Learning Surgery: The Surgery Clerkship by Lowry S.F.

By Lowry S.F.

A symptom-based model of the critically-acclaimed Norton/Surgery: simple technology and scientific proof, studying surgical procedure presents a prepared connection with these in 3rd and fourth 12 months residencies. crucial algorithms and case shows meet with clerkship studying pursuits as defined via the organization of Surgical schooling of their ASE handbook. sections comprise creation to scientific surgical procedure within the Surgical Clerkship environment and administration of Surgical ailments throughout the Clerkship. Chapters comprise: Stroke, high blood pressure, stomach plenty, Head accidents, and Burns. Written through major clinicians and educators, either surgical procedure citizens and clinical scholars will locate studying surgical procedure indispensible of their rotations and clerkships. Surgeons who teach citizens also will locate the textual content a useful ajunct to their educating.

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In: Norton JA, Bollinger RR, Chang AE, et al, eds. Surgery: Basic Science and Clinical Evidence. New York: Springer-Verlag, 2001, with permission. ru 2. 9. Different ways of finding out whether a treatment sometimes causes harm. Exposed to the treatment Adverse outcome Present Absent (case) (control) a b Totals a+b No (cohort) c d c+d Totals a+c b+d a+b+c+d Yes (cohort) Source: Reprinted from Sackett DL, Richardson WS, Rosenberg W, Haynes RB. EvidenceBased Medicine: How to Practice and Teach EBM.

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

Surgery: Basic Science and Clinical Evidence. New York: Springer-Verlag, 2001, with permission. 6. a Preparation of the patient Level I: Identify and treat all infections remote to the surgical site before elective operations. Postpone elective operations until the infection has resolved. Do not remove hair preoperatively unless hair at or near the incision site will interfere with surgery. If hair is removed, it should be removed immediately beforehand, preferably with electric clippers. Level II: Control the blood glucose concentration in all diabetic patients.

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