By Aneel Bhangu, Michael R. B. Keighley
This identify is directed essentially in the direction of health and wellbeing care pros open air of the U.S.. It offers a concise and obtainable account of this key topic within the undergraduate scientific curriculum. It covers the entire key thoughts scientific scholars want without gaps. it may be used both as an creation to an issue, or as a revision reduction. In part 1, the large photo evaluate provides a descriptive evaluation of an issue in 8pp. within the excessive go back part, 50 primary rules underlying a topic are set out. those 50 rules are multiplied into double-page spreads within the 'Fleshed Out' part the place double-page motives of the major rules essentially express what scientific scholars want to know. tough strategies are depicted via cartoon-strip kind illustrations, which permit swift figuring out and assimilation of information.
- Big photo part - allows readers to narrate aspect to the topic as a whole
- High go back evidence - prevents scholars from having huge gaps of their wisdom. can be utilized as a revision instrument. Reinforces the key points
- Cartoon-strip illustrations - permit scholars to imagine tricky thoughts in a step by step layout. enable info to be chunked into student-friendly sizes.
- Double-page overviews - scholars can learn precis of subject with out cross-referencing to different pages. All laid out on one spread.
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Sample text
G. left upper quadrant pain in a patient from a road traffic accident may be caused by a splenic rupture). The acute abdomen constipation or diarrhoea, haematemesis, melaena. Bleeding may be an emergency (Ch. 7). Menstrual status and gynaecological symptoms should be noted as should bowel sounds (obstruction) and pulse (tachycardia). Pain out of proportion to signs. This is an indication of possible mesenteric infarction, produced by occlusion of the superior mesenteric artery or vein. It can be either acute or chronic.
Erect chest radiograph. Free air underneath the diaphragm indicates perforation of an abdominal viscus (Fig. 2). Ultrasound. Inflamed appendix, gallstones, free blood, abscesses, trauma (liver/spleen) and the size and state of an abdominal aortic aneurysm. Endoscopy (oesophago-gastro-duodenoscopy (OGD)). Although endoscopy is not advisable when assessing for the presence of a perforated ulcer, it is useful for diagnosis and treatment of bleeding peptic ulcers. Management Fig. 2 Erect chest radiograph showing free air underneath the diaphragm (pneumoperitoneum).
28 SECTION THREE: Fleshed out 1. The acute abdomen Clinical features Questions ■ ■ ■ The cardinal symptom is pain (Fig. 1). Onset can be: What are the causes of an acute abdomen? What are the different types of pain? How would you manage an acute abdomen? ■ ■ The ‘acute abdomen’ is the most common presenting surgical symptom. It can be defined as undiagnosed abdominal pain that has been present for less than 1 week, although the definition varies. Pain is the main symptom and it may vary from mild to severe.