Surgery

Preface. Acknowledgements. How to use this book. Part 1 Basics. Approach to the patient. Part 2 Cases. Case 1 Postoperative dyspnoea. Case 2 Inside out. Case 3 A wound leak. Case 4 An inflamed neck. Case 5 Postoperative infection. Case 6 A sore neck. Case 7 Hidden infection. Case 8 Burnt thorax. Case 9 Burn treatment. Case 10 Lumps on the scalp. Case 11 A lump on the wrist. Case 12 Recurrent abscesses over the sacrum. Case 13 A septic great toe. Case 14 A skin tumour. Case 15 Two old gentlemen with facial ulceration. Case 16 A pigmented spot on the face. Case 17 A pigmented skin lesion that has got bigger. Case 18 Lump on the chest wall. Case 19 A patient with a chest drain. Case 20 A fatal lung disease. Case 21 A pulsating abdominal mass. Case 22 Abdominal bruising. Case 23 A painful calf. Case 24 Black toes. Case 25 A useful instrument in vascular surgery. Case 26 A young woman with cold hands. Case 27 A complication of varicose veins. Case 28 A chronic leg ulcer. Case 29 Another leg ulcer. Case 30 A cerebral mass on magnetic resonance imaging. Case 31 A cerebral vascular catastrophe. Case 32 A baby with a large head. Case 33 A blow to the skull. Case 34 A severe head injury. Case 35 Another severe head injury. Case 36 A spinal abnormality in a newborn child. Case 37 Back injury. Case 38 A lacerated wrist. Case 39 A hand deformity. Case 40 A deformed finger. Case 41 A boy with a droopy eyelid. Case 42 A lump on the lip. Case 43 A white plaque on the tongue. Case 44 A baby with two gross congenital deformities. Case 45 A painful submandibular swelling. Case 46 A lump over the angle of the jaw. Case 47 A patient with difficulty swallowing. Case 48 Another patient with difficulty in swallowing. Case 49 A third patient with dysphagia. Case 50 Heartburn. Case 51 Vomiting in a baby. Case 52 A gastric ulcer. Case 53 A bloody vomit. Case 54 An acute abdominal emergency. Case 55 A fateful vomit. Case 56 A serious gastric lesion. Case 57 A surgical specimen of stomach. Case 58 An acutely painful, distended abdomen. Case 59 Neonatal intestinal obstruction. Case 60 A very constipated small boy. Case 61 A painful distended abdomen in an old man. Case 62 An unusual case of severe rectal bleeding in a child. Case 63 An abdominal mass in a young man. Case 64 A striking and diagnostic facial appearance. Case 65 Acute abdomen in a medical student. Case 66 Yet another mass in the right iliac fossa. Case 67 A symptomless finding on a barium enema examination. Case 68 Ulcerative colitis. Case 69 A complication of longstanding ulcerative colitis. Case 70 A very old woman with an abdominal mass. Case 71 A patient with subacute obstruction. Case 72 A pathological anal verge. Case 73 A painful mass at the anal verge. Case 74 Another painful mass at the anal verge. Case 75 An agonizing anal verge. Case 76 A very painful buttock. Case 77 A patient with recurrent perianal sepsis. Case 78 A prolapsing anal mass. Case 79 An ulcer in the rectum. Case 80 An ulcer at the anal verge. Case 81 A large swelling in the groin. Case 82 A groin lump in an old woman. Case 83 A lump at the umbilicus. Case 84 A swelling in the abdominal wall. Case 85 A jaundiced and very ill patient. Case 86 A postmortem finding. Case 87 A man with a grossly swollen abdomen. Case 88 A massive haematemesis. Case 89 A schoolmistress with attacks of abdominal pain. Case 90 A collection of calculi. Case 91 A patient with jaundice and interesting physical signs. Case 92 The patient in Case 91 has surgery. Case 93 A giant abdominal mass. Case 94 A severe abdominal injury. Case 95 A painless lump in the neck. Case 96 Swollen legs in a young woman. Case 97 A frightened girl with a breast lump. Case 98 Breast screening. Case 99 An ulcerating breast lesion. Case 100 A sinister break. Case 101 A woman with a sore nipple. Case 102 A painless lump in the neck. Case 103 A young immigrant with a lump in the neck. Case 104 A lump in the neck that moves on swallowing. Case 105 A woman with an obvious endocrine disease. Case 106 A mass of cervical lymph nodes. Case 107 A rapidly enlarging mass in the neck. Case 108 A patient with colic, and its endocrine underlying cause. Case 109 A girl with hirsutes. Case 110 Congenital disease of both kidneys. Case 111 Haematuria of sinister origin. Case 112 A gross congenital abnormality. Case 113 A bladder stone found at autopsy. Case 114 An insidius cause of lumbago. Case 115 A man with difficulty passing urine and with an interesting X-ray. Case 116 Sciatica with a sinister cause. Case 117 A patient with a very distended bladder. Case 118 A foreskin problem in a child. Case 119 An ulcerated prepuce. Case 120 A missing testis. Case 121 A swelling in the scrotum. Case 122 Two examples of testicular tumours. Case 123 A renal transplant recipient with a gastrointestinal haemorrhage. Part 3 Self-assessment. MCQs. EMQs. SAQs. Answers. Index of cases by diagnosis. Index