHING THAT YOU NEED TO KNOW IN SURGICAL WORLD As with most endeavors in life, the healing arts are divided into both the theoretical and the practical spheres.
Surgeons are fortunate to practice equally in both spheres by applying their intellect and technical skill to the diagnosis and treatment of sickness. The practice of surgery is unique in the realm of medicineand correspondingly carries added responsibilities.Patients literally place their trust in the hands of sur-geons.
The profound nature of cutting into another human being, and artfully manipulating his or her phys-ical being to achieve wellness, requires reverence, skill,and judgment.Technologic advances in modern medicine have led to the rise and establishment of procedure-related spe-cialties, including invasive cardiology and radiology,dermatology, intensive care medicine, and emergency medicine, to name a few. Manipulative skills are now required not only in the operating room but also in
procedure rooms and emergency rooms for invasive treatments and repairing traumatic injuries. Therefore,
medical students and residents should master the basics of surgical technique so they are well prepared for the challenges ahead.
Preoperative evaluation has two main purposes: identification of modifiable risk factors and risk assessment. Unless the situation is emergent, every patient should have a detailed history and physical examination.
In all patients, attention should be given to a history of cerebrovascular accident, heart disease of any kind, pulmonary disease, renal disease, liver disease and other gastrointestinal disorders, diabetes, prior surgeries, bleeding problems, clotting problems, difficulty Physical examination should be focused on identifying problems that require further workup.
For example, facial asymmetry, speech problems, weak-ness, or a carotid bruit may suggest prior cerebrovas- cular incident that requires further workup. Cardiac disease may a anesthesia, poor nutrition, alcohol use, and illicit drug use. Allergies, current medications, family history, social history, and a careful and complete review of systems should be conducted. Often, the review of systems will reveal problems that require more detailed workup.
Physical examination should be focused on identifying problems that require further workup. For example, facial asymmetry, speech problems, weak-ness, or a carotid bruit may suggest prior cerebrovascular incident that requires further workup. Cardiac disease may present with evidence of congestive heart failure, crackles on lung examination, or jugular venous distention.
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